,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #cdic  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #be1
 #bjah ,mr4 ,warner 7for himself1 ,mr4  
,grassley1 and ,mr4 ,nelson7 introduced 
the following bill2 which was read twice
 and referred to the ,committee on      
,finance  ,a ,,bill  ,to amend title    
,,xviii of the ,social ,security ,act to
 improve quality measurement and        
development4  #a4 ,short title  ,this   
,act may be cited as the ,addiction     
,treatment ,quality ,improvement ,act of
 #bjah4  #b4 ,improving quality         
measurement and development related to  
the treatment of opioid and substance   
use disorders  7a7 ,in general ,section 
#ahij;,a of the ,social ,security ,act  
7#db ,u4,s4,c4 #acie;aaa-#a7 is amended 
by adding at the end the following new  
subsection3  7g7 ,strategic framework   
for quality measure development and     
implementation related to the treatment 
of opioid and substance use disorders   
7#a7 ,assessment ,not later than #c     

months after the date of the enactment  
of this subsection1 the ,secretary shall
 conduct an assessment of the current   
state of quality measures and measure   
concepts in the area of opioid and      
substance use disorders4 ,such          
assessment shall also include an        
analysis to identify top-priority       
considerations for measurement in the   
areas of opioid and substance use       
disorders and gaps in areas of such     
measures4  7#b7 ,report ,not later than 
#ah months after the date of the        
enactment of this subsection1 the       
,secretary shall submit to ,congress the
 results of the assessment conducted    
under paragraph 7#a71 together with     
recommendations the ,secretary          
determines appropriate4  7#c7 ,measure  
development plan  7,a7 ,development of a
 plan ,the ,secretary shall develop a   
measure development plan to address the 
gaps1 measure concepts1 and identified  
measure domains stemming from the       
recommendations in the report under     

paragraph 7#b74  7,b7 ,plan to be made  
publicly available ,not later than #b   
years after the date of the enactment of
 this subsection1 the ,secretary shall  
make the plan developed under           
subparagraph 7,a7 publicly available4   
7#d7 ,contract ,the ,secretary may enter
 into a contract1 or as necessary amend 
the contract1 with the entity with a    
contract under section #ahij7;a7 to     
conduct the assessment under paragraph  
7#a7 and submit the report under        
paragraph 7#b71 which may be included in
 an annual report submitted under       
section #ahij7;b77#e7 before the        
deadline under such paragraph 7#b7 and  
which shall also be submitted to the    
,secretary if not included in such      
annual report4  4  7b7 ,funding ,section
 #ahij7;d77#b7 of the ,social ,security 
,act 7#db ,u4,s4,c4 #acie;aaa7d77#b77 is
 amended-- 7#a7 in the first sentence1  
by striking and 7f7 and inserting 1 7f71
 and 7g77#c72 and  7#b7 by adding at the
 end the following new sentence3        

,amounts transferred under this         
paragraph for purposes of carrying out  
section #ahij;,a7g7 7other than         
paragraph 7#c77 shall only be for the   
period of fiscal years #bjah through    
#bjbj and may not exceed a total of     
#a1ejj1jjj44  #c4 ,facilitation of      
increased coordination and alignment    
between the public and private sector   
with respect to quality and efficiency  
measures  7a7 ,in general ,section      
#ahij7;b7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #acie;aaa7b77 is amended 
by inserting after paragraph 7#c7 the   
following new paragraph3  7#d7          
,facilitation of increased coordination 
and alignment between the public and    
private sector with respect to quality  
and efficiency measures  7,a7 ,in       
general ,the entity shall facilitate    
increased coordination and alignment    
between the public and private sector   
with respect to quality and efficiency  
measures4  7,b7 ,annual reports ,the    
entity shall prepare and make available 

to the public its findings under this   
paragraph in its annual report4 ,such   
public availability shall include       
posting each report on the ,internet    
website of the entity  4  7b7 ,effective
 date ,the amendment made by subsection 
7a7 shall take effect on the date of the
 enactment of this ,act4