,,ii  ,cal5d> ,no4 #dhd  #aae?          
,,congress  #b;d ,session  ,s4 #cabj    
,report ,no4 #aae-bhd  ,,9 ,,! ,,s5ate  
,,( ,,! ,,unit$ ,,/ates  ,june #be1     
#bjah ,mr4 ,hat*1 f ! ,committee on     
,f9ance1 report$ ! foll[+ orig9al bill2 
:i* 0 read twice & plac$ on ! cal5d>  ,a
 ,,bill  ,to am5d titles ,,xviii & ,,xix
 ( ! ,social ,security ,act to help end 
addictions & less5 sub/ance abuse       
disord]s1 & = o!r purposes4  #a4 ,%ort  
title2 table ( cont5ts  7a7 ,%ort title 
,?is ,act may be cit$ z ! ,help+ to ,end
 ,addiction & ,less5 ,sub/ance ,use     
,disord]s ,act ( #bjah or ! ,,heal ,act 
( #bjah4  7b7 ,table ( cont5ts ,! table 
( cont5ts = ?is ,act is z foll[s3 ,sec4 
#a4 ,%ort title2 table ( cont5ts4       
,,title ,i--,m$ic>e ,sec4 #aja4 ,m$ic>e 
opioid safety education4 ,sec4 #ajb4    
,exp&+ ! use ( teleheal? s]vices = !    
treatm5t ( opioid use disord] & o!r     
sub/ance use disord]s4 ,sec4 #ajc4      
,compreh5sive scre5+s = s5iors4 ,sec4   
#ajd4 ,e prescription convey$ securely4 

,sec4 #aje4 ,/&>diz+ electronic prior   
au?orization = safe prescrib+4 ,sec4    
#ajf4 ,/r5g!n+ p>tn]%ips to prev5t      
opioid abuse4 ,sec4 #ajg4 ,commit to    
opioid m$ical prescrib] acc\ntability & 
safety = s5iors4 ,sec4 #ajh4 ,fight+ !  
opioid epidemic ) sun%9e4 ,sec4 #aji4   
,demon/ration te/+ cov]age ( c]ta9      
s]vices furni%$ by opioid treatm5t      
programs4 ,sec4 #aaj4 ,enc\rag+         
appropriate prescrib+ "u ,m$ic>e =      
victims ( opioid ov]dose4 ,sec4 #aaa4   
,automatic escalation to ext]nal review 
"u a ,m$ic>e "p ,d drug managem5t       
program = at-risk b5efici>ies4 ,sec4    
#aab4 ,m$ic>e ,improvem5t ,fund4 ,,title
 ,,ii--,m$icaid ,sec4 #bja4 ,c>+ recov]y
 = infants & babies4 ,sec4 #bjb4 ,pe]   
support enhancem5t & evaluation review4 
,sec4 #bjc4 ,m$icaid sub/ance use       
disord] treatm5t via teleheal?4 ,sec4   
#bjd4 ,enhanc+ pati5t access to         
non-opioid treatm5t options4 ,sec4 #bje4
 ,assess+ b>ri]s to opioid use disord]  
treatm5t4 ,sec4 #bjf4 ,help = moms &    

babies4 ,sec4 #bjg4 ,secur+ flexibility 
to treat sub/ance use disord]s4 ,sec4   
#bjh4 ,,macpac /udy & report on ,,mat   
utilization controls "u ,/ate ,m$icaid  
programs4 ,sec4 #bji4 ,opioid addiction 
treatm5t programs enhancem5t4 ,sec4     
#baj4 ,bett] data %>+ to combat ! opioid
 crisis4 ,sec4 #baa4 ,m&atory report+ ) 
respect to adult behavioral heal?       
measures4 ,sec4 #bab4 ,report on        
innovative ,/ate initiatives & /rategies
 to provide h\s+-relat$ s]vices &       
supports to individuals /ruggl+ )       
sub/ance use disord]s "u ,m$icaid4 ,sec4
 #bac4 ,te*nical assi/ance & support =  
innovative ,/ate /rategies to provide   
h\s+-relat$ supports "u ,m$icaid4       
,,title ,,iii--,human ,s]vices ,sec4    
#cja4 ,support+ family-focus$ resid5tial
 treatm5t4 ,sec4 #cjb4 ,improv+ recov]y 
& reunify+ families4 ,sec4 #cjc4 ,build+
 capacity = family-focus$ resid5tial    
treatm5t4  ,i ,m$ic>e  #aja4 ,m$ic>e    
opioid safety education  7a7 ,9 g5]al   
,section #ahjd ( ! ,social ,security    

,act 7#db ,u4,s4,c4 #acie;b-#b7 is am5d$
 by add+ at ! end ! foll[+ new          
subsection3  7d7 ,! notice provid$ "u   
subsection 7a7 %all include-- 7#a7      
ref]5ces to educational res\rces reg>d+ 
opioid use & pa9 managem5t2  7#b7 a     
description ( categories ( alt]native1  
non-opioid pa9 managem5t treatm5ts cov]$
 "u ?is title2 &  7#c7 a sugge/ion = !  
b5efici>y to talk to a physician reg>d+ 
opioid use & pa9 managem5t4  4  7b7     
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply to notices    
di/ribut$ prior to ea* ,m$ic>e op5      
enrollm5t p]iod beg9n+ aft] ,janu>y #a1 
#bjai4  #ajb4 ,exp&+ ! use ( teleheal?  
s]vices = ! treatm5t ( opioid use       
disord] & o!r sub/ance use disord]s     
,section #ahcd7m7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7m77 is       
am5d$-- 7#a7 9 p>agraph 7#b77;,b7--     
7,a7 9 clause 7i71 9 ! matt] prec$+     
subclause 7,i71 by /rik+ clause 7ii7 &  
ins]t+ clause 7ii7 & p>agraph 7#f77;,c72
 &  7,b7 9 clause 7ii71 9 ! head+1 by   

/rik+ = home dialysis !rapy2  7#b7 9    
p>agraph 7#d77;,c7-- 7,a7 9 clause 7i71 
by /rik+ p>agraph 7#f7 & ins]t+         
p>agraphs 7#e71 7#f71 & 7#g72 &  7,b7 9 
clause 7ii77,x71 by ins]t+ or teleheal? 
s]vices describ$ 9 p>agraph 7#g77;,a7   
be=e ! p]iod at ! end2 &  7#c7 by add+  
at ! end ! foll[+ new p>agraph3  7#g7   
,treatm5t ( sub/ance use disord] s]vices
 furni%$ ?r\gh teleheal?  7,a7          
,non-application ( orig9at+ site        
geographic requirem5ts ,! geographic    
requirem5ts describ$ 9 p>agraph         
7#d77;,c77i7 %all n apply ) respect to  
teleheal? s]vices furni%$ on or aft]    
,janu>y #a1 #bjai1 to an eligible       
teleheal? individual ) a sub/ance use   
disord] diagnosis = purposes ( treatm5t 
( su* disord]1 z det]m9$ by ! ,secret>y1
 at an orig9at+ site describ$ 9 p>agraph
 7#d77;,c77ii7 7o!r ?an an orig9at+ site
 describ$ 9 subclause 7,,ix7 ( su*      
p>agraph74  7,b7 ,implem5tation ,!      
,secret>y may implem5t ! provisions (   
?is p>agraph by int]im f9al rule4  7,c7 

,report ,n lat] ?an #e ye>s aft] ! date 
( ! enactm5t ( ?is p>agraph1 ! ,secret>y
 %all submit to ,congress a report on ! 
impact ( ?is p>agraph ) respect to      
teleheal? s]vices on--  7i7 !           
utilization ( heal? c>e items & s]vices 
relat$ to sub/ance use disord]s1 includ+
 em]g5cy dep>tm5t visits2 &  7ii7 heal? 
outcomes relat$ to sub/ance use         
disord]s1 su* z opioid ov]dose dea?s4  4
  #ajc4 ,compreh5sive scre5+s = s5iors  
7a7 ,initial prev5tive physical         
exam9ation ,section #ahfa7ww7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7ww77 is am5d$--  7#a7 9 p>agraph 
7#a7-- 7,a7 by /rik+ p>agraph 7#b7 & &  
ins]t+ p>agraph 7#b712 &  7,b7 by ins]t+
 & ! furni%+ ( a review ( any curr5t    
opioid prescriptions 7z def9$ 9 p>agraph
 7#d771 aft] #8#8^u ! agreem5t ) !      
individual102 &  7#b7 9 p>agraph 7#b7-- 
7,a7 by r$esignat+ subp>agraph 7,n7 z   
subp>agraph 7,o72 &  7,b7 by ins]t+ aft]
 subp>agraph 7,m7 ! foll[+ new          
subp>agraph3  7,n7 ,scre5+ = pot5tial   

sub/ance use disord]s4  2 &  7#c7 by    
add+ at ! end ! foll[+ new p>agraph3    
7#d7 ,= purposes ( p>agraph 7#a71 ! t]m 
a review ( any curr5t opioid            
prescriptions means1 ) respect to an    
individual det]m9$ to h a curr5t        
prescription = opioids--  7,a7 a review 
( ! pot5tial risk factors to !          
individual = opioid use disord]2  7,b7  
an evaluation ( ! individual's sev]ity (
 pa9 & curr5t treatm5t plan2  7,c7 !    
provision ( in=mation on non-opioid     
treatm5t options2 &  7,d7 a ref]ral to a
 pa9 managem5t speciali/1 z appropriate4
  4  7b7 ,annual wellness visit ,section
 #ahfa7;hhh77#b7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #aciex7hhh77#b77 is 
am5d$-- 7#a7 by r$esignat+ subp>agraph  
7,g7 z subp>agraph 7,i72 &  7#b7 by     
ins]t+ aft] subp>agraph 7,f7 ! foll[+   
new subp>agraphs3  7,g7 ,scre5+ =       
pot5tial sub/ance use disord]s & ref]ral
 = treatm5t z appropriate4  7,h7 ,!     
furni%+ ( a review ( any curr5t opioid  
prescriptions 7z def9$ 9 subsection     

