,,ii #aaeth ,,congress #b;d ,session ,s4 #bhge ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #ag1 #bjah,mr4 ,cassidy 7for himself1 ,mr4 ,nelson1 and ,mr4 ,cardin7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend title ,,xviii of the ,social ,security ,act to provide for ,medicare coverage of certain services furnished by opioid treatment programs1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,comprehensive ,opioid ,management and ,bundled ,addiction ,treatment ,act of #bjah or the ,,combat ,act of #bjah4 #b4 ,medicare coverage of certain services furnished by opioid treatment programs 7a7 ,coverage ,section #ahfa7s77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is amended-- 7#a7 in subparagraph 7,,ff71 by striking at the end and2 7#b7 in subparagraph 7,,gg71 by inserting at the end 2 and2 and 7#c7 by adding at the end the following new subparagraph3 7,,hh7 opioid use disorder treatment services 7as defined in subsection 7jjj774 4 7b7 ,opioid use disorder treatment services and opioid treatment program defined ,section #ahfa of the ,social ,security ,act is amended by adding at the end the following new subsection3 7jjj7 ,opioid use disorder treatment services2 opioid treatment program 7#a7 ,opioid use disorder treatment services ,the term opioid use disorder treatment services means items and services that are furnished by an opioid treatment program for the treatment of opioid abuse disorder1 including-- 7,a7 opioid agonist treatment medications 7including oral versions7 that are approved by the ,food and ,drug ,administration under section #eje of the ,federal ,food1 ,drug1 and ,cosmetic ,act for use in the treatment of opioid use disorder2 7,b7 dispensing and administration of such medications1 if applicable2 7,c7 substance abuse counseling by a professional to the extent authorized under ,state law to furnish such services2 7,d7 behavioral individual and group therapy with physicians or psychologists 7or other mental health professionals to the extent authorized under ,state law72 7,e7 toxicology testing1 and 7,f7 other items and services that the ,secretary determines are appropriate4 7#b7 ,opioid treatment program ,the term opioid treatment program means an opioid treatment program 7as defined in section #h4b of title #db of the ,code of ,federal ,regulations1 or any successor regulation7 that-- 7,a7 is enrolled under section #ahff7;j72 7,b7 has in effect a certification by the ,substance ,abuse and ,mental ,health ,services ,administration for such a program2 7,c7 is accredited by an accrediting body approved by the ,substance ,abuse and ,mental ,health ,services ,administration2 and 7,d7 meets such additional conditions as the ,secretary may find necessary to ensure-- 7i7 the health and safety of individuals being furnished services under such program2 and 7ii7 the effective and efficient furnishing of such services4 4 7c7 ,payment 7#a7 ,in general ,section #ahcc7;a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is amended-- 7,a7 by striking and 7,,bb7 and inserting 7,,bb72 and 7,b7 by inserting before the semicolon at the end the following 1 and 7,,cc7 with respect to opioid use disorder treatment services furnished during an episode of care1 the amount paid shall be equal to the amount payable in accordance with section #ahcd7w7 less any copayment required as specified by the ,secretary4 7#b7 ,payment determination ,section #ahcd of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7 is amended by adding at the end the following new subsection3 7w7 ,opioid use disorder treatment services 7#a7 ,in general ,the ,secretary shall pay to an opioid treatment program 7as defined in paragraph 7#b7 of section #ahfa7;jjj77 an amount that is equal to #ajj percent of a bundled payment under this part for opioid use disorder treatment services 7as defined in paragraph 7#a7 of such section7 that are furnished by such program to an individual during an episode of care 7as defined by the ,secretary7 beginning on or after ,january #a1 #bjbj4 ,the ,secretary shall ensure that no duplicative payments are made under this part or part ,d to a physician1 practitioner1 or pharmacy for items and services furnished by an opioid treatment program4 7#b7 ,considerations ,the ,secretary may implement this subsection through one or more bundles based on the type of medication provided 7such as buprenorphine1 methadone1 naltrexone1 or a new innovative drug71 the frequency of services1 the scope of services furnished1 characteristics of the individuals furnished such services1 or other factors as the ,secretary determines appropriate4 ,in developing such bundles1 the ,secretary may consider payment rates paid to opioid treatment programs for comparable services under ,state plans under title ,,xix1 under the ,,tricare program under chapter #ee of title #aj of the ,united ,states ,code1 or by other health care payers4 7#c7 ,annual updates ,the ,secretary shall provide an update each year to the bundled payment amounts under this subsection4 4 7d7 ,including opioid treatment programs as ,medicare providers ,section #ahff7;e7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7e77 is amended-- 7#a7 in paragraph 7#b71 by striking at the end and2 7#b7 in paragraph 7#c71 by striking the period at the end and inserting 2 and2 and 7#c7 by adding at the end the following new paragraph3 7#c7 opioid treatment programs 7as defined in paragraph 7#b7 of section #ahfa7;jjj771 but only with respect to the furnishing of opioid treatment program services 7as defined in paragraph 7#a7 of such section74 4