,,ii  #aae? ,,congress  #b;d ,session   
,s4 #cdfb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #ah1         
#bjah,mr4 ,portman 7= himself1 ,mr4     
,durb91 ,mr4 ,br[n1 ,ms4 ,coll9s1 ,mr4  
,book]1 & ,mr4 ,k+7 introduc$ ! foll[+  
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xix ( ! ,social ,security  
,act to provide ,/ates ) ! option to    
provide m$ical assi/ance = sub/ance use 
disord] treatm5t s]vices to individuals 
betwe5 ! ages ( #ba & #fd ) sub/ance use
 disord]s1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,improv+
 ,cov]age = ,sub/ance ,use ,disord]     
,recov]y ,expansion ,act4  #b4 ,/ate    
option to provide m$icaid cov]age =     
sub/ance use disord] treatm5t s]vices2  
modification ( ! ,,imd exclusion        
,section #aije ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 
7#a7 9 subsection 7a7--  7,a7 9 p>agraph
 7#bh71 by /rik+ & aft] ! semicolon2    
7,b7 by r$esignat+ p>agraph 7#bi7 z     

p>agraph 7#cj72 &  7,c7 by ins]t+ aft]  
p>agraph 7#bh71 ! foll[+ new p>agraph3  
7#bi7 sub/ance use disord] treatm5t     
s]vices 7z def9$ 9 subsection 7ee7 &    
furni%$ 9 accordance ) t subsection7 =  
individuals ov] #bj ye>s ( age & "u #fe 
ye>s ( age1 t are (f]$ z "p ( a full    
cont9uum ( evid5ce-bas$ treatm5t s]vices
 provid$ "u ! ,/ate plan = individuals )
 sub/ance use disord]s2 &  2 &  7,d7 9 !
 subdivision 7,b7 t foll[s p>agraph     
7#cj7 7z r$esignat$ by subp>agraph 7,b7 
( ?is p>agraph71 by ins]t+ 7o!r ?an     
sub/ance use disord] treatm5t s]vices   
provid$ 9 accordance ) p>agraph 7#bi7 & 
subsection 7ee77 aft] c>e or s]vices2 & 
7#b7 by add+ at ! end ! foll[+ new      
subsection3  7ee7 ,sub/ance use disord] 
treatm5t s]vices  7#a7 ,9 g5]al ,=      
purposes ( subsection 7a77#bi71 ! t]m   
sub/ance use disord] treatm5t s]vices   
means inpati5t s]vices provid$--  7,a7  
to an individual = ! purpose ( treat+ a 
sub/ance use disord] t are furni%$ = n m
 ?an #ij days 9 any #ab-mon? p]iod to an

 individual :o--  7i7 has receiv$       
initial assessm5ts to det]m9e !         
appropriate level ( c>e1 l5g? ( /ay1 &  
sett+ = su* c>e = ! individual bas$ ^u  
crit]ia e/abli%$ by ! ,secret>y 9       
consultation ) ! multidim5sional crit]ia
 ( ! ,am]ican ,society ( ,addiction     
,m$ic9e2 &  7ii7 at appropriate1        
evid5ce-bas$ int]vals 7& 9 no case less 
?an once e #cj days7 aft] ! fir/ day on 
:i* su* s]vices are provid$ to !        
individual1 is subsequ5tly reassess$ &  
det]m9$ to cont9ue to require su*       
s]vices to promote ! individual's       
recov]y & /able transition to ongo+     
treatm5t 9 an outpati5t sett+2 &  7,b7 9
 a facility t-- 7i7 is lic5s$ by ! ,s+le
 ,/ate ,ag5cy = ,sub/ance ,abuse        
,s]vices ( ! ,/ate 9 :i* x is locat$2   
7ii7 is accr$it$ = ! treatm5t ( sub/ance
 use disord]s by ! ,jo9t ,commission1 ! 
,commission on ,accr$itation (          
,rehabilitation ,facilities1 ! ,c\ncil  
on ,accr$itation1 or any o!r accr$it+   
ag5cy t ! ,secret>y deems appropriate z 