7ww77#d774  4  7c7 ,effective date ,!   
am5dm5ts made by ?is section %all apply 
to exam9ations & visits furni%$ on or   
aft] ,janu>y #a1 #bjai4  #ajd4 ,e       
prescription convey$ securely  7a7 ,9   
g5]al ,section #ahfj;,d-#d7;e7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#ajd7;e77 is am5d$ by add+ at !  
end ! foll[+3  7#g7 ,requirem5t (       
e-prescrib+ = controll$ sub/ances  7,a7 
,9 g5]al ,subject to subp>agraph 7,b71 a
 prescription = a cov]$ "p ,d drug "u a 
prescription drug plan 7or "u an        
,,ma-,,pd plan7 = a s*$ule ,,ii1 ,,iii1 
,,iv1 or ,v controll$ sub/ance %all be  
transmitt$ by a heal? c>e practition]   
electronically 9 accordance ) an        
electronic prescription drug program t  
meets ! requirem5ts ( p>agraph 7#b74    
7,b7 ,exception = c]ta9 circum/ances ,! 
,secret>y %all1 ?r\gh rulemak+1 specify 
circum/ances & processes by :i* !       
,secret>y may waive ! requirem5t "u     
subp>agraph 7,a71 ) respect to a cov]$  
"p ,d drug1 includ+ 9 ! case (--  7i7 a 

prescription issu$ :5 ! practition] &   
disp5s+ ph>macy are ! same entity2  7ii7
 a prescription issu$ t _c be transmitt$
 electronically "u ! mo/ rec5tly        
implem5t$ v]sion ( ! ,national ,c\ncil =
 ,prescription ,drug ,programs ,,script 
,/&>d2  7iii7 a prescription issu$ by a 
practition] :o receiv$ a waiv] or a     
r5ewal !re( = a p]iod ( "t z det]m9$ by 
! ,secret>y1 n to exce$ "o ye>1 f !     
requirem5t to use electronic prescrib+  
due to demon/rat$ economic h>d%ip1      
te*nological limitations t are n        
reasonably )9 ! control ( ! practition]1
 or o!r exceptional circum/ance         
demon/rat$ by ! practition]2  7iv7 a    
prescription issu$ by a practition] "u  
circum/ances 9 :i*1 not)/&+ !           
practition]'s ability to submit a       
prescription electronically z requir$ by
 ?is subsection1 su* practition]        
reasonably det]m9es t x w\ld be         
impractical = ! individual involv$ to   
obta9 sub/ances prescrib$ by electronic 
prescription 9 a timely mann]1 & su*    

delay w\ld adv]sely impact !            
individual's m$ical condition involv$2  
7v7 a prescription issu$ by a           
practition] prescrib+ a drug "u a rese>*
 protocol2  7vi7 a prescription issu$ by
 a practition] = a drug = :i* ! ,food & 
,drug ,adm9i/ration requires a          
prescription to conta9 elem5ts t are n  
able to be includ$ 9 electronic         
prescrib+ su* z1 a drug ) risk          
evaluation & mitigation /rategies t     
include elem5ts to assure safe use2     
7vii7 a prescription issu$ by a         
practition]-- 7,i7 = an individual :o   
receives hospice c>e "u ?is title2 &    
7,,ii7 t is n cov]$ "u ! hospice b5efit 
"u ?is title2 &  7viii7 a prescription  
issu$ by a practition] = an individual  
:o is--  7,i7 a resid5t ( a nurs+       
facility 7z def9$ 9 section #aiai7;a772 
&  7,,ii7 dually eligible = b5efits "u  
?is title & title ,,xix4  7,c7 ,disp5s+ 
7i7 ,no?+ 9 ?is p>agraph %all be con/ru$
 z requir+ a sponsor ( a prescription   
drug plan "u ?is "p1 ,,ma organization  

(f]+ an ,,ma-,,pd plan "u "p ,c1 or a   
ph>maci/ to v]ify t a practition]1 )    
respect to a prescription = a cov]$ "p  
,d drug1 has a waiv] 7or is o!rwise     
exempt7 "u subp>agraph 7,b7 f !         
requirem5t "u subp>agraph 7,a74  7ii7   
,no?+ 9 ?is p>agraph %all be con/ru$ z  
affect+ ! ability ( ! plan to cov] or ! 
ph>maci/s' ability to cont9ue to disp5se
 cov]$ "p ,d drugs f o!rwise valid      
writt51 oral or fax prescriptions t are 
consi/5t ) laws & regulations4  7iii7   
,no?+ 9 ?is p>agraph %all be con/ru$ z  
affect+ ! ability ( an individual :o is 
be+ prescrib$ a cov]$ "p ,d drug to     
designate a p>ticul> ph>macy to disp5se 
! cov]$ "p ,d drug to ! ext5t consi/5t )
 ! requirem5ts "u subsection 7b77#a7 &  
"u ?is p>agraph4  7,d7 ,en=cem5t ,!     
,secret>y %all1 ?r\gh rulemak+1 h       
au?ority to en=ce & specify appropriate 
p5alties = non-compliance ) ! requirem5t
 "u subp>agraph 7,a74  4  7b7 ,effective
 date ,! am5dm5t made by subsection 7a7 
%all apply to cov]age ( drugs prescrib$ 

on or aft] ,janu>y #a1 #bjba4  #aje4    
,/&>diz+ electronic prior au?orization =
 safe prescrib+ ,section                
#ahfj;,d-#d7;e77#b7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#aciew-#ajd7;e77#b77 is am5d$ by add+ at
 ! end ! foll[+ new subp>agraph3  7,e7  
,electronic prior au?orization  7i7 ,9  
g5]al ,n lat] ?an ,janu>y #a1 #bjba1 !  
program %all provide = ! secure         
electronic transmittal (--  7,i7 a prior
 au?orization reque/ f ! prescrib+ heal?
 c>e pr(essional = cov]age ( a cov]$ "p 
,d drug = a "p ,d eligible individual   
enroll$ 9 a "p ,d plan 7z def9$ 9       
section #ahfj;,d-#bc7;a77#e77 to ! ,,pdp
 sponsor or ,m$ic>e ,advantage          
organization (f]+ su* plan2 &  7,,ii7 a 
response1 9 accordance ) ?is            
subp>agraph1 f su* ,,pdp sponsor or     
,m$ic>e ,advantage organization1        
respectively1 to su* pr(essional4  7ii7 
,electronic transmission  7,i7          
,exclusions ,= purposes ( ?is           
subp>agraph1 a facsimile1 a propriet>y  

pay] portal t does n meet /&>ds specifi$
 by ! ,secret>y1 or an electronic =m    
%all n be treat$ z an electronic        
transmission describ$ 9 clause 7i74     
7,,ii7 ,/&>ds ,9 ord] to be treat$1 =   
purposes ( ?is subp>agraph1 z an        
electronic transmission describ$ 9      
clause 7i71 su* transmission %all comply
 ) te*nical /&>ds adopt$ by ! ,secret>y 
9 consultation ) ! ,national ,c\ncil =  
,prescription ,drug ,programs1 o!r /&>d 
sett+ organizations det]m9$ appropriate 
by ! ,secret>y1 & /akehold]s includ+    
,,pdp sponsors1 ,m$ic>e ,advantage      
organizations1 heal? c>e pr(essionals1 &
 heal? in=mation te*nology s(tw>e       
v5dors4  7,,iii7 ,application ,not)/&+  
any o!r provision ( law1 = purposes (   
?is subp>agraph1 ! ,secret>y may require
 ! use ( su* /&>ds adopt$ "u subclause  
7,,ii7 9 lieu ( any o!r applicable /&>ds
 = an electronic transmission describ$ 9
 clause 7i7 = a cov]$ "p ,d drug = a "p 
,d eligible individual4  4  #ajf4       
,/r5g!n+ p>tn]%ips to prev5t opioid     

abuse  7a7 ,9 g5]al ,section #ahei ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#bh7 is am5d$ by add+ at ! end ! 
foll[+ new subsection3  7i7 ,program    
integrity transp>5cy measures  7#a7     
,program integrity portal  7,a7 ,9 g5]al
 ,n lat] ?an #b ye>s aft] ! date ( !    
enactm5t ( ?is subsection1 ! ,secret>y  
%all1 aft] consultation ) /akehold]s1   
e/abli% a secure ,int]net website portal
 t w\ld all[ a secure pa? =             
communication betwe5 ! ,secret>y1 ,,ma  
plans "u ?is "p1 prescription drug plans
 "u "p ,d1 & an eligible entity ) a     
contract "u section #ahic 7su* z a      
,m$ic>e drug integrity contractor or any
 successor entity to a ,m$ic>e drug     
integrity contractor71 9 accordance )   
subsection 7j77#c7 ( su* section1 = !   
purpose ( enabl+ ?r\gh su* portal--  7i7
 ! ref]ral by su* plans ( suspici\s     
activities ( a provid] ( s]vices        
7includ+ a prescrib]7 or suppli] relat$ 
to fraud1 wa/e1 & abuse = initiat+ or   
assi/+ inve/igations conduct$ by !      

eligible entity2 &  7ii7 data %>+ among 
su* ,,ma plans1 prescription drug plans1
 & ! ,secret>y4  7,b7 ,requir$ uses (   
portal ,! ,secret>y %all dissem9ate !   
foll[+ in=mation to ,,ma plans "u ?is "p
 & prescription drug plans "u "p ,d     
?r\gh ! secure ,int]net website portal  
e/abli%$ "u subp>agraph 7,a73  7i7      
,provid]s ( s]vices & suppli]s t h be5  
ref]r$ pursuant to subp>agraph 7,a77i7  
dur+ ! previ\s #ab-mon? p]iod4  7ii7    
,provid]s ( s]vices & suppli]s :o are ! 
subject ( an active exclusion "u section
 #aabh or :o are subject to a susp5sion 
( paym5t "u ?is title pursuant to       
section #ahfb7o7 or o!rwise4  7iii7     
,provid]s ( s]vices & suppli]s :o are ! 
subject ( an active revocation (        
p>ticipation "u ?is title1 includ+ = n  
satisfy+ conditions ( p>ticipation4     
7iv7 ,9 ! case ( su* a plan t makes a   
ref]ral "u subp>agraph 7,a77i7 ?r\gh !  
portal ) respect to suspici\s activities
 ( a provid] ( s]vices 7includ+ a       
prescrib]7 or suppli]1 if su* provid]   

7or prescrib]7 or suppli] has be5 !     
subject ( an adm9i/rative action "u ?is 
title or title ,,xi ) respect to simil> 
activities1 a notification to su* plan (
 su* action s tak54  7,c7 ,rulemak+ ,=  
purposes ( ?is p>agraph1 ! ,secret>y    
%all1 ?r\gh rulemak+1 specify :at       
con/itutes suspici\s activities relat$  
to fraud1 wa/e1 & abuse1 us+ guidance   
su* z :at is provid$ 9 ! ,m$ic>e        
,program ,integrity ,manual #d4g4a4     
7#b7 ,qu>t]ly reports ,beg9n+ n lat] ?an
 #b ye>s aft] ! date ( ! enactm5t ( ?is 
subsection1 ! ,secret>y %all make       
available to ,,ma plans "u ?is "p &     
prescription drug plans "u "p ,d 9 a    
timely mann] 7b no less frequ5tly ?an   
qu>t]ly7 & us+ in=mation submitt$ to an 
entity describ$ 9 p>agraph 7#a7 ?r\gh ! 
portal describ$ 9 su* p>agraph or       
pursuant to section #ahic1 in=mation on 
fraud1 wa/e1 & abuse s*emes & tr5ds 9   
id5tify+ suspici\s activity4 ,in=mation 
includ$ 9 ea* su* report %all--  7,a7   
include adm9i/rative actions1 p]t95t    

in=mation relat$ to opioid ov]prescrib+1
 & o!r data det]m9$ appropriate by !    
,secret>y 9 consultation ) /akehold]s2 &
  7,b7 be anonymiz$ in=mation submitt$  
by plans )\t id5tify+ ! s\rce ( su*     
in=mation4  7#c7 ,cl>ification ,no?+ 9  
?is subsection %all preclude or o!rwise 
affect ref]rals to ! ,inspector ,g5]al (
 ! ,dep>tm5t ( ,heal? & ,human ,s]vices 
or o!r law en=cem5t entities4  4  7b7   
,contract requirem5t to communicate plan
 corrective actions aga9/ opioids       
ov]-prescrib]s ,section                 
#aheg7;e77#d77;,c7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciew-#bg7;e77#d77;,c77 is am5d$ by    
add+ at ! end ! foll[+ new p>agraph3    
7#e7 ,communicat+ plan corrective       
actions aga9/ opioids ov]-prescrib]s    
7,a7 ,9 g5]al ,beg9n+ ) plan ye>s beg9n+
 on or aft] ,janu>y #a1 #bjba1 a        
contract "u ?is section ) an ,,ma       
organization %all require ! organization
 to submit to ! ,secret>y1 ?r\gh !      
process e/abli%$ "u subp>agraph 7,b71   

in=mation on cr$ible evid5ce ( suspici\s
 activities ( a provid] ( s]vices       
7includ+ a prescrib]7 or suppli] relat$ 
to fraud & o!r actions tak5 by su* plans
 relat$ to inappropriate prescrib+ (    
opioids4  7,b7 ,process ,n lat] ?an     
,janu>y #a1 #bjba1 ! ,secret>y %all1 9  
consultation ) /akehold]s1 e/abli% a    
process "u :i* ,,ma plans & prescription
 drug plans %all submit to ! ,secret>y  
in=mation describ$ 9 subp>agraph 7,a74  
7,c7 ,regulations ,= purposes ( ?is     
p>agraph1 includ+ z appli$ "u section   
#ahfj;,d-#ab7;b77#c77;,d71 ! ,secret>y  
%all1 pursuant to rulemak+--  7i7       
specify a def9ition = ! t]m             
inappropriate prescrib+ ( opioids & a   
me?od = det]m9+ if a provid] ( s]vices  
prescribes su* a high volume2 &  7ii7   
e/abli% ! process describ$ 9 subp>agraph
 7,b7 & ! types ( in=mation t may be    
submitt$ ?r\gh su* process4  4  7c7     
,ref]5ce "u "p ,d to program integrity  
transp>5cy measures ,section #ahfj;,d-#d
 ( ! ,social ,security ,act 7#db        

