,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #cchd  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,august #bc1   
#bjah,mr4 ,cardin 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 provide for an
 extension of the enhanced ,,fmap for   
certain ,medicaid health homes for      
individuals with substance use          
disorders4  #a4 ,short title ,this ,act 
may be cited as the ,medicaid ,health   
,homes for ,opioid-,use-,disorder       
,medicaid ,enrollees ,encouraged ,act or
 the ,medicaid ,health ,,home ,act4  #b4
 ,extension of enhanced ,,fmap for      
certain health homes for individuals    
with substance use disorders ,section   
#aide of the ,social ,security ,act 7#db
 ,u4,s4,c4 #acifw-#d7 is amended--  7#a7
 in subsection 7c7-- 7,a7 in paragraph  
7#a71 by inserting subject to paragraph 
7#d71 after except that12 and  7,b7 by  
adding at the end the following new     

paragraph3  7#d7 ,special rule relating 
to substance use disorder health homes  
7,a7 ,in general ,in the case of a      
,state with a ,,sud-focused ,state plan 
amendment1 the ,secretary may1 at the   
request of the ,state1 apply the        
,federal medical assistance percentage  
described in paragraph 7#a7 to payments 
for the provision of health home        
services to ,,sud-eligible individuals  
under such ,state plan amendment1 in    
addition to the first #h fiscal year    
quarters the ,state plan amendment is in
 effect1 for the subsequent #b fiscal   
quarters that the ,state plan amendment 
is in effect 7or1 in the case of a      
,,sud-focused ,state plan amendment that
 has already been in effect for more    
than #h fiscal year quarters when the   
,state makes such request1 for the next 
#b fiscal year quarters that begin after
 the ,state makes such request and the  
,state plan amendment is in effect74    
,nothing in this section shall be       
construed as prohibiting a ,state with a

 ,state plan amendment that is approved 
under this section and that is not a    
,,sud-focused ,state plan amendment from
 additionally having approved a         
,,sud-focused ,state plan amendment     
under this section1 including for       
purposes of application of this         
paragraph4  7,b7 ,report requirements   
,in the case of a ,state with a         
,,sud-focused ,state plan amendment     
which has a request approved under      
subparagraph 7,a71 such ,state shall1 at
 the end of the period of such ,state   
plan amendment1 submit to the ,secretary
 a report on the following1 with respect
 to ,,sud-eligible individuals provided 
health home services under such ,state  
plan amendment3  7i7 ,the quality of    
health care provided to such            
individuals1 with a focus on outcomes   
relevant to the recovery of each such   
individual4  7ii7 ,the access of such   
individuals to health care4  7iii7 ,the 
total expenditures of such individuals  
for health care4  ,for purposes of this 

subparagraph1 the ,secretary shall      
specify all applicable measures for     
determining quality1 access1 and        
expenditures4  7,c7 ,best practices ,not
 later than ,october #a1 #bjbj1 the     
,secretary shall make publicly available
 on the ,internet website of the        
,centers for ,medicare  ,medicaid       
,services best practices for designing  
and implementing a ,,sud-focused ,state 
plan amendment1 based on the experiences
 of ,states that have ,state plan       
amendments approved under this section  
that include ,,sud-eligible individuals4
  7,d7 ,definitions ,for purposes of    
this paragraph3 7i7 ,,sud-eligible      
individuals ,the term ,,sud-eligible    
individual means1 with respect to a     
,state1 an individual who satisfies all 
of the following3  7,i7 ,the individual 
is an eligible individual with chronic  
conditions4  7,,ii7 ,the individual is  
an individual with a substance use      
disorder4  7ii7 ,,sud-focused ,state    
plan amendment ,the term ,,sud-focused  

,state plan amendment means a ,state    
plan amendment under this section that  
is designed to provide health home      
services primarily to ,,sud-eligible    
individuals1 as determined by the       
,secretary4  4