,,ii  #aae? ,,congress  #b;d ,session   
,s4 #bhge  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ag1 #bjah,mr4    
,cassidy 7= himself1 ,mr4 ,nelson1 &    
,mr4 ,c>d97 introduc$ ! foll[+ bill2 :i*
 0 read twice & ref]r$ to ! ,committee  
on ,f9ance  ,a ,,bill  ,to am5d title   
,,xviii ( ! ,social ,security ,act to   
provide = ,m$ic>e cov]age ( c]ta9       
s]vices furni%$ by opioid treatm5t      
programs1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z !         
,compreh5sive ,opioid ,managem5t &      
,bundl$ ,addiction ,treatm5t ,act (     
#bjah or ! ,,combat ,act ( #bjah4  #b4  
,m$ic>e cov]age ( c]ta9 s]vices furni%$ 
by opioid treatm5t programs  7a7        
,cov]age ,section #ahfa7s77#b7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7s77#b77 is am5d$--  7#a7 9       
subp>agraph 7,,ff71 by /rik+ at ! end &2
  7#b7 9 subp>agraph 7,,gg71 by ins]t+  
at ! end 2 &2 &  7#c7 by add+ at ! end !
 foll[+ new subp>agraph3  7,,hh7 opioid 
use disord] treatm5t s]vices 7z def9$ 9 

subsection 7jjj774  4  7b7 ,opioid use  
disord] treatm5t s]vices & opioid       
treatm5t program def9$ ,section #ahfa ( 
! ,social ,security ,act is am5d$ by    
add+ at ! end ! foll[+ new subsection3  
7jjj7 ,opioid use disord] treatm5t      
s]vices2 opioid treatm5t program  7#a7  
,opioid use disord] treatm5t s]vices ,! 
t]m opioid use disord] treatm5t s]vices 
means items & s]vices t are furni%$ by  
an opioid treatm5t program = ! treatm5t 
( opioid abuse disord]1 includ+--  7,a7 
opioid agoni/ treatm5t m$ications       
7includ+ oral v]sions7 t are approv$ by 
! ,food & ,drug ,adm9i/ration "u section
 #eje ( ! ,f$]al ,food1 ,drug1 &        
,cosmetic ,act = use 9 ! treatm5t (     
opioid use disord]2  7,b7 disp5s+ &     
adm9i/ration ( su* m$ications1 if       
applicable2  7,c7 sub/ance abuse c\nsel+
 by a pr(essional to ! ext5t au?oriz$ "u
 ,/ate law to furni% su* s]vices2  7,d7 
behavioral individual & gr\p !rapy )    
physicians or psy*ologi/s 7or o!r m5tal 
heal? pr(essionals to ! ext5t au?oriz$  

"u ,/ate law72  7,e7 toxicology te/+1 & 
7,f7 o!r items & s]vices t ! ,secret>y  
det]m9es are appropriate4  7#b7 ,opioid 
treatm5t program ,! t]m opioid treatm5t 
program means an opioid treatm5t program
 7z def9$ 9 section #h4b ( title #db ( !
 ,code ( ,f$]al ,regulations1 or any    
successor regulation7 t--  7,a7 is      
enroll$ "u section #ahff7;j72  7,b7 has 
9 effect a c]tification by ! ,sub/ance  
,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration = su* a program2  7,c7 is 
accr$it$ by an accr$it+ body approv$ by 
! ,sub/ance ,abuse & ,m5tal ,heal?      
,s]vices ,adm9i/ration2 &  7,d7 meets   
su* additional conditions z ! ,secret>y 
may f9d necess>y to ensure-- 7i7 ! heal?
 & safety ( individuals be+ furni%$     
s]vices "u su* program2 &  7ii7 !       
effective & effici5t furni%+ ( su*      
s]vices4  4  7c7 ,paym5t  7#a7 ,9 g5]al 
,section #ahcc7;a77#a7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciel7a77#a77 is am5d$--  7,a7 by /rik+
 & 7,,bb7 & ins]t+ 7,,bb72 &  7,b7 by   

ins]t+ be=e ! semicolon at ! end !      
foll[+ 1 & 7,,cc7 ) respect to opioid   
use disord] treatm5t s]vices furni%$    
dur+ an episode ( c>e1 ! am\nt paid %all
 be equal to ! am\nt payable 9          
accordance ) section #ahcd7w7 less any  
copaym5t requir$ z specifi$ by !        
,secret>y4  7#b7 ,paym5t det]m9ation    
,section #ahcd ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciem7 is am5d$ by 
add+ at ! end ! foll[+ new subsection3  
7w7 ,opioid use disord] treatm5t s]vices
  7#a7 ,9 g5]al ,! ,secret>y %all pay to
 an opioid treatm5t program 7z def9$ 9  
p>agraph 7#b7 ( section #ahfa7;jjj77 an 
am\nt t is equal to #ajj p]c5t ( a      
bundl$ paym5t "u ?is "p = opioid use    
disord] treatm5t s]vices 7z def9$ 9     
p>agraph 7#a7 ( su* section7 t are      
furni%$ by su* program to an individual 
dur+ an episode ( c>e 7z def9$ by !     
,secret>y7 beg9n+ on or aft] ,janu>y #a1
 #bjbj4 ,! ,secret>y %all ensure t no   
duplicative paym5ts are made "u ?is "p  
or "p ,d to a physician1 practition]1 or

 ph>macy = items & s]vices furni%$ by an
 opioid treatm5t program4  7#b7         
,consid]ations ,! ,secret>y may implem5t
 ?is subsection ?r\gh "o or m bundles   
bas$ on ! type ( m$ication provid$ 7su* 
z bupr5orph9e1 me?adone1 naltrexone1 or 
a new innovative drug71 ! frequ5cy (    
s]vices1 ! scope ( s]vices furni%$1     
*>act]i/ics ( ! individuals furni%$ su* 
s]vices1 or o!r factors z ! ,secret>y   
det]m9es appropriate4 ,9 develop+ su*   
bundles1 ! ,secret>y may consid] paym5t 
rates paid to opioid treatm5t programs =
 comp>able s]vices "u ,/ate plans "u    
title ,,xix1 "u ! ,,tric>e program "u   
*apt] #ee ( title #aj ( ! ,unit$ ,/ates 
,code1 or by o!r heal? c>e pay]s4  7#c7 
,annual updates ,! ,secret>y %all       
provide an update ea* ye> to ! bundl$   
paym5t am\nts "u ?is subsection4  4  7d7
 ,includ+ opioid treatm5t programs z    
,m$ic>e provid]s ,section #ahff7;e7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acie;cc7e77 is am5d$-- 7#a7 9 p>agraph 
7#b71 by /rik+ at ! end &2  7#b7 9      

p>agraph 7#c71 by /rik+ ! p]iod at ! end
 & ins]t+ 2 &2 &  7#c7 by add+ at ! end 
! foll[+ new p>agraph3  7#c7 opioid     
treatm5t programs 7z def9$ 9 p>agraph   
7#b7 ( section #ahfa7;jjj771 b only )   
respect to ! furni%+ ( opioid treatm5t  
program s]vices 7z def9$ 9 p>agraph 7#a7
 ( su* section74  4