,u4,s4,c4 #aciew-#ajd7 is am5d$ by add+ 
at ! end ! foll[+ new subsection3  7m7  
,program integrity transp>5cy measures  
,= program integrity transp>5cy measures
 appli$ ) respect to prescription drug  
plan & ,,ma plans1 see section          
#ahei7;i74  4  #ajg4 ,commit to opioid  
m$ical prescrib] acc\ntability & safety 
= s5iors ,section #ahfj;,d-#d7;c77#d7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#aciew-#ajd7;c77#d77 is am5d$ by add+ at
 ! end ! foll[+ new subp>agraph3  7,d7  
,notification & additional requirem5ts )
 respect to /ati/ical outli] prescrib]s 
( opioids  7i7 ,notification ,n lat] ?an
 ,janu>y #a1 #bjba1 ! ,secret>y %all1 9 
! case ( a prescrib] id5tifi$ by !      
,secret>y "u clause 7ii7 to be a        
/ati/ical outli] prescrib] ( opioids1   
provide1 subject to clause 7iv71 an     
annual notification to su* prescrib] t  
su* prescrib] has be5 s id5tifi$ t      
includes res\rces on prop] prescrib+    
me?ods & o!r in=mation z specifi$ 9     
accordance ) clause 7iii74  7ii7        

,id5tification ( /ati/ical outli]       
prescrib]s ( opioids  7,i7 ,9 g5]al ,!  
,secret>y %all1 subject to subclause    
7,,iii71 us+ ! valid prescrib] ,national
 ,provid] ,id5tifi]s includ$ pursuant to
 subp>agraph 7,a7 on claims = cov]$ "p  
,d drugs = "p ,d eligible individuals   
enroll$ 9 prescription drug plans "u ?is
 "p or ,,ma-,,pd plans "u "p ,c & bas$  
on ! ?re%olds e/abli%$ "u subclause     
7,,ii71 id5tify prescrib]s t are        
/ati/ical outli] opioids prescrib]s = a 
p]iod ( "t specifi$ by ! ,secret>y4     
7,,ii7 ,e/abli%m5t ( ?re%olds ,=        
purposes ( subclause 7,i7 & subject to  
subclause 7,,iii71 ! ,secret>y %all1    
aft] consultation ) /akehold]s1 e/abli% 
?re%olds1 bas$ on prescrib] specialty &1
 z det]m9$ appropriate by ! ,secret>y1  
geographic area1 = id5tify+ :e!r a      
prescrib] 9 a specialty & geographic    
area is a /ati/ical outli] prescrib] (  
opioids z comp>$ to o!r prescrib]s (    
opioids )9 su* specialty & area4        
7,,iii7 ,exclusions ,! foll[+ %all n be 

includ$ 9 ! analysis = id5tify+         
/ati/ical outli] prescrib]s ( opioids "u
 ?is clause3  7aa7 ,claims = cov]$ "p ,d
 drugs = "p ,d eligible individuals :o  
are receiv+ hospice c>e "u ?is title4   
7bb7 ,claims = cov]$ "p ,d drugs = "p ,d
 eligible individuals :o are receiv+    
oncology s]vices "u ?is title4  7cc7    
,prescrib]s :o are ! subject ( an       
inve/igation by ! ,c5t]s = ,m$ic>e      
,m$icaid ,s]vices or ! ,inspector ,g5]al
 ( ! ,dep>tm5t ( ,heal? & ,human        
,s]vices4  7iii7 ,cont5ts ( notification
 ,! ,secret>y %all include ! foll[+     
in=mation 9 ! notifications provid$ "u  
clause 7i73  7,i7 ,in=mation on h[ su*  
prescrib] comp>es to o!r prescrib]s )9 !
 same specialty &1 if det]m9$           
appropriate by ! ,secret>y1 geographic  
area4  7,,ii7 ,in=mation on opioid      
prescrib+ guidel9es1 bas$ on input f    
/akehold]s1 t may include ! ,c5t]s =    
,disease ,control & ,prev5tion guidel9es
 = prescrib+ opioids = *ronic pa9 &     
guidel9es develop$ by physician         

organizations4  7,,iii7 ,o!r in=mation  
det]m9$ appropriate by ! ,secret>y4     
7iv7 ,modifications & expansions  7,i7  
,frequ5cy ,beg9n+ #e ye>s aft] ! date ( 
! enactm5t ( ?is subp>agraph1 !         
,secret>y may *ange ! frequ5cy ( !      
notifications describ$ 9 clause 7i7 bas$
 on /akehold] input & *anges 9 opioid   
prescrib+ utilization & tr5ds4  7,,ii7  
,expansion to o!r prescriptions ,!      
,secret>y may exp& notifications "u ?is 
subp>agraph to include id5tifications & 
notifications ) respect to concurr5t    
prescriptions ( cov]$ ,"p ,d drugs us$ 9
 comb9ation ) opioids t are consid]$ to 
h adv]se side effects :5 s us$ 9 su*    
comb9ation1 z det]m9$ by ! ,secret>y4   
7v7 ,additional requirem5ts = p]si/5t   
/ati/ical outli] prescrib]s ,9 ! case ( 
a prescrib] :o ! ,secret>y det]m9es is  
p]si/5tly id5tifi$ "u clause 7ii7 z a   
/ati/ical outli] prescrib] ( opioids1 ! 
foll[+ %all apply3  7,i7 ,! ,secret>y   
%all provide an opportunity = su*       
prescrib] to receive te*nical assi/ance 

or educational res\rces on opioid       
prescrib+ guidel9es 7su* z ! guidel9es  
describ$ 9 clause 7iii77,,ii77 f an     
entity t furni%es su* assi/ance or      
res\rces1 :i* may include a quality     
improvem5t organization "u "p ,b ( title
 ,,xi1 z available & appropriate4       
7,,ii7 ,su* prescrib] may be requir$ to 
enroll 9 ! program "u ?is title "u      
section #ahff7;j7 if su* prescrib] is n 
o!rwise requir$ to enroll4 ,! ,secret>y 
%all det]m9e ! l5g? ( ! p]iod = :i* su* 
prescrib] is requir$ to ma9ta9 su*      
enrollm5t4  7,,iii7 ,n less frequ5tly   
?an annually 7& 9 a =m & mann] det]m9$  
appropriate by ! ,secret>y71 ! ,secret>y
 %all communicate in=mation on su*      
prescrib]s to sponsors ( a prescription 
drug plan & ,m$ic>e ,advantage          
organizations (f]+ an ,,ma-,,pd plan4   
7vi7 ,public availability ( in=mation ,!
 ,secret>y %all make aggregate in=mation
 "u ?is subp>agraph available on !      
,int]net website ( ! ,c5t]s = ,m$ic>e   
,m$icaid ,s]vices4 ,su* in=mation %all  

be 9 a =m & mann] det]m9$ appropriate by
 ! ,secret>y & %all n id5tify any       
specific prescrib]4 ,9 c>ry+ out ?is    
clause1 ! ,secret>y %all consult )      
int]e/$ /akehold]s4  7vii7 ,opioids     
def9$ ,= purposes ( ?is subp>agraph1 !  
t]m opioids has su* mean+ z specifi$ by 
! ,secret>y4  7viii7 ,o!r activities    
,no?+ 9 ?is subp>agraph %all preclude ! 
,secret>y f conduct+ activities t       
provide prescrib]s ) in=mation z to h[  
!y comp>e to o!r prescrib]s t are 9     
addition to ! activities "u ?is         
subp>agraph1 includ+ activities t 7 be+ 
conduct$ z ( ! date ( ! enactm5t ( ?is  
subp>agraph4  4  #ajh4 ,fight+ ! opioid 
epidemic ) sun%9e  7a7 ,inclusion (     
in=mation reg>d+ paym5ts to advance     
practice nurses  7#a7 ,9 g5]al ,section 
#aabh;,g7e77#f7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acbj;a-#g;h7e77#f77
 is am5d$-- 7,a7 9 subp>agraph 7,a71 by 
add+ at ! end ! foll[+ new clauses3     
7iii7 ,a physician assi/ant1 nurse      
practition]1 or cl9ical nurse speciali/ 

7z su* t]ms are def9$ 9 section         
#ahfa7;aa77#e774  7iv7 ,a c]tifi$       
regi/]$ nurse ane/heti/ 7z def9$ 9      
section #ahfa7;bb77#b774  7v7 ,a c]tifi$
 nurse-midwife 7z def9$ 9 section       
#ahfa7;gg77#b774  2 &  7,b7 9           
subp>agraph 7,b71 by ins]t+ 1 physician 
assi/ant1 nurse practition]1 cl9ical    
nurse speciali/1 c]tifi$ nurse          
ane/heti/1 or c]tifi$ nurse-midwife aft]
 physician4  7#b7 ,effective date ,!    
am5dm5ts made by ?is subsection %all    
apply ) respect to in=mation requir$ to 
be submitt$ "u section #aabh;,g ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;a-#g;h7 on or aft] ,janu>y #a1    
#bjba4  7b7 ,sunset ( exclusion (       
,national ,provid] ,id5tifi] ( cov]$    
recipi5t 9 in=mation made publicly      
available ,section                      
#aabh;,g7c77#a77;,c77viii7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acbj;a-#g;h7c77#a77;,c77viii777 is     
am5d$ by /rik+ does n conta9 & ins]t+ 9 
! case ( in=mation made available "u ?is

 subp>agraph prior to ,janu>y #a1 #bjba1
 does n conta94  7c7 ,adm9i/ration      
,*apt] #ce ( title #dd1 ,unit$ ,/ates   
,code1 %all n apply to ?is section or ! 
am5dm5ts made by ?is section4  #aji4    
,demon/ration te/+ cov]age ( c]ta9      
s]vices furni%$ by opioid treatm5t      
programs ,title ,,xviii ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acie et  
seq47 is am5d$ by ins]t+ aft] section   
#ahff;,e ! foll[+3  #ahff;,f4           
,demon/ration te/+ cov]age ( c]ta9      
s]vices furni%$ by opioid treatm5t      
programs  7a7 ,e/abli%m5t  7#a7 ,9 g5]al
 ,! ,secret>y %all conduct a            
demon/ration 79 ?is section ref]r$ to z 
! demon/ration7 to te/ cov]age ( &      
paym5t = opioid use disord] treatm5t    
s]vices 7z def9$ 9 p>agraph 7#b77;,b77  
furni%$ by opioid treatm5t programs 7z  
def9$ 9 p>agraph 7#b77;,a77 to          
individuals "u "p ,b us+ a bundl$ paym5t
 z describ$ 9 p>agraph 7#c74  7#b7      
,def9itions ,9 ?is section3 7,a7 ,opioid
 treatm5t program ,! t]m opioid treatm5t

