,,ib  ,union ,cal5d> ,no4 #efb  #aae?   
,,congress  #b;d ,session  ,h4 ,r4 #ehaj
  ,report ,no4 #aae-gbg  ,,9 ,,! ,,h\se 
,,( ,,repres5tatives  ,may #ae1 #bjah   
,mr4 ,lance 7= himself1 ,mr4 ,wel*1 &   
,mr4 ,ro?fus7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,june #ab1 #bjah;,additional 
sponsors3 ,mr4 ,wald5 & ,mrs4 ,blackburn
  ,june #ab1 #bjah ,report$ ) am5dm5ts1 
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union1 & ord]$ to be   
pr9t$ ,/rike out all aft] ! enact+      
clause & ins]t ! "p pr9t$ 9 italic ,=   
text ( introduc$ bill1 see copy ( bill z
 introduc$ on ,may #ae1 #bjah  ,a ,,bill
  ,to am5d title ,,xix ( ! ,social      
,security ,act to provide = an ext5sion 
( ! enhanc$ ,,fmap = c]ta9 ,m$icaid     
heal? homes = individuals ) sub/ance use
 disord]s4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,m$icaid ,heal? ,homes =
 ,opioid-,use-,disord] ,m$icaid         
,enrollees ,enc\rag$ ,act or ! ,m$icaid 
,heal? ,,home ,act4  #b4 ,ext5sion (    

enhanc$ ,,fmap = c]ta9 heal? homes =    
individuals ) sub/ance use disord]s     
,section #aide ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acifw-#d7 is       
am5d$--  7#a7 9 subsection 7c7-- 7,a7 9 
p>agraph 7#a71 by ins]t+ subject to     
p>agraph 7#d71 aft] except t12 &  7,b7  
by add+ at ! end ! foll[+ new p>agraph3 
7#d7 ,special rule relat+ to sub/ance   
use disord] heal? homes  7,a7 ,9 g5]al  
,9 ! case ( a ,/ate ) an ,,sud-focus$   
,/ate plan am5dm5t approv$ by !         
,secret>y on or aft] ,octob] #a1 #bjah1 
! ,secret>y may1 at ! reque/ ( ! ,/ate1 
ext5d ! application ( ! ,f$]al m$ical   
assi/ance p]c5tage describ$ 9 p>agraph  
7#a7 to paym5ts = ! provision ( heal?   
home s]vices to ,,sud-eligible          
individuals "u su* ,/ate plan am5dm5t1 9
 addition to ! fir/ #h fiscal ye> qu>t]s
 ! ,/ate plan am5dm5t is 9 effect1 = !  
subsequ5t #b fiscal ye> qu>t]s t ! ,/ate
 plan am5dm5t is 9 effect4 ,no?+ 9 ?is  
section %all be con/ru$ z prohibit+ a   
,/ate ) a ,/ate plan am5dm5t t is       

approv$ "u ?is section & t is n an      
,,sud-focus$ ,/ate plan am5dm5t f       
additionally hav+ approv$ on or aft] su*
 date an ,,sud-focus$ ,/ate plan am5dm5t
 "u ?is section1 includ+ = purposes (   
application ( ?is p>agraph4  7,b7       
,report requirem5ts ,9 ! case ( a ,/ate 
) an ,,sud-focus$ ,/ate plan am5dm5t =  
:i* ! application ( ! ,f$]al m$ical     
assi/ance p]c5tage has be5 ext5d$ "u    
subp>agraph 7,a71 su* ,/ate %all1 at !  
end ( ! p]iod ( su* ,/ate plan am5dm5t1 
submit to ! ,secret>y a report on !     
foll[+1 ) respect to ,,sud-eligible     
individuals provid$ heal? home s]vices  
"u su* ,/ate plan am5dm5t3  7i7 ,!      
quality ( heal? c>e provid$ to su*      
individuals1 ) a focus on outcomes      
relevant to ! recov]y ( ea* su*         
individual4  7ii7 ,! access ( su*       
individuals to heal? c>e4  7iii7 ,!     
total exp5ditures ( su* individuals =   
heal? c>e4  ,= purposes ( ?is           
subp>agraph1 ! ,secret>y %all specify   
all applicable measures = det]m9+       

quality1 access1 & exp5ditures4  7,c7   
,be/ practices ,n lat] ?an ,octob] #a1  
#bjbj1 ! ,secret>y %all make publicly   
available on ! ,int]net website ( !     
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices be/ 
practices = design+ & implem5t+ an      
,,sud-focus$ ,/ate plan am5dm5t1 bas$ on
 ! exp]i5ces ( ,/ates t h ,/ate plan    
am5dm5ts approv$ "u ?is section t       
include ,,sud-eligible individuals4     
7,d7 ,def9itions ,= purposes ( ?is      
p>agraph3 7i7 ,,sud-eligible individuals
 ,! t]m ,,sud-eligible individual means1
 ) respect to a ,/ate1 an individual :o 
satisfies all ( ! foll[+3  7,i7 ,!      
individual is an eligible individual )  
*ronic conditions4  7,,ii7 ,! individual
 is an individual ) a sub/ance use      
disord]4  7,,iii7 ,! individual has n   
previ\sly receiv$ heal? home s]vices "u 
any o!r ,/ate plan am5dm5t approv$ = !  
,/ate "u ?is section by ! ,secret>y4    
7ii7 ,,sud-focus$ ,/ate plan am5dm5t ,! 
t]m ,,sud-focus$ ,/ate plan am5dm5t     
means a ,/ate plan am5dm5t "u ?is       

