,,ii  #aae? ,,congress  #b;d ,session   
,s4 #bgfi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #bf1 #bjah,mr4  
,hell] 7= himself1 ,mr4 ,m55dez1 & ,mr4 
,isakson7 introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,f9ance  ,a ,,bill  ,to require !       
,secret>y ( ,heal? & ,human ,s]vices to 
provide = an action plan on             
recomm5dations = *anges "u ,m$ic>e &    
,m$icaid to prev5t opioids addictions & 
enhance access to m$ication-assi/$      
treatm5t1 & = o!r purposes4  #a4 ,action
 plan on recomm5dations = *anges "u     
,m$ic>e & ,m$icaid to prev5t opioids    
addictions & enhance access to          
m$ication-assi/$ treatm5t  7a7 ,9 g5]al 
,n lat] ?an ,janu>y #a1 #bjai1 !        
,secret>y ( ,heal? & ,human ,s]vices 79 
?is section ref]r$ to z ! ,secret>y71 9 
collaboration ) ! ,pa9 ,managem5t ,be/  
,practices ,int]-,ag5cy ,task ,=ce      
conv5$ "u section #aja7;b7 ( !          
,compreh5sive ,addiction & ,recov]y ,act
 ( #bjaf 7,public ,law #aad-aih71 %all  

develop an action plan t provides       
recomm5dations describ$ 9 subsection    
7b74  7b7 ,action plan compon5ts        
,recomm5dations provid$ "u ! action plan
 "u subsection 7a7 %all include         
recomm5dations on ! foll[+3  7#a7       
,recomm5dations on *anges to ! ,m$ic>e  
program "u title ,,xviii ( ! ,social    
,security ,act & ! ,m$icaid program "u  
title ,,xix ( su* ,act t w\ld enhance   
cov]age & reimbursem5t "u su* programs (
 all m$ication-assi/$ treatm5t approv$  
by ! ,food & ,drug ,adm9i/ration = !    
treatm5t ( opioid addiction & o!r       
!rapies t manage *ronic & acute pa9 &   
treat & m9imize risk ( opioid addiction1
 includ+ recomm5dations on *anges to !  
,m$ic>e prospective paym5t sy/em =      
hospital inpati5t dep>tm5t s]vices "u   
section #ahhf7;d7 ( su* ,act 7#db       
,u4,s4,c4 #acieww7d77 & ! ,m$ic>e       
prospective paym5t sy/em = hospital     
outpati5t dep>tm5t s]vices "u section   
#ahcc7t7 ( su* ,act 7#db ,u4,s4,c4      
#aciel7t77 t w\ld all[ = sep>ate        

reimbursem5t = su* !rapies to enc\rage  
developm5t & adoption ( su* !rapies1 if 
m$ically appropriate4  7#b7             
,recomm5dations = paym5t & s]vice       
deliv]y models to be te/$ by ! ,c5t] =  
,m$ic>e & ,m$icaid ,innovation & o!r    
f$]ally au?oriz$ demon/ration projects1 
includ+ value-bas$ models1 t may        
enc\rage ! use ( appropriate            
m$ication-assi/$ treatm5t approv$ by !  
,food & ,drug ,adm9i/ration = ! treatm5t
 ( opioid addiction & o!r !rapies t     
manage *ronic & acute pa9 & treat &     
m9imize risk ( opioid addiction4  7#c7  
,recomm5dations = data collection t c   
facilitate rese>* & policy mak+ reg>d+  
prev5tion ( opioid addiction & cov]age &
 reimbursem5t "u ! ,m$ic>e program & !  
,m$icaid program ( appropriate opioid   
addiction treatm5ts4  7#d7              
,recomm5dations = provid] education t c 
exp& pati5t access to ! full range (    
m$ication-assi/$ treatm5t approv$ by !  
,food & ,drug ,adm9i/ration = ! treatm5t
 ( opioid addiction & o!r !rapies t     

manage *ronic & acute pa9 & treat &     
m9imize risk ( opioid addiction4  7#e7  
,recomm5dations = policies "u ! ,m$ic>e 
program & "u ! ,m$icaid program t c exp&
 access = rural1 or m$ically und]s]v$   
communities to ! full range (           
m$ication-assi/$ treatm5t approv$ by !  
,food & ,drug ,adm9i/ration = ! treatm5t
 ( opioid addiction & o!r !rapies t     
manage *ronic & acute pa9 & treatm5t &  
m9imize risk ( opioid addiction4  7c7   
,/akehold] meet+s  7#a7 ,9 g5]al ,beg9n+
 n lat] ?an #c mon?s aft] ! date ( !    
enactm5t ( ?is ,act1 ! ,secret>y %all   
conv5e a public /akehold] meet+ to      
solicit public comm5t on ! compon5ts ( !
 action plan recomm5dations describ$ 9  
subsection 7b74  7#b7 ,p>ticipants      
,p>ticipants ( meet+s describ$ 9        
p>agraph 7#a7 %all include              
repres5tatives f ! ,food & ,drug        
,adm9i/ration & ,national ,in/itutes (  
,heal?1 bioph>maceutical indu/ry memb]s1
 m$ical rese>*]s1 heal? c>e provid]s1 ! 
m$ical device indu/ry1 ! ,m$ic>e        