 program means an entity t is an opioid 
treatm5t program 7z def9$ 9 section #h4b
 ( title #db ( ! ,code ( ,f$]al         
,regulations1 or any successor          
regulation7 t--  7i7 is select$ =       
p>ticipation 9 ! demon/ration2  7ii7 has
 9 effect a c]tification by ! ,sub/ance 
,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration = su* a program2  7iii7 is
 accr$it$ by an accr$it+ body approv$ by
 ! ,sub/ance ,abuse & ,m5tal ,heal?     
,s]vices ,adm9i/ration2  7iv7 submits to
 ! ,secret>y data & in=mation ne$$ to   
monitor ! quality ( s]vices furni%$ &   
conduct ! evaluation describ$ 9         
subsection 7c72 &  7v7 meets su*        
additional requirem5ts z ! ,secret>y may
 f9d necess>y4  7,b7 ,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  
use disord]1 includ+--  7i7 opioid      
agoni/ & antagoni/ treatm5t m$ications  
7includ+ oral1 inject$1 or implant$     

v]sions7 t are approv$ by ! ,food &     
,drug ,adm9i/ration "u section #eje ( ! 
,f$]al ,food1 ,drug & ,cosmetic ,act =  
use 9 ! treatm5t ( opioid use disord]2  
7ii7 disp5s+ & adm9i/ration ( su*       
m$ications1 if applicable2  7iii7       
sub/ance use c\nsel+ by a pr(essional to
 ! ext5t au?oriz$ "u ,/ate law to furni%
 su* s]vices2  7iv7 individual & gr\p   
!rapy ) a physician or psy*ologi/ 7or   
o!r m5tal heal? pr(essional to ! ext5t  
au?oriz$ "u ,/ate law72  7v7 toxicology 
te/+2 &  7vi7 o!r items & s]vices t !   
,secret>y det]m9es are appropriate 7b 9 
no case to include meals or             
transportation74  7#c7 ,bundl$ paym5t "u
 "p ,b  7,a7 ,9 g5]al ,! ,secret>y %all 
pay1 f ! ,f$]al ,supplem5t>y ,m$ical    
,insurance ,tru/ ,fund "u section #ahda1
 to an opioid treatm5t program          
p>ticipat+ 9 ! demon/ration a bundl$    
paym5t z det]m9$ by ! ,secret>y = opioid
 use disord] treatm5t s]vices t are     
furni%$ by su* treatm5t program to an   
individual "u "p ,b dur+ an episode (   

c>e 7z def9$ by ! ,secret>y74  7,b7     
,consid]ations ,! ,secret>y may implem5t
 ?is p>agraph ?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]vices furni%$1 ! scope ( s]vices      
furni%$1 *>act]i/ics ( ! individuals    
furni%$ su* s]vices1 or o!r factors z ! 
,secret>y det]m9e 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 ,,xix or "u !     
,,tric>e program "u *apt] #ee ( title   
#aj ( ! ,unit$ ,/ates ,code4  7b7       
,implem5tation  7#a7 ,duration ,!       
demon/ration %all be conduct$ = a p]iod 
( #e ye>s1 beg9n+ n lat] ?an ,janu>y #a1
 #bjba4  7#b7 ,scope ,9 c>ry+ out !     
demon/ration1 ! ,secret>y %all limit !  
numb] ( b5efici>ies t may p>ticipate at 
any "o "t 9 ! demon/ration to #b1jjj4   
7#c7 ,waiv] ,! ,secret>y may waive su*  
provisions ( ?is title & title ,,xi z ! 

,secret>y det]m9es necess>y 9 ord] to   
implem5t ! demon/ration4  7#d7          
,adm9i/ration ,*apt] #ce ( title #dd1   
,unit$ ,/ates ,code1 %all n apply to ?is
 section4  7c7 ,evaluation & report     
7#a7 ,evaluation ,! ,secret>y %all      
conduct an evaluation ( ! demon/ration4 
,su* evaluation %all include analyses   
(--  7,a7 ! impact ( ! demon/ration on--
 7i7 utilization ( heal? c>e items &    
s]vices relat$ to opioid use disord]1   
includ+ hospitalizations & em]g5cy      
dep>tm5t visits2  7ii7 b5efici>y heal?  
outcomes relat$ to opioid use disord]1  
includ+ opioid ov]dose dea?s2 &  7iii7  
ov]all exp5ditures "u ?is title2 &  7,b7
 ! p]=mance ( opioid treatm5t programs  
p>ticipat+ 9 ! demon/ration ) respect to
 applicable quality & co/ metrics1      
includ+ :e!r any additional quality     
measures relat$ to opioid use disord]   
treatm5t are ne$$ ) respect to su*      
programs "u ?is title4  7#b7 ,report ,n 
lat] ?an #b ye>s aft] ! completion ( !  
demon/ration1 ! ,secret>y %all submit to

 ,congress a report conta9+ ! results ( 
! evaluation conduct$ "u p>agraph 7#a71 
toge!r ) recomm5dations = su*           
legislation & adm9i/rative action z !   
,secret>y det]m9es appropriate4  7d7    
,fund+ ,= purposes ( adm9i/]+ & c>ry+   
out ! demon/ration1 9 addition to funds 
o!rwise appropriat$1 !re %all be        
transf]r$ to ! ,secret>y = ! ,c5t] =    
,m$ic>e  ,m$icaid ,s]vices ,program     
,managem5t ,acc\nt f ! ,f$]al           
,supplem5t>y ,m$ical ,insurance ,tru/   
,fund "u section #ahda #e1jjj1jjj1 to   
rema9 available until exp5d$4  4  #aaj4 
,enc\rag+ appropriate prescrib+ "u      
,m$ic>e = victims ( opioid ov]dose      
,section #ahfj;,d-#d7;c77#e77;,c7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#ajd7;c77#e77;,c77 is am5d$--    
7#a7 9 clause 7i71 9 ! matt] prec$+     
subclause 7,i71 by /rik+ ,= purposes &  
ins]t+ ,except z provid$ 9 clause 7v71 =
 purposes2 &  7#b7 by add+ at ! end !   
foll[+ new clause3  7v7 ,treatm5t (     
enrollees ) a hi/ory ( opioid-relat$    

ov]dose  7,i7 ,9 g5]al ,= plan ye>s     
beg9n+ n lat] ?an ,janu>y #a1 #bjba1 a  
"p ,d eligible individual :o is n an    
exempt$ individual describ$ 9 clause    
7ii7 & :o is id5tifi$ "u ?is clause z a 
"p ,d eligible individual ) a hi/ory (  
opioid-relat$ ov]dose 7z def9$ by !     
,secret>y7 %all be includ$ z a          
pot5tially at-risk b5efici>y =          
prescription drug abuse "u ! drug       
managem5t program "u ?is p>agraph4      
7,,ii7 ,id5tification & notice ,=       
purposes ( ?is clause1 ! ,secret>y      
%all-- 7aa7 id5tify "p ,d eligible      
individuals ) a hi/ory ( opioid-relat$  
ov]dose 7z s def9$72 &  7bb7 notify !   
,,pdp sponsor ( ! prescription drug plan
 9 :i* su* an individual is enroll$ (   
su* id5tification4  4  #aaa4 ,automatic 
escalation to ext]nal review "u a       
,m$ic>e "p ,d drug managem5t program =  
at-risk b5efici>ies  7a7 ,9 g5]al       
,section #ahfj;,d-#d7;c77#e7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acieww-#aj7;c77#e77 is am5d$-- 7#a7 9  

subp>agraph 7,b71 9 ea* ( clauses       
7ii77,,iii7 & 7iii77,,iv71 by /rik+ & ! 
option ( an automatic escalation to     
ext]nal review & ins]t+ 1 includ+ notice
 t if on reconsid]ation a ,,pdp sponsor 
affirms its d5ial1 9 :ole or 9 "p1 !    
case %all be automatically =w>d$ to !   
indep5d5t1 outside entity contract$ ) ! 
,secret>y = review & resolution2 &  7#b7
 9 subp>agraph 7,e71 by /rik+ & ! option
 & all t foll[s & ins]t+ ! foll[+3 & if 
on reconsid]ation a ,,pdp sponsor       
affirms its d5ial1 9 :ole or 9 "p1 !    
case %all be automatically =w>d$ to !   
indep5d5t1 outside entity contract$ ) ! 
,secret>y = review & resolution44  7b7  
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply beg9n+ n lat] 
,janu>y #a1 #bjba4  #aab4 ,m$ic>e       
,improvem5t ,fund ,section #ahih7;b77#a7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acie;iii7b77#a77 is am5d$ by 
/rik+ fiscal ye> #bjba1 #j & ins]t+     
fiscal ye> #bjbc1 #ej1jjj1jjj4  ,,ii    
,m$icaid  #bja4 ,c>+ recov]y = infants &

 babies  7a7 ,/ate plan am5dm5t ,section
 #aijb7;a7 ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #acif;a7a77 is am5d$--   
7#a7 9 p>agraph 7#hb71 by /rik+ & aft] !
 semicolon2  7#b7 9 p>agraph 7#hc71 by  
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7#c7 by ins]t+ aft] p>agraph 7#hc71 !   
foll[+ new p>agraph3  7#hd7 provide1 at 
! option ( ! ,/ate1 = mak+ m$ical       
assi/ance available on an inpati5t or   
outpati5t basis at a resid5tial p$iatric
 recov]y c5t] 7z def9$ 9 subsection     
7nn77 to infants ) neonatal ab/95ce     
syndrome4  4  7b7 ,resid5tial p$iatric  
recov]y c5t] def9$ ,section #aijb ( su* 
,act 7#db ,u4,s4,c4 #acif;a7 is am5d$ by
 add+ at ! end ! foll[+ new subsection3 
7nn7 ,resid5tial p$iatric recov]y c5t]  
def9$  7#a7 ,9 g5]al ,= purposes (      
section #aijb7;a77#hd71 ! t]m resid5tial
 p$iatric recov]y c5t] means a c5t] or  
facility t furni%es items & s]vices =   
:i* m$ical assi/ance is available "u !  
,/ate plan to infants ) ! diagnosis (   
neonatal ab/95ce syndrome )\t any o!r   

significant m$ical risk factors4  7#b7  
,c\nsel+ & s]vices ,a resid5tial        
p$iatric recov]y c5t] may (f] c\nsel+ & 
o!r s]vices to mo!rs 7& o!r appropriate 
family memb]s & c>etak]s7 ( infants     
receiv+ treatm5t at su* c5t]s if su*    
s]vices are o!rwise cov]$ "u ! ,/ate    
plan "u ?is title or "u a waiv] ( su*   
plan4 ,su* o!r s]vices may include !    
foll[+3  7,a7 ,c\nsel+ or ref]rals =    
s]vices4  7,b7 ,activities to enc\rage  
c>egiv]-infant bond+4  7,c7 ,tra9+ on   
c>+ = su* infants4  4  7c7 ,effective   
date ,! am5dm5ts made by ?is section    
take effect on ! date ( enactm5t ( ?is  
,act & %all apply to m$ical assi/ance   
furni%$ on or aft] t date1 )\t reg>d to 
f9al regulations to c>ry out su*        
am5dm5ts be+ promulgat$ z ( su* date4   
#bjb4 ,pe] support enhancem5t &         
evaluation review  7a7 ,9 g5]al ,n lat] 
?an #b ye>s aft] ! date ( ! enactm5t (  
?is ,act1 ! ,comptroll] ,g5]al ( !      
,unit$ ,/ates %all submit to !          
,committee on ,en]gy & ,comm]ce ( !     