section t is design$ to provide heal?   
home s]vices prim>ily to ,,sud-eligible 
individuals4  4  #c4 ,requirem5t = ,/ate
 ,m$icaid plans to provide cov]age =    
m$ication-assi/$ treatm5t  7a7          
,requirem5t = ,/ate ,m$icaid plans to   
provide cov]age = m$ication-assi/$      
treatm5t ,section #aijb7;a77#aj77;,a7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif;a7a77#aj77;,a77 is am5d$1 9 !     
matt] prec$+ clause 7i71 by /rik+ &     
7#bh7 & ins]t+ 7#bh71 & 7#bi74  7b7     
,inclusion ( m$ication-assi/$ treatm5t z
 m$ical assi/ance ,section #aije7;a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif;d7a77 is am5d$-- 7#a7 9 p>agraph  
7#bh71 by /rik+ & at ! end2  7#b7 by    
r$esignat+ p>agraph 7#bi7 z p>agraph    
7#cj72 &  7#c7 by ins]t+ aft] p>agraph  
7#bh7 ! foll[+ new p>agraph3  7#bi7     
subject to p>agraph 7#b7 ( subsection   
7ee71 = ! p]iod beg9n+ ,octob] #a1      
#bjbj1 & end+ ,septemb] #cj1 #bjbe1     
m$ication-assi/$ treatm5t 7z def9$ 9    
p>agraph 7#a7 ( su* subsection72 &  4   

7c7 ,m$ication-assi/$ treatm5t def9$2   
,waiv]s ,section #aije ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is am5d$ by add+ at ! end ! foll[+ new  
subsection3  7ee7 ,m$ication-assi/$     
treatm5t  7#a7 ,def9ition ,= purposes ( 
subsection 7a77#bi71 ! t]m              
m$ication-assi/$ treatm5t-- 7,a7 means  
all drugs approv$ "u section #eje ( !   
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #cee71 includ+ me?adone1 
& all biological products lic5s$ "u     
section #cea ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bfb7 to treat      
opioid use disord]s2 &  7,b7 includes1 )
 respect to ! provision ( su* drugs &   
biological products1 c\nsel+ s]vices &  
behavioral !rapy4  7#b7 ,exception ,!   
provisions ( p>agraph 7#bi7 ( subsection
 7a7 %all n apply ) respect to a ,/ate =
 ! p]iod specifi$ 9 su* p>agraph1 if    
be=e ! beg9n+ ( su* p]iod ! ,/ate       
c]tifies to ! satisfaction ( ! ,secret>y
 t implem5t+ su* provisions /atewide =  
all individuals eligible to enroll 9 !  

,/ate plan 7or waiv] ( ! ,/ate plan7    
w\ld n be feasible by reason ( a %ortage
 ( qualifi$ provid]s ( m$ication-assi/$ 
treatm5t1 or facilities provid+ su*     
treatm5t1 t w contract ) ! ,/ate or a   
manag$ c>e entity ) :i* ! ,/ate has a   
contract "u section #aijc7m7 or "u      
section #aije7t77#c74  4  7d7 ,effective
 date  7#a7 ,9 g5]al ,subject to        
p>agraph 7#b71 ! am5dm5ts made by ?is   
section %all apply ) respect to m$ical  
assi/ance provid$ on or aft] ,octob] #a1
 #bjbj1 & be=e ,octob] #a1 #bjbe4  7#b7 
,exception = ,/ate legislation ,9 ! case
 ( a ,/ate plan "u title ,,xix ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq47 t ! ,secret>y ( ,heal? & 
,human ,s]vices det]m9es requires ,/ate 
legislation 9 ord] = ! respective plan  
to meet any requirem5t impos$ by !      
am5dm5ts made by ?is section1 !         
respective plan %all n be reg>d$ z fail+
 to comply ) ! requirem5ts ( su* title  
solely on ! basis ( its failure to meet 
su* an additional requirem5t be=e ! fir/

 day ( ! fir/ cal5d> qu>t] beg9n+ aft] !
 close ( ! fir/ regul> session ( ! ,/ate
 legislature t beg9s aft] ! date ( !    
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 ! session %all be consid]$ to be a     
sep>ate regul> session ( ! ,/ate        
legislature4  ,am5d ! title s z to read3
 ,a bill to am5d title ,,xix ( ! ,social
 ,security ,act to provide = an ext5sion
 ( ! enhanc$ ,,fmap = c]ta9 ,m$icaid    
heal? homes = individuals ) sub/ance use
 disord]s1 & to require ,/ates to       
include "u _! ,/ate ,m$icaid plans      
cov]age = m$ication-assi/$ treatm5t44   
,june #ab1 #bjah ,report$ ) am5dm5ts1   
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union1 & ord]$ to be   
pr9t$