program1 ! ,m$icaid program1 & pati5t   
advocates4  7d7 ,reque/ = in=mation ,n  
lat] ?an #c mon?s aft] ! date ( !       
enactm5t ( ?is section1 ! ,secret>y %all
 issue a reque/ = in=mation seek+ public
 fe$back reg>d+ ways 9 :i* ! ,c5t]s =   
,m$ic>e  ,m$icaid ,s]vices c help       
address ! opioid crisis ?r\gh !         
developm5t ( & application ( ! action   
plan4  7e7 ,report to ,congress ,n lat] 
?an ,m>* #a1 #bjai1 ! ,secret>y %all    
submit to ,congress1 & make public1 a   
report t includes a summ>y ( /eps tak5  
"u ! action plan1 recomm5dations t h    
em]g$ "u ! action plan1 & ! ,secret>y's 
plann$ next /eps ) respect to ! action  
plan4  7f7 ,def9ition (                 
,m$ication-,assi/$ treatm5t ,9 ?is      
section1 ! t]m m$ication-assi/$ treatm5t
 includes opioid treatm5t programs1     
behavioral !rapy1 & m$ications to treat 
sub/ance abuse disord]4  #b4 ,report on 
cov]age1 cod+1 & reimbursem5t policies  
"u ,m$ic>e  7a7 ,9 g5]al ,n lat] ?an #a 
ye> aft] ! date ( ! enactm5t ( ?is ,act1

 ! ,secret>y ( ,heal? & ,human ,s]vices 
79 ?is section ref]r$ to z ! ,secret>y7 
%all--  7#a7 id5tify-- 7,a7 m$ical      
devices t are non-opioid bas$ treatm5ts 
approv$ by ! ,food & ,drug ,adm9i/ration
 = ! managem5t ( acute pa9 & *ronic pa92
  7,b7 m$ical devices t are non-opioid  
bas$ treatm5ts approv$ by ! ,food &     
,drug ,adm9i/ration t monitor sub/ance  
use )drawal & prev5t ov]doses (         
controll$ sub/ances2 &  7,c7 m$ical     
devices t are non-opioid bas$ treatm5ts 
approv$ by ! ,food & ,drug ,adm9i/ration
 t treat sub/ance use disord]2 &  7#b7  
submit to ! ,committee on ,f9ance ( !   
,s5ate & ! ,committees on ,ways & ,means
 & ,en]gy & ,comm]ce ( ! ,h\se (        
,repres5tatives1 & publi% on a public   
,int]net website ( ! ,dep>tm5t ( ,heal? 
& ,human ,s]vices1 a report conta9+     
recomm5dations on ways to enc\rage ! use
 ( su* m$ical devices by individuals    
entitl$ to b5efits "u "p ,a ( title     
,,xviii ( ! ,social ,security ,act &    
enroll$ "u "p ,b ( su* title 7includ+   

individuals enroll$ 9 a ,m$ic>e         
,advantage plan "u "p ,c ( su* title or 
9 a prescription drug plan "u "p ,d (   
su* title7 & individuals enroll$ "u a   
,/ate plan "u title ,,xix ( su* ,act4   
7b7 ,cont5ts ,! report "u subsection 7a7
 %all include an analysis ( ! foll[+1 ) 
respect to ! ,m$ic>e program "u title   
,,xviii ( ! ,social ,security ,act & !  
,m$icaid program "u title ,,xix ( su*   
,act3  7#a7 ,v>i\s opioid alt]natives = 
pa9 treatm5t t are cov]$ "u su*         
programs1 t are n cov]$ "u su* programs1
 t h limit$ cov]age "u su* program1 or )
 respect to :i* !re are paym5t b>ri]s "u
 su* programs4  7#b7 ,v>i\s m$ical      
devices t monitor sub/ance use )drawal &
 prev5t ov]dose ( controll$ sub/ances t 
are cov]$ s cov]$1 t are n s cov]$1 t h 
su* limit$ cov]age1 or ) respect to :i* 
!re are su* paym5t b>ri]s4  7#c7 ,v>i\s 
m$ical devices t treat sub/ance use     
disord] & opioid use disord] t are s    
cov]$1 t are n s cov]$1 t h su* limit$  
cov]age1 or ) respect to :i* !re are su*

 paym5t b>ri]s4  7#d7 ,access to paym5t 
codes us$ by heal? c>e provid]s t       
promote alt]native options = pa9        
managem5t !rapies )\t ! use ( opioids1  
includ+ m9imally invasive pa9 !rapies4  
7#e7 ,ways to improve communications    
betwe5 ,m$ic>e prescription drug plans &
 ,m$ic>e ,advantage plans1 ,m$ic>e &    
,m$icaid heal? c>e provid]s1 & ,m$ic>e  
b5efici>ies & ,m$icaid b5efici>ies on ! 
pot5tial h>m associat$ ) ! use ( opioids
 & o!r controll$ sub/ances1 includ+ !   
ne$ to safely /ore & dispose ( supplies 
relat+ to ! use ( opioids & o!r         
controll$ sub/ances4