,h\se ( ,repres5tatives1 ! ,committee on
 ,f9ance ( ! ,s5ate1 & ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate a report on ! provision ( pe] 
support s]vices "u ! ,m$icaid program4  
7b7 ,cont5t ( report  7#a7 ,9 g5]al ,!  
report requir$ "u subsection 7a7 %all   
include ! foll[+ in=mation3 7,a7        
,in=mation on ,/ate cov]age ( pe]       
support s]vices "u ,m$icaid1 includ+--  
7i7 ! me*anisms ?r\gh :i* ,/ates may    
provide su* cov]age1 includ+ ?r\gh exi/+
 /atutory au?ority or ?r\gh waiv]s2     
7ii7 ! populations to :i* ,/ates h      
provid$ su* cov]age2  7iii7 ! paym5t    
models1 includ+ any alt]native paym5t   
models1 us$ by ,/ates to pay provid]s ( 
su* s]vices2 &  7iv7 :]e available1     
in=mation on ,f$]al & ,/ate sp5d+ "u    
,m$icaid = pe] support s]vices4  7,b7   
,in=mation on select$ ,/ate exp]i5ces 9 
provid+ m$ical assi/ance = pe] support  
s]vices "u ,/ate ,m$icaid plans & :e!r  
,/ates measure ! effects ( provid+ su*  
assi/ance ) respect to--  7i7 improv+   

access to behavioral heal? s]vices2     
7ii7 improv+ e>ly detection1 & prev5t+  
wors5+1 ( behavioral heal? disord]s2    
7iii7 r$uc+ *ronic & comorbid           
conditions2 &  7iv7 r$uc+ ov]all heal?  
co/s4  7#b7 ,recomm5dations ,! report   
requir$ "u subsection 7a7 %all include  
recomm5dations1 includ+ recomm5dations =
 su* legislative & adm9i/rative actions 
relat$ to improv+ s]vices1 includ+ pe]  
support s]vices1 & access to pe] support
 s]vices "u ,m$icaid z ! ,comptroll]    
,g5]al ( ! ,unit$ ,/ates det]m9es       
appropriate4  #bjc4 ,m$icaid sub/ance   
use disord] treatm5t via teleheal?  7a7 
,def9itions ,9 ?is section3 7#a7        
,comptroll] ,g5]al ,! t]m ,comptroll]   
,g5]al means ! ,comptroll] ,g5]al ( !   
,unit$ ,/ates4  7#b7 ,s*ool-bas$ heal?  
c5t] ,! t]m s*ool-bas$ heal? c5t] has ! 
mean+ giv5 t t]m 9 section #baaj7;c77#i7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acig;jj7c77#i774  7#c7       
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices4   

7#d7 ,telehea? s]vices ,! t]m teleheal? 
s]vices includes remote pati5t monitor+ 
& o!r key modalities su* z live video or
 syn*ron\s teleheal?1 /ore-&-=w>d or    
asyn*ron\s teleheal?1 mobile heal?1     
telephonic consultation1 & electronic   
consult includ+ provid]-to-provid]      
e-consults4  7#e7 ,und]s]v$ area ,! t]m 
und]s]v$ area means a heal? pr(essional 
%ortage area 7z def9$ 9 section         
#ccb7;a77#a77;,a7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4             
#bed;e7a77#a77;,a777 & a m$ically       
und]s]v$ area 7accord+ to a designation 
"u section #ccj7;b77#c77;,a7 ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bed;b7b77#c77;,a7774  7b7 ,guidance to 
,/ates reg>d+ ,f$]al reimbursem5t =     
furni%+ s]vices & treatm5t = sub/ance   
use disord]s "u ,m$icaid us+ teleheal?  
s]vices1 includ+ 9 s*ool-bas$ heal?     
c5t]s  ,n lat] ?an #a ye> aft] ! date ( 
enactm5t ( ?is ,act1 ! ,secret>y1 act+  
?r\gh ! ,adm9i/rator ( ! ,c5t]s =       
,m$ic>e  ,m$icaid ,s]vices1 %all issue  

guidance to ,/ates on ! foll[+3  7#a7   
,/ate options = ,f$]al reimbursem5t (   
exp5ditures "u ,m$icaid = furni%+       
s]vices & treatm5t = sub/ance use       
disord]s1 includ+ assessm5t1            
m$ication-assi/$ treatm5t1 c\nsel+1 &   
m$ication managem5t1 us+ teleheal?      
s]vices4 ,su* guidance %all also include
 guidance on furni%+ s]vices & treatm5ts
 t address ! ne$s ( high risk           
individuals1 includ+ at lea/ ! foll[+   
gr\ps3  7,a7 ,am]ican ,indians & ,alaska
 ,natives4  7,b7 ,adults "u ! age ( #dj4
  7,c7 ,individuals ) a hi/ory (        
nonfatal ov]dose4  7#b7 ,/ate options = 
,f$]al reimbursem5t ( exp5ditures "u    
,m$icaid = education direct$ to provid]s
 s]v+ ,m$icaid b5efici>ies ) sub/ance   
use disord]s us+ ! hub & spoke model1   
?r\gh contracts ) manag$ c>e entities1  
?r\gh adm9i/rative claim+ = disease     
managem5t activities1 & "u ,deliv]y     
,sy/em ,re=m ,inc5tive ,paym5t 7,,dsrip7
 programs4  7#c7 ,/ate options = ,f$]al 
reimbursem5t ( exp5ditures "u ,m$icaid =

 furni%+ s]vices & treatm5t = sub/ance  
use disord]s = individuals enroll$ 9    
,m$icaid 9 a s*ool-bas$ heal? c5t] us+  
teleheal? s]vices4  7c7 ,,gao evaluation
 ( *ildr5's access to s]vices & treatm5t
 = sub/ance use disord]s "u ,m$icaid    
7#a7 ,/udy ,! ,comptroll] ,g5]al %all   
evaluate *ildr5's access to s]vices &   
treatm5t = sub/ance use disord]s "u     
,m$icaid4 ,! evaluation %all include an 
analysis ( ,/ate options = improv+      
*ildr5's access to su* s]vices &        
treatm5t & = improv+ outcomes1 includ+  
by increas+ ! numb] ( ,m$icaid provid]s 
:o (f] s]vices or treatm5t = sub/ance   
use disord]s 9 a s*ool-bas$ heal? c5t]  
us+ teleheal? s]vices1 p>ticul>ly 9     
rural & und]s]v$ areas4 ,! evaluation   
%all include an analysis ( ,m$icaid     
provid] reimbursem5t rates = s]vices &  
treatm5t = sub/ance use disord]s4  7#b7 
,report ,n lat] ?an #a ye> aft] ! date (
 enactm5t ( ?is ,act1 ! ,comptroll]     
,g5]al %all submit to ,congress a report
 conta9+ ! results ( ! evaluation       

conduct$ "u p>agraph 7#a71 toge!r )     
recomm5dations = su* legislation &      
adm9i/rative action z ! ,comptroll]     
,g5]al det]m9es appropriate4  7d7       
,report on r$uc+ b>ri]s to us+ teleheal?
 s]vices & remote pati5t monitor+ =     
p$iatric populations "u ,m$icaid  7#a7  
,9 g5]al ,n lat] ?an #a ye> aft] ! date 
( enactm5t ( ?is ,act1 ! ,secret>y1 act+
 ?r\gh ! ,adm9i/rator ( ! ,c5t]s =      
,m$ic>e  ,m$icaid ,s]vices1 %all issue a
 report to ! ,committee on ,f9ance ( !  
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tative     
id5tify+ be/ practices & pot5tial       
solutions = r$uc+ b>ri]s to us+         
teleheal? s]vices to furni% s]vices &   
treatm5t = sub/ance use disord]s among  
p$iatric populations "u ,m$icaid4 ,!    
report %all include--  7,a7 analyses ( !
 be/ practices1 b>ri]s1 & pot5tial      
solutions = us+ teleheal? s]vices to    
diagnose & provide s]vices & treatm5t = 
*ildr5 ) sub/ance use disord]s1 includ+ 
opioid use disord]2 &  7,b7             

id5tification & analysis ( ! diff]5ces1 
if any1 9 furni%+ s]vices & treatm5t =  
*ildr5 ) sub/ance use disord]s us+      
teleheal? s]vices & us+ s]vices deliv]$ 
9 p]son1 su* z1 & to ! ext5t feasible1 )
 respect to--  7i7 utilization rates2   
7ii7 co/s2  7iii7 avoidable inpati5t    
admissions & readmissions2  7iv7 quality
 ( c>e2 &  7v7 pati5t1 family1 & provid]
 satisfaction4  7#b7 ,publication ,!    
,secret>y %all publi% ! report requir$  
"u p>agraph 7#a7 on a public ,int]net   
website ( ! ,dep>tm5t ( ,heal? & ,human 
,s]vices4  #bjd4 ,enhanc+ pati5t access 
to non-opioid treatm5t options ,n lat]  
?an ,janu>y #a1 #bjai1 ! ,secret>y (    
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices1 %all issue #a or m   
f9al guidance docum5ts1 or update exi/+ 
guidance docum5ts1 to ,/ates reg>d+     
m&atory & optional items & s]vices t may
 be provid$ "u a ,/ate plan "u title    
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq471 or "u a waiv] 

( su* a plan1 = non-opioid treatm5t &   
managem5t ( pa91 includ+1 b n limit$ to1
 evid5ce-bas$ non-opioid ph>macological 
!rapies & non-ph>macological !rapies4   
#bje4 ,assess+ b>ri]s to opioid use     
disord] treatm5t  7a7 ,/udy  7#a7 ,9    
g5]al ,! ,comptroll] ,g5]al ( ! ,unit$  
,/ates 79 ?is section ref]r$ to z !     
,comptroll] ,g5]al7 %all conduct a /udy 
reg>d+ ! b>ri]s to provid+ m$ication us$
 9 ! treatm5t ( sub/ance use disord]s "u
 ,m$icaid di/ribution models su* z !    
buy-&-bill model1 & options = ,/ate     
,m$icaid programs to remove or r$uce su*
 b>ri]s4 ,! /udy %all include analyses (
 ea* ( ! foll[+ models ( di/ribution (  
sub/ance use disord] treatm5t           
m$ications1 p>ticul>ly bupr5orph9e1     
naltrexone1 & bupr5orph9e-naloxone      
comb9ations3  7,a7 ,! pur*as+1 /orage1 &
 adm9i/ration ( sub/ance use disord]    
treatm5t m$ications by provid]s4  7,b7  
,! disp5s+ ( sub/ance use disord]       
treatm5t m$ications by ph>maci/s4  7,c7 
,! ord]+1 prescrib+1 & obta9+ sub/ance  

use disord] treatm5t m$ications on dem& 
f specialty ph>macies by provid]s4  7#b7
 ,requirem5ts ,= ea* model ( di/ribution
 specifi$ 9 p>agraph 7#a71 ! ,comptroll]
 ,g5]al %all evaluate h[ ea* model      
pres5ts b>ri]s or c\ld be us$ by select$
 ,/ate ,m$icaid programs to r$uce !     
b>ri]s relat$ to ! provision ( sub/ance 
use disord] treatm5t by exam9+ :at is   
kn[n ab\t ! effects ( ! model (         
di/ribution on--  7,a7 ,m$icaid         
b5efici>ies' access to sub/ance use     
disord] treatm5t m$ications2  7,b7 !    
diff]5tial co/ to ! program betwe5 ea*  
di/ribution model = m$ication assi/$    
treatm5t2 &  7,c7 provid] will+ness to  
provide or prescribe sub/ance use       
disord] treatm5t m$ications4  7b7       
,report ,n lat] ?an #ae mon?s aft] !    
date ( ! enactm5t ( ?is ,act1 !         
,comptroll] ,g5]al %all submit to       
,congress a report conta9+ ! results ( !
 /udy conduct$ "u subsection 7a71 toge!r
 ) recomm5dations = su* legislation &   
adm9i/rative action z ! ,comptroll]     