necess>y to ensure nationwide           
applicability2  7iii7 employs a provid] 
:o c prescribe & discuss ) pati5ts !    
risks1 b5efits1 & alt]natives ( at lea/ 
#b =ms ( m$ications approv$ by ! ,food &
 ,drug ,adm9i/ration to treat sub/ance  
use disord] involv+ opioids1 includ+ "o 
antagoni/ & "o p>tial agoni/2 &  7iv7   
contracts ) an opioid treatm5t program  
7z def9$ 9 section #h4b ( title #db1    
,code ( ,f$]al ,regulations1 or any     
successor regulation7 = ! purposes (    
(f]+ me?adone z a m$ication option to   
treat sub/ance use disord]s4  7#b7 ,o!r 
m$ical assi/ance ,! provision ( m$ical  
assi/ance = sub/ance use disord]        
treatm5t s]vices to an individual %all n
 prohibit ,f$]al f9ancial p>ticipation =
 m$ical assi/ance = items or s]vices t  
are provid$ to ! individual 9 or away f 
! facility 9 :i* ! sub/ance use disord] 
treatm5t s]vices are provid$ dur+ any   
p]iod 9 :i* ! individual is receiv+     
sub/ance use disord] treatm5t s]vices4  
7#c7 ,ensur+ a cont9uum ( c>e ,z a      

condition = a ,/ate furni%+ m$ical      
assi/ance = sub/ance use disord]        
treatm5t s]vices 9 accordance )         
subsection 7a77#bi7 & ?is subsection1 ! 
,/ate %all--  7,a7 notify ! ,secret>y ( 
h[ ! ,/ate w ensure t individuals       
receive appropriate cl9ical scre5+ prior
 to be+ furni%$ ) sub/ance use disord]  
treatm5t s]vices1 includ+ ! initial     
assessm5ts describ$ 9 p>agraph          
7#a77;,a77i72 &  7,b7 9 ord] to ensure  
an appropriate transition f sub/ance use
 disord] treatm5t s]vices to o!r s]vices
 to treat sub/ance use disord]s at a l[]
 level ( cl9ical int5sity )9 ! cont9uum 
( c>e 7includ+ outpati5t s]vices71      
ensure t all facilities t furni%        
sub/ance use disord] treatm5t s]vices "u
 ! ,/ate plan--  7i7 are able to provide
 su* o!r s]vices to treat sub/ance use  
disord]s2 or  7ii7 h an e/abli%$        
relation%ip ) ano!r sub/ance use disord]
 treatm5t facility or qualifi$ provid] t
 meets ! lic5s+ requirem5t ( p>agraph   
7#a77;,b77i7 & accepts pati5ts receiv+  

m$ical assi/ance "u ?is title "u :i* !  
facility furni%+ sub/ance use disord]   
treatm5t s]vices may arrange =          
individuals to receive su* o!r s]vices  
to treat sub/ance use disord]s f su* o!r
 facility or provid]4  7#d7 ,m9imum     
cov]age requirem5ts ,z a condition = a  
,/ate furni%+ m$ical assi/ance =        
sub/ance use disord] treatm5t s]vices 9 
accordance ) subsection 7a77#bi7 & ?is  
subsection1 ! ,/ate %all provide m$ical 
assi/ance "u ! ,/ate plan = s]vices     
associat$ ) at lea/ #f ( ! #i levels (  
c>e set =? by ! ,am]ican ,society (     
,addiction ,m$ic9e 9 ! #bjac edition (  
its publication entitl$ ,! ,,asam       
,crit]ia3 ,treatm5t ,crit]ia =          
,addictive ,sub/ance-,relat$1 &         
,co-,occurr+ ,conditions4  7#e7         
,ma9t5ance ( ef=t  7,a7 ,9 g5]al ,z a   
condition = a ,/ate furni%+ m$ical      
assi/ance = sub/ance use disord]        
treatm5t s]vices 9 accordance )         
subsection 7a77#bi7 & ?is subsection1 ! 
,/ate %all--  7i7 dur+ ! p]iod 9 :i* !  

