,,ii  #aae? ,,congress  #b;d ,session   
,s4 #cdic  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #be1 #bjah   
,mr4 ,w>n] 7= himself1 ,mr4 ,grassley1 &
 ,mr4 ,nelson7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to improve quality measurem5t &   
developm5t4  #a4 ,%ort title  ,?is ,act 
may be cit$ z ! ,addiction ,treatm5t    
,quality ,improvem5t ,act ( #bjah4  #b4 
,improv+ quality measurem5t & developm5t
 relat$ to ! treatm5t ( opioid &        
sub/ance use disord]s  7a7 ,9 g5]al     
,section #ahij;,a ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acie;aaa-#a7 is    
am5d$ by add+ at ! end ! foll[+ new     
subsection3  7g7 ,/rategic framework =  
quality measure developm5t &            
implem5tation relat$ to ! treatm5t (    
opioid & sub/ance use disord]s  7#a7    
,assessm5t ,n lat] ?an #c mon?s aft] !  
date ( ! enactm5t ( ?is subsection1 !   
,secret>y %all conduct an assessm5t ( ! 

curr5t /ate ( quality measures & measure
 concepts 9 ! area ( opioid & sub/ance  
use disord]s4 ,su* assessm5t %all also  
include an analysis to id5tify          
top-priority consid]ations = measurem5t 
9 ! areas ( opioid & sub/ance use       
disord]s & gaps 9 areas ( su* measures4 
7#b7 ,report ,n lat] ?an #ah mon?s aft] 
! date ( ! enactm5t ( ?is subsection1 ! 
,secret>y %all submit to ,congress !    
results ( ! assessm5t conduct$ "u       
p>agraph 7#a71 toge!r ) recomm5dations !
 ,secret>y det]m9es appropriate4  7#c7  
,measure developm5t plan  7,a7          
,developm5t ( a plan ,! ,secret>y %all  
develop a measure developm5t plan to    
address ! gaps1 measure concepts1 &     
id5tifi$ measure doma9s /emm+ f !       
recomm5dations 9 ! report "u p>agraph   
7#b74  7,b7 ,plan to be made publicly   
available ,n lat] ?an #b ye>s aft] !    
date ( ! enactm5t ( ?is subsection1 !   
,secret>y %all make ! plan develop$ "u  
subp>agraph 7,a7 publicly available4    
7#d7 ,contract ,! ,secret>y may ent]    

into a contract1 or z necess>y am5d !   
contract1 ) ! entity ) a contract "u    
section #ahij7;a7 to conduct ! assessm5t
 "u p>agraph 7#a7 & submit ! report "u  
p>agraph 7#b71 :i* may be includ$ 9 an  
annual report submitt$ "u section       
#ahij7;b77#e7 be=e ! deadl9e "u su*     
p>agraph 7#b7 & :i* %all also be        
submitt$ to ! ,secret>y if n includ$ 9  
su* annual report4  4  7b7 ,fund+       
,section #ahij7;d77#b7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acie;aaa7d77#b77 is am5d$-- 7#a7 9 !   
fir/ s5t5ce1 by /rik+ & 7f7 & ins]t+ 1  
7f71 & 7g77#c72 &  7#b7 by add+ at ! end
 ! foll[+ new s5t5ce3 ,am\nts transf]r$ 
"u ?is p>agraph = purposes ( c>ry+ out  
section #ahij;,a7g7 7o!r ?an p>agraph   
7#c77 %all only be = ! p]iod ( fiscal   
ye>s #bjah ?r\gh #bjbj & may n exce$ a  
total ( #a1ejj1jjj44  #c4 ,facilitation 
( increas$ coord9ation & alignm5t betwe5
 ! public & private sector ) respect to 
quality & effici5cy measures  7a7 ,9    
g5]al ,section #ahij7;b7 ( ! ,social    

,security ,act 7#db ,u4,s4,c4           
#acie;aaa7b77 is am5d$ by ins]t+ aft]   
p>agraph 7#c7 ! foll[+ new p>agraph3    
7#d7 ,facilitation ( increas$           
coord9ation & alignm5t betwe5 ! public &
 private sector ) respect to quality &  
effici5cy measures  7,a7 ,9 g5]al ,!    
entity %all facilitate increas$         
coord9ation & alignm5t betwe5 ! public &
 private sector ) respect to quality &  
effici5cy measures4  7,b7 ,annual       
reports ,! entity %all prep>e & make    
available to ! public its f9d+s "u ?is  
p>agraph 9 its annual report4 ,su*      
public availability %all include po/+   
ea* report on ! ,int]net website ( !    
entity  4  7b7 ,effective date ,!       
am5dm5t made by subsection 7a7 %all take
 effect on ! date ( ! enactm5t ( ?is    
,act4