,g5]al det]m9es appropriate4  #bjf4     
,help = moms & babies  7a7 ,m$icaid /ate
 plan ,section #aije7;a7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acif;d7a77 is am5d$ by add+ at ! end ! 
foll[+ new s5t5ce3 ,9 ! case ( a woman  
:o is eligible = m$ical assi/ance on !  
basis ( be+ pregnant 7includ+ ?r\gh !   
end ( ! mon? 9 :i* ! #fj-;day p]iod     
beg9n+ on ! la/ day ( h] pregnancy      
ends71 :o is a pati5t 9 an in/itution = 
m5tal diseases = purposes ( receiv+     
treatm5t = a sub/ance use disord]1 & :o 
0 enroll$ = m$ical assi/ance "u ! ,/ate 
plan imm$iately be=e becom+ a pati5t 9  
an in/itution = m5tal diseases or :o    
becomes eligible to enroll = su* m$ical 
assi/ance :ile su* a pati5t1 ! exclusion
 f ! def9ition ( m$ical assi/ance set =?
 9 ! subdivision 7,b7 foll[+ p>agraph   
7#bi7 ( ! fir/ s5t5ce ( ?is subsection  
%all n be con/ru$ z prohibit+ ,f$]al    
f9ancial p>ticipation = m$ical assi/ance
 = items or s]vices t are provid$ to !  
woman outside ( ! in/itution44  7b7     

,effective date  7#a7 ,9 g5]al ,except z
 provid$ 9 p>agraph 7#b71 ! am5dm5t made
 by subsection 7a7 %all take effect on !
 date ( enactm5t ( ?is ,act4  7#b7 ,rule
 = *anges requir+ /ate legislation ,9 ! 
case ( a ,/ate plan "u title ,,xix ( !  
,social ,security ,act :i* ! ,secret>y (
 ,heal? & ,human ,s]vices det]m9es      
requires ,/ate legislation 7o!r ?an     
legislation appropriat+ funds7 9 ord] = 
! plan to meet ! additional requirem5ts 
impos$ by ! am5dm5t made by subsection  
7a71 ! ,/ate plan %all n be reg>d$ z    
fail+ to comply ) ! requirem5ts ( su*   
title solely on ! basis ( its failure to
 meet ^! additional requirem5ts be=e !  
fir/ day ( ! fir/ cal5d> qu>t] beg9n+   
aft] ! close ( ! fir/ regul> session ( !
 ,/ate legislature t beg9s aft] ! date (
 ! enactm5t ( ?is ,act4 ,= purposes ( ! 
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4  #bjg4 ,secur+ flexibility 

to treat sub/ance use disord]s ,section 
#aijc7m7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;b7m77 is am5d$ by add+ 
at ! end ! foll[+ new p>agraph3  7#g7   
,paym5t %all be made "u ?is title to a  
,/ate = exp5ditures = capitation paym5ts
 describ$ 9 section #dch4f7;e7 ( title  
#db1 ,code ( ,f$]al ,regulations 7or any
 successor regulation74  4  #bjh4       
,,macpac /udy & report on ,,mat         
utilization controls "u ,/ate ,m$icaid  
programs  7a7 ,/udy ,! ,m$icaid & ,,*ip 
,paym5t & ,access ,commission %all      
conduct a /udy & analysis ( utilization 
control policies appli$ to              
m$ication-assi/$ treatm5t = sub/ance use
 disord]s "u ,/ate ,m$icaid programs1   
includ+ policies & proc$ures appli$ bo? 
9 fee-=-s]vice ,m$icaid & 9 risk-bas$   
manag$ c>e ,m$icaid1 :i* %all--  7#a7   
include an inv5tory ( su* utilization   
control policies & relat$ protocols =   
ensur+ access to m$ically necess>y      
treatm5t2  7#b7 det]m9e :e!r manag$ c>e 
utilization control policies & proc$ures

 = m$ication assi/$ treatm5t = sub/ance 
use disord]s are consi/5t ) section     
#dch4baj7;a77#d77;ii7 ( title #db1 ,code
 ( ,f$]al ,regulations2 &  7#c7 id5tify 
policies t-- 7,a7 limit an individual's 
access to m$ication-assi/$ treatm5t = a 
sub/ance use disord] by limit+ !        
quantity ( m$ication-assi/$ treatm5t    
prescriptions1 or ! numb] ( refills =   
su* prescriptions1 available to !       
individual z "p ( a prior au?orization  
process or simil> utilization protocols2
 &  7,b7 apply )\t evaluat+ individual  
in/ances ( fraud1 wa/e1 or abuse4  7b7  
,report ,n lat] ?an #a ye> aft] ! date (
 ! enactm5t ( ?is ,act1 ! ,m$icaid &    
,,*ip ,paym5t & ,access ,commission %all
 make publicly available a report       
conta9+ ! results ( ! /udy conduct$ "u  
subsection 7a74  #bji4 ,opioid addiction
 treatm5t programs enhancem5t  7a7      
,t-,,msis sub/ance use disord] data book
  7#a7 ,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$icaid4  7#b7 ,cont5t (   
report ,! report requir$ "u p>agraph    
7#a7 %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 subp>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 subp>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--  7i7 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  7ii7 a fee-=-s]vice paym5t model2
 or  7iii7 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  7#c7 ,annual     
updates ,! ,secret>y %all issue an      
updat$ v]sion ( ! report requir$ "u     
p>agraph 7#a7 n lat] ?an ,janu>y #a (   
ea* cal5d> ye> ?r\gh #bjbd4  7#d7 ,use (

 ,t-,,msis data ,! report requir$ "u    
p>agraph 7#a7 & updates requir$ "u      
p>agraph 7#c7 %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  7b7 ,mak+ ,t-,,msis
 data on sub/ance use disord]s available
 to rese>*]s  7#a7 ,9 g5]al ,! ,secret>y
 %all publi% 9 ! ,f$]al ,regi/] a sy/em 
( records notice = ! data specifi$ 9    
p>agraph 7#b7 = ! ,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$icaid ,/ati/ical ,in=mation ,sy/em4  
7#b7 ,requir$ data ,! data cov]$ by !   
sy/ems ( records notice requir$ "u      
p>agraph 7#a7 %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  7#c7 ,initiation (    
data-%>+ activities ,n lat] ?an ,janu>y 
#a1 #bjai1 ! ,secret>y %all initiate !  
data-%>+ activities outl9$ 9 ! notice   
requir$ "u p>agraph 7#a74  #baj4 ,bett] 
data %>+ to combat ! opioid crisis  7a7 
,9 g5]al ,section #aijc7m7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acif;b7m771 z am5d$ by section #bjg1 is
 am5d$ by add+ at ! end ! foll[+ new    
p>agraph3  7#h7 7,a7 ,! ,/ate ag5cy     
adm9i/]+ ! ,/ate plan "u ?is title may h

 reasonable access1 z det]m9$ by !      
,/ate1 to #a or m prescription drug     
monitor+ program databases adm9i/]$ or  
access$ by ! ,/ate to ! ext5t ! ,/ate   
ag5cy is p]mitt$ to access su* databases
 "u ,/ate law4  7,b7 ,su* ,/ate ag5cy   
may facilitate reasonable access1 z     
det]m9$ by ! ,/ate1 to #a or m          
prescription drug monitor+ program      
databases adm9i/]$ or access$ by !      
,/ate1 to same ext5t t ! ,/ate ag5cy is 
p]mitt$ "u ,/ate law to access su*      
databases1 =--  7i7 any provid] enroll$ 
"u ! ,/ate plan to provide s]vices to   
,m$icaid b5efici>ies2 &  7ii7 any manag$
 c>e entity 7z def9$ "u section         
#aicb7;a77#a77;,b77 t has a contract ) !
 ,/ate "u ?is subsection or "u section  
#aije7t77#c74  7,c7 ,su* ,/ate ag5cy may
 %>e in=mation 9 su* databases1 to !    
same ext5t t ! ,/ate ag5cy is p]mitt$ "u
 ,/ate law to %>e in=mation 9 su*       
databases1 )--  7i7 any provid] enroll$ 
"u ! ,/ate plan to provide s]vices to   
,m$icaid b5efici>ies2 &  7ii7 any manag$

 c>e entity 7z def9$ "u section         
#aicb7;a77#a77;,b77 t has a contract ) !
 ,/ate "u ?is subsection or "u section  
#aije7t77#c74  4  7b7 ,security &       
privacy ,all applicable ,/ate & ,f$]al  
security & privacy protections & laws   
%all apply to any ,/ate ag5cy1          
individual1 or entity access+ #a or m   
prescription drug monitor+ program      
databases or obta9+ in=mation 9 su*     
databases 9 accordance ) section        
#aijc7m77#h7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acif;b7m77#h77 7z add$  
by subsection 7a774  7c7 ,effective date
 ,! am5dm5t made by subsection 7a7 %all 
take effect on ! date ( enactm5t ( ?is  
,act4  #baa4 ,m&atory report+ ) respect 
to adult behavioral heal? measures      
,section #aaci;,b ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acbj;b-#i;b7 is    
am5d$--  7#a7 9 subsection 7b7-- 7,a7 9 
p>agraph 7#c7--  7i7 by /rik+ ,n lat]   
?an ,janu>y #a1 #bjac & ins]t+ ! foll[+3
  7,a7 ,volunt>y report+ ,n lat] ?an    
,janu>y #a1 #bjac  2 &  7ii7 by add+ at 

! end ! foll[+3  7,b7 ,m&atory report+ )
 respect to behavioral heal? measures   
,beg9n+ ) ! ,/ate report requir$ "u     
subsection 7d77#a7 = #bjbd1 ! ,secret>y 
%all require ,/ates to use all          
behavioral heal? measures includ$ 9 !   
core set ( adult heal? quality measures 
& any updates or *anges to su* measures 
to report in=mation1 us+ ! /&>diz$ =mat 
= report+ in=mation & proc$ures develop$
 "u subp>agraph 7,a71 reg>d+ ! quality (
 behavioral heal? c>e = ,m$icaid        
eligible adults4  2  7,b7 9 p>agraph    
7#e71 by add+ at ! end ! foll[+ new     
subp>agraph3  7,c7 ,behavioral heal?    
measures ,beg9n+ ) respect to ,/ate     
reports requir$ "u subsection 7d77#a7 = 
#bjbd1 ! core set ( adult heal? quality 
measures ma9ta9$ "u ?is p>agraph 7& any 
updates or *anges to su* measures7 %all 
include behavioral heal? measures4  2 & 
7#b7 9 subsection 7d77#a77;,a7-- 7,a7 by
 /rik+ ! su* plan & ins]t+ su* plan2 &  
7,b7 by /rik+ subsection 7a77#e7 &      
ins]t+ subsection 7b77#e7 &1 beg9n+ ) ! 

report = #bjbd1 all behavioral heal?    
measures includ$ 9 ! core set ( adult   
heal? quality measures ma9ta9$ "u su*   
subsection 7b77#e7 & any updates or     
*anges to su* measures 7z requir$ "u    
subsection 7b77#c774  #bab4 ,report on  
innovative ,/ate initiatives & /rategies
 to provide h\s+-relat$ s]vices &       
supports to individuals /ruggl+ )       
sub/ance use disord]s "u ,m$icaid  7a7  
,9 g5]al ,n lat] ?an #a ye> aft] ! date 
( enactm5t ( ?is ,act1 ! ,secret>y (    
,heal? & ,human ,s]vices %all issue a   
report to ,congress describ+ innovative 
,/ate initiatives & /rategies = provid+ 
h\s+-relat$ s]vices & supports "u a     
,/ate ,m$icaid program to individuals ) 
sub/ance use disord]s :o are exp]i5c+ or
 at risk ( exp]i5c+ homelessness4  7b7  
,cont5t ( report ,! report requir$ "u   
subsection 7a7 %all describe ! foll[+3  
7#a7 ,exi/+ me?ods & innovative         
/rategies develop$ & adopt$ by ,/ate    
,m$icaid programs t h a*iev$ positive   
outcomes 9 increas+ h\s+ /ability among 