,/ate furni%es su* m$ical assi/ance1    
ma9ta9 at lea/ ! numb] ( lic5s$ b$s us$ 
= ! provision ( sub/ance use disord]    
treatm5t s]vices at in/itutions = m5tal 
diseases own$1 op]at$1 or contract$ = by
 ! ,/ate t 7 be+ ma9ta9$ z ( ! date ( ! 
enactm5t ( ?is subsection or1 if high]1 
z ( ! date ! ,/ate applies to !         
,secret>y to include su* m$ical         
assi/ance "u ! ,/ate plan or "u a waiv] 
( su* plan2 &  7ii7 dur+ ! p]iod 9 :i* !
 ,/ate furni%es su* m$ical assi/ance1   
ma9ta9 on an annual basis a level (     
fund+ exp5d$ by ! ,/ate 7& political    
subdivisions !re(7 o!r ?an "u ?is title 
f non-,f$]al funds--  7,i7 = inpati5t   
s]vices furni%$ = ! purpose ( treat+ a  
sub/ance use disord] 9 in/itutions =    
m5tal diseases t is n less ?an ! level (
 su* fund+ = su* s]vices & c>e z ( !    
date ( ! enactm5t ( ?is subsection or1  
if high]1 z ( ! date ! ,/ate applies to 
! ,secret>y to include su* m$ical       
assi/ance "u ! ,/ate plan or "u a waiv] 
( su* plan2 &  7,,ii7 = specifi$        

non-,,imd s]vices describ$ 9 subp>agraph
 7,b7 t is n less ?an ! level ( su*     
fund+ = su* s]vices z ( ! date ( !      
enactm5t ( ?is subsection or1 if high]1 
z ( ! date ! ,/ate applies to !         
,secret>y to include su* m$ical         
assi/ance "u ! ,/ate plan or "u a waiv] 
( su* plan4  7,b7 ,specifi$ non-imd     
s]vices describ$ ,= purposes (          
subp>agraph 7,a77ii77,,ii71 specifi$    
non-,,imd s]vices describ$ 9 ?is        
subp>agraph are ! foll[+3  7i7 ,inpati5t
 s]vices1 o!r ?an su* s]vices describ$ 9
 subp>agraph 7,a77ii77,i74  7ii7        
,outpati5t & community-bas$ s]vices =   
individuals :o are furni%$ sub/ance use 
disord] treatm5t s]vices1 su* z--  7,i7 
sub/ance use disord] treatm5t2  7,,ii7  
evid5ce-bas$ recov]y & support s]vices1 
includ+ %ort-t]m detoxification s]vices2
  7,,iii7 cl9ically direct$ !rapeutic   
treatm5t to facilitate recov]y skills1  
relapse prev5tion1 & emotional cop+     
/rategies2  7,,iv7 sub/ance use disord] 
ph>maco!rapy & drug scre5+2  7,v7       

c\nsel+ & cl9ical monitor+2  7,,vi7     
)drawal managem5t & relat$ treatm5t     
design$ to alleviate acute emotional1   
behavioral1 cognitive1 or biom$ical     
di/ress result+ f1 or occurr+ )1 an     
individual's use ( alcohol & o!r drugs2 
&  7,,vii7 r\t9e monitor+ ( ! m$ication 
adh]5ce ( su* individuals4  7#f7        
,application to manag$ c>e ,paym5ts =1 &
 limitations to1 m$ical assi/ance       
furni%$ 9 accordance ) subsection       
7a77#bi7 & ?is subsection %all be 9     
addition to & %all n be con/ru$ to limit
 or sup]s$e ! ability ( ,/ates to make  
mon?ly capitation paym5ts to manag$ c>e 
organizations = individuals receiv+     
treatm5t 9 in/itutions = m5tal diseases 
9 accordance ) section #dch4f7;e7 (     
title #db1 ,code ( ,f$]al ,regulations  
7or any successor regulation74  4