,,ii  #aae? ,,congress  #b;d ,session   
,s4 #biab  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bb1 #bjah ,mr4   
,cassidy 7= himself1 ,mr4 ,m55dez1 ,mr4 
,grassley1 & ,mr4 ,w>n]7 introduc$ !    
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to require ! ,secret>y ( ,heal? &      
,human ,s]vices to publi% data relat$ to
 ! preval5ce ( sub/ance use disord]s 9 !
 ,m$icaid b5efici>y population & !      
treatm5t ( sub/ance use disord]s "u     
,m$icaid1 & = o!r purposes4  #a4 ,%ort  
title  ,?is ,act may be cit$ z ! ,opioid
 ,addiction ,treatm5t ,programs         
,enhancem5t ,act4  #b4 ,t-,,msis        
sub/ance use disord] data book  7a7 ,9  
g5]al ,n lat] ?an ! date t is #ab mon?s 
aft] ! date ( enactm5t ( ?is ,act1 !    
,secret>y ( ,heal? & ,human ,s]vices 79 
?is section ref]r$ to z ! ,secret>y7    
%all publi% on ! public website ( !     
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices a   
report ) compreh5sive data on !         
preval5ce ( sub/ance use disord]s 9 !   

,m$icaid b5efici>y population & s]vices 
provid$ = ! treatm5t ( sub/ance use     
disord]s "u ,m$icaid4  7b7 ,cont5t (    
report ,! report requir$ "u subsection  
7a7 %all include1 at a m9imum1 ! foll[+ 
data = ea* ,/ate 7includ+1 to ! ext5t   
available1 = ! ,di/rict ( ,columbia1    
,pu]to ,rico1 ! ,virg9 ,isl&s1 ,guam1 ! 
,nor!rn ,m>iana ,isl&s1 & ,am]ican      
,samoa73  7#a7 ,! numb] & p]c5tage (    
individuals enroll$ 9 ! ,/ate ,m$icaid  
plan or waiv] ( su* plan 9 ea* ( ! major
 enrollm5t categories 7z def9$ 9 a      
public lett] f ! ,m$icaid & ,,*ip       
,paym5t & ,access ,commission to !      
,secret>y7 :o h be5 diagnos$ ) a        
sub/ance use disord] & :e!r su*         
individuals are enroll$ "u ! ,/ate      
,m$icaid plan or a waiv] ( su* plan1    
includ+ ! specific waiv] au?ority "u :i*
 !y are enroll$1 to ! ext5t available4  
7#b7 ,a li/ ( ! sub/ance use disord]    
treatm5t s]vices by ea* major type (    
s]vice1 su* z c\nsel+1 m$ication assi/$ 
treatm5t1 pe] support1 resid5tial       

treatm5t1 & inpati5t c>e1 = :i*         
b5efici>ies 9 ea* ,/ate receiv$ at lea/ 
#a s]vice "u ! ,/ate ,m$icaid plan or a 
waiv] ( su* plan4  7#c7 ,! numb] &      
p]c5tage ( individuals ) a sub/ance use 
disord] diagnosis enroll$ 9 ! ,/ate     
,m$icaid plan or waiv] ( su* plan :o    
receiv$ sub/ance use disord] treatm5t   
s]vices "u su* plan or waiv] by ea*     
major type ( s]vice "u p>agraph 7#b7 )9 
ea* major sett+ type1 su* z outpati5t1  
inpati5t1 resid5tial1 & o!r home &      
community-bas$ sett+s4  7#d7 ,! numb] ( 
s]vices provid$ "u ! ,/ate ,m$icaid plan
 or waiv] ( su* plan p] individual ) a  
sub/ance use disord] diagnosis enroll$ 9
 su* plan or waiv] = ea* major type (   
s]vice "u p>agraph 7#b74  7#e7 ,! numb] 
& p]c5tage ( individuals enroll$ 9 !    
,/ate ,m$icaid plan or waiv]1 by major  
enrollm5t category1 :o receiv$ sub/ance 
use disord] treatm5t ?r\gh--  7,a7 a    
m$icaid manag$ c>e entity 7z def9$ 9    
section #aicb7;a77#a77;,b7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           

