,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bhih  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bb1      
#bjah,mr4 ,casey 7for himself1 ,mr4     
,heller1 and ,mr4 ,blumenthal7          
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,finance  ,a ,,bill  ,to  
amend title ,,xix of the ,social        
,security ,act to remove lifetime limits
 under ,state ,medicaid programs on     
medication-assisted treatment for       
substance use disorders4  #a4 ,short    
title ,this ,act may be cited as the    
,medication-,assisted ,treatment        
,improvement ,act4  #b4 ,removing       
lifetime limits on medication-assisted  
treatment for substance use disorders   
7a7 ,in general ,section #aibg7;d7 of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #acifr-#h7;d77 is amended--   
7#a7 in the subsection heading1 by      
striking on and inserting and           
requirements related to the2 and  7#b7  
by adding at the end the following new  

paragraph3  7#h7 ,no maximum lifetime   
limit on medication-assisted treatment  
for substance use disorders ,any ,state 
that provides medical assistance for    
covered outpatient drugs shall not      
impose a maximum lifetime limit on      
medical assistance for                  
medication-assisted treatments for      
substance use disorders that have been  
approved by the ,food and ,drug         
,administration4  4  7b7 ,effective date
  7#a7 ,in general ,except as provided  
in paragraph 7#b71 paragraph 7#h7 of    
section #aibg7;d7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#acifr-#h7;d771 as added by subsection  
7a77#b71 shall take effect on the first 
day of the first calendar quarter that  
begins on or after the date of the      
enactment of this ,act4  7#b7 ,exception
 for ,state legislation ,in the case of 
a ,state plan for medical assistance    
under title ,,xix of the ,social        
,security ,act which the ,secretary of  
,health and ,human ,services determines 

requires ,state legislation 7other than 
legislation appropriating funds7 in     
order for the plan to meet the          
additional requirement imposed by       
paragraph 7#h7 of section #aibg7;d7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acifr-#h7;d771 as added by   
subsection 7a77#b71 the ,state plan     
shall not be regarded as failing to     
comply with the requirements of such    
title solely on the basis of its failure
 to meet this additional requirement    
before the first day of the first       
calendar quarter beginning after the    
close of the first regular session of   
the ,state legislature that begins after
 the date of the enactment of this ,act4