,i  #aaeth ,,congress  #b;d ,session    
,h4 ,r4 #fggh  ,,in ,,the ,,house ,,of  
,,representatives  ,september #ab1      
#bjah,mr4 ,ben ,ray ,lujn of ,new       
,mexico introduced the following bill2  
which was referred to the ,committee on 
,energy and ,commerce  ,a ,,bill  ,to   
require the ,secretary of ,health and   
,human ,services to provide guidance to 
,states regarding ,federal reimbursement
 for furnishing services and treatment  
for substance use disorders under       
,medicaid using telehealth services4    
#a4 ,short title ,this ,act may be cited
 as the ,medicaid ,substance ,use       
,disorder ,treatment via ,telehealth    
,act4  #b4 ,guidance to ,states         
regarding ,federal reimbursement for    
furnishing services and treatment for   
substance use disorders under ,medicaid 
using telehealth services1 including in 
school-based health centers  7a7 ,in    
general ,not later than #a year after   
the date of enactment of this ,act1 the 
,secretary of ,health and ,human        

,services1 acting through the           
,administrator of the ,centers for      
,medicare  ,medicaid ,services1 shall   
issue guidance to ,states on the        
following3  7#a7 ,state options for     
,federal reimbursement of expenditures  
under ,medicaid for furnishing services 
and treatment for substance use         
disorders1 including assessment1        
medication-assisted treatment1          
counseling1 medication management1 and  
medication adherence with prescribed    
medication regimes1 using telehealth    
services4 ,such guidance shall also     
include guidance on furnishing services 
and treatments that address the needs of
 high-risk individuals1 including at    
least the following groups3  7,a7       
,american ,indians and ,alaska ,natives4
  7,b7 ,adults under the age of #dj4    
7,c7 ,individuals with a history of     
nonfatal overdose4  7,d7 ,individuals   
with a co-occurring serious mental      
illness and substance use disorder4     
7#b7 ,state options for ,federal        

reimbursement of expenditures under     
,medicaid for education directed to     
providers serving ,medicaid             
beneficiaries with substance use        
disorders using the hub and spoke model1
 through contracts with managed care    
entities1 through administrative        
claiming for disease management         
activities1 and under ,delivery ,system 
,reform ,incentive ,payment 7,,dsrip7   
programs4  7#c7 ,state options for      
,federal reimbursement of expenditures  
under ,medicaid for furnishing services 
and treatment for substance use         
disorders for individuals enrolled in   
,medicaid in a school-based health      
center using telehealth services4  7b7  
,definitions ,in this ,act3 7#a7        
,school-based health center ,the term   
school-based health center has the      
meaning given that term in section      
#baaj7;c77#i7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acig;jj7c77#i774   
7#b7 ,telehealth services ,the term     
telehealth services includes remote     

patient monitoring and other key        
modalities such as live video or        
synchronous telehealth1                 
store-and-forward or asynchronous       
telehealth1 mobile health1 telephonic   
consultation1 and electronic consult    
including provider-to-provider          
e-consults4