#acifu-#b7;a77#a77;,b7771 includ+ !     
numb] ( su* individuals :o receiv$ su*  
assi/ance ?r\gh a prepaid inpati5t heal?
 plan or a prepaid ambulatory heal?     
plan2  7,b7 a fee-=-s]vice paym5t model2
 or  7,c7 an alt]native paym5t model1 to
 ! ext5t available4  7#f7 ,! numb] &    
p]c5tage ( individuals ) a sub/ance use 
disord] :o receive sub/ance use disord] 
treatm5t s]vices 9 an outpati5t or home 
& community-bas$ sett+ aft] receiv+     
treatm5t 9 an inpati5t or resid5tial    
sett+1 & ! numb] ( s]vices receiv$ by   
su* individuals 9 ! outpati5t or home & 
community-bas$ sett+4  7c7 ,annual      
updates ,! ,secret>y %all issue an      
updat$ v]sion ( ! report requir$ "u     
subsection 7a7 n lat] ?an ,janu>y #a (  
ea* cal5d> ye> ?r\gh #bjbd4  7d7 ,use ( 
,t-,,msis data ,! report requir$ "u     
subsection 7a7 & updates requir$ "u     
subsection 7c7 %all-- 7#a7 use data &   
def9itions f ! ,trans=m$ ,m$icaid       
,/ati/ical ,in=mation ,sy/em 7,t-,,msis7
 data set t is no m ?an #ab mon?s old on

 ! date t ! report or update is publi%$2
 &  7#b7 z appropriate1 include a       
description ) respect to ea* ,/ate ( !  
quality & complet5ess ( ! data & caveats
 describ+ ! limitations ( ! data report$
 to ! ,secret>y by ! ,/ate t is         
suffici5t to communicate ! appropriate  
uses = ! in=mation4  #c4 ,mak+ ,t-,,msis
 data on sub/ance use disord]s available
 to rese>*]s  7a7 ,9 g5]al ,! ,secret>y 
( ,heal? & ,human ,s]vices 7ref]r$ to 9 
?is section z ! ,secret>y7 %all publi% 9
 ! ,f$]al ,regi/] a sy/em ( records     
notice = ! data specifi$ 9 subsection   
7b7 = ! ,trans=m$ ,m$icaid ,/ati/ical   
,in=mation ,sy/em1 9 accordance )       
section #eeb;a7e77#d7 ( title #e1 ,unit$
 ,/ates ,code4 ,! notice %all outl9e    
policies t protect ! security & privacy 
( ! data t1 at a m9imum1 meet ! security
 & privacy policies ( ,,sorn #ji-gj-jeda
 = ! ,m$icaid ,/ati/ical ,in=mation     
,sy/em4  7b7 ,requir$ data ,! data cov]$
 by ! sy/ems ( records notice requir$ "u
 subsection 7a7 %all be suffici5t =     

rese>*]s & ,/ates to analyze ! preval5ce
 ( sub/ance use disord]s 9 ! ,m$icaid   
b5efici>y population & ! treatm5t (     
sub/ance use disord]s "u ,m$icaid across
 all ,/ates 7includ+ ! ,di/rict (       
,columbia1 ,pu]to ,rico1 ! ,virg9       
,isl&s1 ,guam1 ! ,nor!rn ,m>iana ,isl&s1
 & ,am]ican ,samoa71 =ms ( treatm5t1 &  
treatm5t sett+s4  7c7 ,initiation (     
data-,%>+ activities ,n lat] ?an ,janu>y
 #a1 #bjai1 ! ,secret>y %all initiate ! 
data-%>+ activities outl9$ 9 ! notice   
requir$ "u subsection 7a74