,m$icaid b5efici>ies ) sub/ance use     
disord]s :o are exp]i5c+ or at risk (   
exp]i5c+ homelessness1 includ+ ,m$icaid 
b5efici>ies ) sub/ance use disord]s :o  
are--  7,a7 receiv+ treatm5t = sub/ance 
use disord]s 9 inpati5t1 resid5tial1    
outpati5t1 or home & community-bas$     
sett+s2  7,b7 transition+ betwe5        
sub/ance use disord] treatm5t sett+s2 or
  7,c7 liv+ 9 supportive h\s+ or ano!r  
model ( af=dable h\s+4  7#b7 ,/rategies 
employ$ by ,m$icaid manag$ c>e          
organizations1 prim>y c>e case manag]s1 
hospitals1 acc\ntable c>e organizations1
 & o!r c>e coord9ation provid]s to      
deliv] h\s+-relat$ s]vices & supports & 
to coord9ate s]vices provid$ "u ,/ate   
,m$icaid programs across diff]5t        
treatm5t sett+s4  7#c7 ,innovative      
/rategies & lessons le>n$ by ,/ates )   
,m$icaid waiv]s approv$ "u section #aaae
 or #aiae ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acae1 #acifn71 includ+--
  7,a7 *all5ges exp]i5c$ by ,/ates 9    
design+1 secur+1 & implem5t+ su* waiv]s 

or plan am5dm5ts2  7,b7 h[ ,/ates       
develop$ p>tn]%ips ) o!r organizations  
su* z behavioral heal? ag5cies1 ,/ate   
h\s+ ag5cies1 h\s+ provid]s1 heal? c>e  
s]vices ag5cies & provid]s1             
community-bas$ organizations1 & heal?   
insurance plans to implem5t waiv]s or   
,/ate plan am5dm5ts2 &  7,c7 h[ & :e!r  
,/ates plan to provide ,m$icaid cov]age 
= h\s+-relat$ s]vices & supports 9 !    
future1 includ+ by cov]+ su* s]vices &  
supports "u ,/ate ,m$icaid plans or     
waiv]s4  7#d7 ,exi/+ opportunities =    
,/ates to provide h\s+-relat$ s]vices & 
supports ?r\gh a ,m$icaid waiv] "u      
sections #aaae or #aiae ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acae1    
#acifn7 or ?r\gh a ,/ate ,m$icaid plan  
am5dm5t1 su* z ! ,assi/ance 9 ,community
 ,integration ,s]vice pilot program1 :i*
 promotes supportive h\s+ & o!r         
h\s+-relat$ supports "u ,m$icaid =      
individuals ) sub/ance use disord]s & = 
:i* ,m>yl& has a waiv] approv$ "u su*   
section #aaae to conduct ! program4     

7#e7 ,innovative /rategies & p>tn]%ips  
develop$ & implem5t$ by ,/ate ,m$icaid  
programs or o!r entities to id5tify &   
enroll eligible individuals ) sub/ance  
use disord]s :o are exp]i5c+ or at risk 
( exp]i5c+ homelessness 9 ,/ate ,m$icaid
 programs4  #bac4 ,te*nical assi/ance & 
support = innovative ,/ate /rategies to 
provide h\s+-relat$ supports "u ,m$icaid
  7a7 ,9 g5]al ,! ,secret>y ( ,heal? &  
,human ,s]vices %all provide te*nical   
assi/ance & support to ,/ates reg>d+ !  
developm5t & expansion ( innovative     
,/ate /rategies 7includ+ ?r\gh ,/ate    
,m$icaid demon/ration projects7 to      
provide h\s+-relat$ supports & s]vices &
 c>e coord9ation s]vices "u ,m$icaid to 
individuals ) sub/ance use disord]s4    
7b7 ,report ,n lat] ?an #ahj days aft] !
 date ( enactm5t ( ?is ,act1 ! ,secret>y
 %all issue a report to ,congress       
detail+ a plan ( action to c>ry out !   
requirem5ts ( subsection 7a74  ,,iii    
,human ,s]vices  #cja4 ,support+        
family-focus$ resid5tial treatm5t  7a7  

,def9itions ,9 ?is section3 7#a7        
,family-focus$ resid5tial treatm5t      
program ,! t]m family-focus$ resid5tial 
treatm5t program means a trauma-in=m$   
resid5tial program prim>ily = sub/ance  
use disord] treatm5t = pregnant &       
po/p>tum wom5 & p>5ts & gu>dians t all[s
 *ildr5 to reside ) su* wom5 or _! p>5ts
 or gu>dians dur+ treatm5t to ! ext5t   
appropriate & applicable4  7#b7 ,m$icaid
 program ,! t]m ,m$icaid program means !
 program e/abli%$ "u title ,,xix ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq474  7#c7 ,secret>y ,! t]m  
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  7#d7 ,title ,,iv-,e   
program ,! t]m title ,,iv-,e program    
means ! program = fo/] c>e1 prev5tion1 &
 p]man5cy e/abli%$ "u "p ,e ( title ,,iv
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #fgj et seq474  7b7 ,guidance 
on family-focus$ resid5tial treatm5t    
programs  7#a7 ,9 g5]al ,n lat] ?an #ahj
 days aft] ! date ( enactm5t ( ?is ,act1
 ! ,secret>y1 9 consultation ) divisions

 ( ! ,dep>tm5t ( ,heal? & ,human        
,s]vices adm9i/]+ sub/ance use disord]  
or *ild welf>e programs1 %all develop & 
issue guidance to ,/ates id5tify+       
opportunities to support family-focus$  
resid5tial treatm5t programs = !        
provision ( sub/ance use disord]        
treatm5t4 ,be=e issu+ su* guidance1 !   
,secret>y %all solicit input f          
repres5tatives ( ,/ates1 heal? c>e      
provid]s ) exp]tise 9 addiction m$ic9e1 
ob/etrics & gynecology1 neonatology1    
*ild trauma1 & *ild developm5t1 heal?   
plans1 recipi5ts ( family-focus$        
treatm5t s]vices1 & o!r relevant        
/akehold]s4  7#b7 ,additional           
requirem5ts ,! guidance requir$ "u      
p>agraph 7#a7 %all include descriptions 
( ! foll[+3 7,a7 ,exi/+ opportunities & 
flexibilities "u ! ,m$icaid program1    
includ+ "u waiv]s au?oriz$ "u section   
#aaae or #aiae ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acae1 #acifn71 =   
,/ates to receive ,f$]al ,m$icaid fund+ 
= ! provision ( sub/ance use disord]    

treatm5t = pregnant & po/p>tum wom5 &   
p>5ts & gu>dians &1 to ! ext5t          
applicable1 _! *ildr51 9 family-focus$  
resid5tial treatm5t programs4  7,b7 ,h[ 
,/ates c employ & coord9ate fund+       
provid$ "u ! ,m$icaid program1 ! title  
,,iv-,e program1 & o!r programs adm9i/]$
 by ! ,secret>y to support ! provision (
 treatm5t & s]vices provid$ by a        
family-focus$ resid5tial treatm5t       
facility su* z sub/ance use disord]     
treatm5t & s]vices1 includ+             
m$ication-assi/$ treatm5t1 family1 gr\p1
 & individual c\nsel+1 case managem5t1  
p>5t+ education & skills developm5t1 !  
provision1 assessm5t1 or coord9ation (  
c>e & s]vices = *ildr51 includ+ necess>y
 assessm5ts & appropriate int]v5tions1  
non-em]g5cy transportation = necess>y   
c>e provid$ at or away f a program site1
 transitional s]vices & supports =      
families leav+ treatm5t1 & o!r s]vices4 
7,c7 ,h[ ,/ates c employ & coord9ate    
fund+ provid$ "u ! ,m$icaid program & ! 
title ,,iv-,e program 7includ+ z am5d$  

by ! ,family ,fir/ ,prev5tion ,s]vices  
,act enact$ "u title ,,vii ( division ,e
 ( ,public ,law #aae-abc1 & p>ticul>ly )
 respect to ! au?ority "u subsections   
7a77#b77;,c7 & 7j7 ( section #dgb &     
section #dgd7;a77#a7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #fgb1     
#fgd7;a77#a77 7z am5d$ by section #ejgab
 ( ,public ,law #aae-abc7 to provide    
fo/] c>e ma9t5ance paym5ts = a *ild     
plac$ ) a p>5t :o is receiv+ treatm5t 9 
a lic5s$ resid5tial family-bas$ treatm5t
 facility = a sub/ance use disord]7 to  
support plac+ *ildr5 ) _! p>5ts 9       
family-focus$ resid5tial treatm5t       
programs4  #cjb4 ,improv+ recov]y &     
reunify+ families ,section #dce ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#fbi;e7 is am5d$ by add+ at ! end !     
foll[+3  7e7 ,family ,recov]y &         
,reunification ,program ,replication    
,project  7#a7 ,purpose ,! purpose ( ?is
 subsection is to provide res\rces to ! 
,secret>y to support ! conduct &        
evaluation ( a family recov]y &         

reunification program replication       
project 7ref]r$ to 9 ?is subsection z ! 
project7 & to det]m9e ! ext5t to :i* su*
 programs may be appropriate = use at   
diff]5t int]v5tion po9ts 7su* z :5 a    
*ild is at risk ( ent]+ fo/] c>e or :5 a
 *ild is liv+ ) a gu>dian :ile a p>5t is
 9 treatm5t74 ,! family recov]y &       
reunification program conduct$ "u !     
project %all use a recov]y coa* model t 
is design$ to help reunify families &   
protect *ildr5 by work+ ) p>5ts or      
gu>dians ) a sub/ance use disord] :o h  
tempor>ily lo/ cu/ody ( _! *ildr54  7#b7
 ,program compon5ts ,! family recov]y & 
reunification program conduct$ "u !     
project %all adh]e closely to ! elem5ts 
& protocol det]m9$ to be mo/ effective 9
 o!r recov]y coa*+ programs t h be5     
rigor\sly evaluat$ & %[n to increase    
family reunification & protect *ildr5 &1
 consi/5t ) su* elem5ts & protocol1 %all
 provide su* items & s]vices z--  7,a7  
assessm5ts to evaluate ! ne$s ( ! p>5t  
or gu>dian2  7,b7 assi/ance 9 receiv+ ! 

