,,ii  #aae? ,,congress  #b;d ,session   
,s4 #cchd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #bc1 #bjah,mr4  
,c>d9 introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to provide =
 an ext5sion ( ! enhanc$ ,,fmap = c]ta9 
,m$icaid heal? homes = individuals )    
sub/ance use disord]s4  #a4 ,%ort title 
,?is ,act may be cit$ z ! ,m$icaid      
,heal? ,homes = ,opioid-,use-,disord]   
,m$icaid ,enrollees ,enc\rag$ ,act or ! 
,m$icaid ,heal? ,,home ,act4  #b4       
,ext5sion ( enhanc$ ,,fmap = c]ta9 heal?
 homes = individuals ) sub/ance use     
disord]s ,section #aide ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acifw-#d7
 is am5d$--  7#a7 9 subsection 7c7--    
7,a7 9 p>agraph 7#a71 by ins]t+ subject 
to p>agraph 7#d71 aft] except t12 &     
7,b7 by add+ at ! end ! foll[+ new      
p>agraph3  7#d7 ,special rule relat+ to 
sub/ance use disord] heal? homes  7,a7  
,9 g5]al ,9 ! case ( a ,/ate ) a        

,,sud-focus$ ,/ate plan am5dm5t1 !      
,secret>y may1 at ! reque/ ( ! ,/ate1   
apply ! ,f$]al m$ical assi/ance p]c5tage
 describ$ 9 p>agraph 7#a7 to paym5ts = !
 provision ( heal? home s]vices to      
,,sud-eligible individuals "u su* ,/ate 
plan am5dm5t1 9 addition to ! fir/ #h   
fiscal ye> qu>t]s ! ,/ate plan am5dm5t  
is 9 effect1 = ! subsequ5t #b fiscal    
qu>t]s t ! ,/ate plan am5dm5t is 9      
effect 7or1 9 ! case ( a ,,sud-focus$   
,/ate plan am5dm5t t has already be5 9  
effect = m ?an #h fiscal ye> qu>t]s :5 !
 ,/ate makes su* reque/1 = ! next #b    
fiscal ye> qu>t]s t beg9 aft] ! ,/ate   
makes su* reque/ & ! ,/ate plan am5dm5t 
is 9 effect74 ,no?+ 9 ?is section %all  
be con/ru$ z prohibit+ a ,/ate ) a ,/ate
 plan am5dm5t t is approv$ "u ?is       
section & t is n a ,,sud-focus$ ,/ate   
plan am5dm5t f additionally hav+ approv$
 a ,,sud-focus$ ,/ate plan am5dm5t "u   
?is section1 includ+ = purposes (       
application ( ?is p>agraph4  7,b7       
,report requirem5ts ,9 ! case ( a ,/ate 

) a ,,sud-focus$ ,/ate plan am5dm5t :i* 
has a reque/ approv$ "u subp>agraph     
7,a71 su* ,/ate %all1 at ! end ( ! p]iod
 ( su* ,/ate plan am5dm5t1 submit to !  
,secret>y a report on ! foll[+1 )       
respect to ,,sud-eligible individuals   
provid$ heal? home s]vices "u su* ,/ate 
plan am5dm5t3  7i7 ,! quality ( heal?   
c>e provid$ to su* individuals1 ) a     
focus on outcomes relevant to ! recov]y 
( ea* su* individual4  7ii7 ,! access ( 
su* individuals to heal? c>e4  7iii7 ,! 
total exp5ditures ( su* individuals =   
heal? c>e4  ,= purposes ( ?is           
subp>agraph1 ! ,secret>y %all specify   
all applicable measures = det]m9+       
quality1 access1 & exp5ditures4  7,c7   
,be/ practices ,n lat] ?an ,octob] #a1  
#bjbj1 ! ,secret>y %all make publicly   
available on ! ,int]net website ( !     
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices be/ 
practices = design+ & implem5t+ a       
,,sud-focus$ ,/ate plan am5dm5t1 bas$ on
 ! exp]i5ces ( ,/ates t h ,/ate plan    
am5dm5ts approv$ "u ?is section t       

include ,,sud-eligible individuals4     
7,d7 ,def9itions ,= purposes ( ?is      
p>agraph3 7i7 ,,sud-eligible individuals
 ,! t]m ,,sud-eligible individual means1
 ) respect to a ,/ate1 an individual :o 
satisfies all ( ! foll[+3  7,i7 ,!      
individual is an eligible individual )  
*ronic conditions4  7,,ii7 ,! individual
 is an individual ) a sub/ance use      
disord]4  7ii7 ,,sud-focus$ ,/ate plan  
am5dm5t ,! t]m ,,sud-focus$ ,/ate plan  
am5dm5t means a ,/ate plan am5dm5t "u   
?is section t is design$ to provide     
heal? home s]vices prim>ily to          
,,sud-eligible individuals1 z det]m9$ by
 ! ,secret>y4  4