appropriate b5efits to aid ! p>5t or    
gu>dian 9 recov]y2  7,c7 s]vices to     
assi/ ! p>5t or gu>dian 9 prioritiz+    
issues id5tifi$ 9 assessm5ts1 e/abli%+  
goals = resolv+ su* issues t are        
consi/5t ) ! goals ( ! treatm5t provid]1
 *ild welf>e ag5cy1 c\rts1 & o!r ag5cies
 involv$ ) ! p>5t or gu>dian or _!      
*ildr51 & mak+ a coord9at$ plan = a*iev+
 su* goals2  7,d7 home visit+ s]vices   
coord9at$ ) ! *ild welf>e ag5cy &       
treatm5t provid] involv$ ) ! p>5t or    
gu>dian or _! *ildr52  7,e7 case        
managem5t s]vices to remove b>ri]s = !  
p>5t or gu>dian to p>ticipate & cont9ue 
9 treatm5t1 z well z to re-engage a p>5t
 or gu>dian :o is n p>ticipat+ or       
progress+ 9 treatm5t2  7,f7 access to   
s]vices ne$$ to monitor ! p>5t's or     
gu>dian's compliance ) program          
requirem5ts2  7,g7 frequ5t report+      
betwe5 ! treatm5t provid]1 *ild welf>e  
ag5cy1 c\rts1 & o!r ag5cies involv$ ) ! 
p>5t or gu>dian or _! *ildr5 to ensure  
appropriate in=mation on ! p>5t's or    

gu>dian's /atus is available to in=m    
decision-mak+2 &  7,h7 assessm5ts &     
recomm5dations provid$ by a recov]y coa*
 to ! *ild welf>e casework] responsible 
= docum5t+ ! p>5t's or gu>dian's        
progress 9 treatm5t & recov]y z well z !
 /atus ( o!r areas id5tifi$ 9 ! treatm5t
 plan = ! p>5t or gu>dian1 includ+ a    
recomm5dation reg>d+ ! expect$ safety ( 
! *ild if ! *ild is return$ to ! cu/ody 
( ! p>5t or gu>dian t c be us$ by !     
casework] & a c\rt to make p]man5cy     
decisions reg>d+ ! *ild4  7#c7          
,responsibilities ( ! secret>y  7,a7 ,9 
g5]al ,! ,secret>y %all1 ?r\gh a grant  
or contract ) #a or m entities1 conduct 
& evaluate ! family recov]y &           
reunification program "u ! project4     
7,b7 ,requirem5ts ,9 id5tify+ #a or m   
entities to conduct ! evaluation ( !    
family recov]y & reunification program1 
! ,secret>y %all--  7i7 det]m9e t ! area
 or areas 9 :i* ! program w be conduct$ 
h suffici5t sub/ance use disord]        
treatm5t provid]s & o!r res\rces 7o!r   

?an ^? provid$ ) funds made available to
 c>ry out ! project7 to successfully    
conduct ! program2  7ii7 det]m9e t !    
area or areas 9 :i* ! program w be      
conduct$ h en\gh pot5tial program       
p>ticipants1 & w s]ve a suffici5t numb] 
( p>5ts or gu>dians & _! *ildr51 s z to 
all[ = ! =mation ( a control gr\p1      
evaluation results to be adequately     
p[]$1 & prelim9>y results ( ! evaluation
 to be available )9 #d ye>s ( !         
program's implem5tation2  7iii7 provide 
! entity or entities ) te*nical         
assi/ance = ! program design1 includ+ by
 work+ ) #a or m entities t are or h be5
 involv$ 9 recov]y coa*+ programs t h   
be5 rigor\sly evaluat$ & %[n to increase
 family reunification & protect *ildr5 s
 z to make sure ! program conduct$ "u ! 
project adh]es closely to ! elem5ts &   
protocol det]m9$ to be mo/ effective 9  
su* o!r recov]y coa*+ programs2  7iv7   
assi/ ! entity or entities 9 secur+     
adequate coa*+1 treatm5t1 *ild welf>e1  
c\rt1 & o!r res\rces ne$$ to            

successfully conduct ! family recov]y & 
reunification program "u ! project2 &   
7v7 ensure ! entity or entities w be    
able to monitor ! impacts ( ! program 9 
! area or areas 9 :i* x is conduct$ = at
 lea/ #e ye>s aft] p>5ts or gu>dians &  
_! *ildr5 are r&omly assign$ to         
p>ticipate 9 ! program or to be "p ( !  
program's control gr\p4  7#d7           
,evaluation requirem5ts  7,a7 ,9 g5]al  
,! ,secret>y1 9 consultation ) ! entity 
or entities conduct+ ! family recov]y & 
reunification program "u ! project1 %all
 conduct an evaluation to det]m9e :e!r !
 program has be5 implem5t$ effectively &
 result$ 9 improvem5ts = *ildr5 &       
families4 ,! evaluation %all h #c       
compon5ts3 a pilot phase1 an impact     
/udy1 & an implem5tation /udy4  7,b7    
,pilot phase ,! pilot phase compon5t ( !
 evaluation %all consi/ ( ! ,secret>y   
provid+ te*nical assi/ance to ! entity  
or entities conduct+ ! family recov]y & 
reunification program "u ! project to   
ensure--  7i7 ! program's implem5tation 

adh]es closely to ! elem5ts & protocol  
det]m9$ to be mo/ effective 9 o!r       
recov]y coa*+ programs t h be5 rigor\sly
 evaluat$ & %[n to increase family      
reunification & protect *ildr52 &  7ii7 
r&om assignm5t ( p>5ts or gu>dians & _! 
*ildr5 to be p>ticipants 9 ! program or 
to be "p ( ! program's control gr\p is  
be+ c>ri$ out4  7,c7 ,impact /udy ,!    
impact /udy compon5t ( ! evaluation %all
 det]m9e ! impacts ( ! family recov]y & 
reunification program conduct$ "u !     
project on ! p>5ts & gu>dians & _!      
*ildr5 p>ticipat+ 9 ! program4 ,! impact
 /udy compon5t %all--  7i7 be conduct$  
us+ an exp]im5tal design t uses a r&om  
assignm5t rese>* me?odology2  7ii7      
consi/5t ) previ\s /udies ( o!r recov]y 
coa*+ programs t h be5 rigor\sly        
evaluat$ & %[n to increase family       
reunification & protect *ildr51 measure 
outcomes = p>5ts & gu>dians & _! *ildr5 
ov] multiple "t p]iods1 includ+ = a     
p]iod ( #e ye>s2 &  7iii7 include       
measurem5ts ( family /ability & p>5t1   

gu>dian1 & *ild safety = program        
p>ticipants & ! program control gr\p t  
are consi/5t ) measurem5ts ( su* factors
 = p>ticipants & control gr\ps f previ\s
 /udies ( o!r recov]y coa*+ programs s z
 to all[ results ( ! impact /udy to be  
comp>$ ) ! results ( su* prior /udies1  
includ+ ) respect to comp>isons betwe5  
program p>ticipants & ! program control 
gr\p reg>d+--  7,i7 safe family         
reunification2  7,,ii7 "t to            
reunification2  7,,iii7 p]man5cy 7su* z 
?r\gh measures ( reunification1         
adoption1 or placem5t ) gu>dians72      
7,,iv7 safety 7su* z ?r\gh measures (   
subsequ5t maltreatm5t72  7,v7 p>5tal or 
gu>dian treatm5t p]si/5ce & engagem5t2  
7,,vi7 p>5tal or gu>dian sub/ance use2  
7,,vii7 juv5ile del9qu5cy2  7,,viii7    
co/2 &  7,,ix7 o!r measurem5ts agre$ ^u 
by ! ,secret>y & ! entity or entities   
op]at+ ! family recov]y & reunification 
program "u ! project4  7,d7             
,implem5tation /udy ,! implem5tation    
/udy compon5t ( ! evaluation %all be    

conduct$ concurr5tly ) ! conduct ( !    
impact /udy compon5t & %all include1 9  
addition to su* o!r in=mation z !       
,secret>y may det]m9e1 descriptions &   
analyses (--  7i7 ! adh]5ce ( ! family  
recov]y & reunification program conduct$
 "u ! project to o!r recov]y coa*+      
programs t h be5 rigor\sly evaluat$ &   
%[n to increase family reunification &  
protect *ildr52 &  7ii7 ! diff]5ce 9    
s]vices receiv$ or propos$ to be receiv$
 by ! program p>ticipants & ! program   
control gr\p4  7,e7 ,report ,! ,secret>y
 %all publi% on an int]net website      
ma9ta9$ by ! ,secret>y ! foll[+         
in=mation3  7i7 ,a report on ! pilot    
phase compon5t ( ! evaluation4  7ii7 ,a 
report on ! impact /udy compon5t ( !    
evaluation4  7iii7 ,a report on !       
implem5tation /udy compon5t ( !         
evaluation4  7iv7 ,a report t includes--
  7,i7 analyses ( ! ext5t to :i* !      
program has result$ 9 increas$          
reunifications1 increas$ p]man5cy1 case 
closures1 net sav+s to ! ,/ate or ,/ates

 involv$ 7tak+ into acc\nt bo? co/s     
borne by ,/ates & ! ,f$]al gov]nm5t71 or
 o!r outcomes1 or if ! program did n    
produce su* outcomes1 an analysis ( :y !
 replication ( ! program did n yield su*
 results2  7,,ii7 if1 bas$ on su*       
analyses1 ! ,secret>y det]m9es ! program
 %\ld be replicat$1 a replication plan2 
&  7,,iii7 su* recomm5dations =         
legislation & adm9i/rative action z !   
,secret>y det]m9es appropriate4  7#e7   
,appropriation ,9 addition to any am\nts
 o!rwise made available to c>ry out ?is 
subp>t1 out ( any money 9 ! ,treasury ( 
! ,unit$ ,/ates n o!rwise appropriat$1  
!re are appropriat$ #ae1jjj1jjj = fiscal
 ye> #bjai to c>ry out ! project1 :i*   
%all rema9 available ?r\gh fiscal ye>   
#bjbf4  4  #cjc4 ,build+ capacity =     
family-focus$ resid5tial treatm5t  7a7  
,def9itions ,9 ?is section3 7#a7        
,eligible entity ,! t]m eligible entity 
means a ,/ate1 c\nty1 local1 or tribal  
heal? or *ild welf>e ag5cy1 a private   
nonpr(it organization1 a rese>*         

organization1 a treatm5t s]vice provid]1
 an in/itution ( high] education 7z     
def9$ "u section #aja ( ! ,high]        
,education ,act ( #aife 7#bj ,u4,s4,c4  
#ajja771 or ano!r entity specifi$ by !  
,secret>y4  7#b7 ,family-focus$         
resid5tial treatm5t program ,! t]m      
family-focus$ resid5tial treatm5t       
program means a trauma-in=m$ resid5tial 
program prim>ily = sub/ance use disord] 
treatm5t = pregnant & po/p>tum wom5 &   
p>5ts & gu>dians t all[s *ildr5 to      
reside ) su* wom5 or _! p>5ts or        
gu>dians dur+ treatm5t to ! ext5t       
appropriate & applicable4  7#c7         
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices4   
7b7 ,support = ! developm5t (           
evid5ce-bas$ family-focus$ resid5tial   
treatm5t programs  7#a7 ,au?ority to    
aw>d grants ,! ,secret>y %all aw>d      
grants to eligible entities = purposes (
 develop+1 enhanc+1 or evaluat+         
family-focus$ resid5tial treatm5t       
programs to increase ! availability (   

su* programs t meet ! requirem5ts =     
promis+1 support$1 or well-support$     
practices specifi$ 9 section            
#dga7;e77#d77;,c7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #fga7;e77#d77;,c777 
7z add$ by ! ,family ,fir/ ,prev5tion   
,s]vices ,act enact$ "u title ,,vii (   
division ,e ( ,public ,law #aae-abc74   
7#b7 ,evaluation requirem5t ,! ,secret>y
 %all require any evaluation ( a        
family-focus$ resid5tial treatm5t       
program by an eligible entity t uses    
funds aw>d$ "u ?is section = all or "p (
 ! co/s ( ! evaluation be design$ to    
assi/ 9 ! det]m9ation ( :e!r ! program  
may qualify z a promis+1 support$1 or   
well-support$ practice 9 accordance ) ! 
requirem5ts ( su* section               
#dga7;e77#d77;,c74  7c7 ,au?orization ( 
appropriations ,!re are au?oriz$ to be  
appropriat$ to ! ,secret>y to c>ry out  
?is section1 #bj1jjj1jjj = fiscal ye>   
#bjai1 :i* %all rema9 available ?r\gh   
fiscal ye> #bjbc4  ,june #be1 #bjah,read
 twice & plac$ on ! cal5d>