,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #ebdb  ,,in ,,the ,,house ,,of  
,,representatives  ,november #ba1       
#bjai,mr4 ,mc,kinley 7for himself and   
,ms4 ,kaptur7 introduced the following  
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend title ,,xix of the    
,social ,security ,act to prohibit the  
,secretary of ,health and ,human        
,services from treating any             
,medicaid-related funds recovered from  
one or more pharmaceutical companies or 
drug distributors with respect to opioid
 litigation as an overpayment under such
 title1 and for other purposes4  #a4    
,short title ,this ,act may be cited as 
the ,opioid ,settlement ,accountability 
,act4  #b4 ,prohibition on treating any 
,medicaid-related funds recovered from  
one or more pharmaceutical companies or 
drug distributors with respect to opioid
 litigation as an overpayment  7a7 ,in  
general ,section #aijc7;d77#c7 of the   
,social ,security ,act 7#db ,u4,s4,c4   

#acif7;d77#c77 is amended by adding at  
the end the following new subparagraph3 
7,c7  7i7 ,subparagraph 7,a7 and        
paragraph 7#b77;,b7 may not apply to any
 amount recovered or paid to a ,state on
 or after ,december #ca1 #bjbc1 as a    
part of a comprehensive settlement of   
opioid litigation between pharmaceutical
 manufacturers 7as defined in the second
 sentence of section #ajb7ae7 of the    
,controlled ,substances ,act7 or drug   
distributors 7as defined in the second  
sentence of section #ajb7ab7 of such    
,act7 and ,state attorneys general1 or  
as a part of any individual ,state      
settlement or judgement reached in such 
litigation initiated or pursued by a    
,state against one or more such         
companies or distributors4  7ii7 ,a     
,state shall use amounts recovered or   
paid to the ,state as a part of         
comprehensive or individual settlement1 
or a judgement1 described in clause 7i7 
for--  7,i7 supporting access to        
treatment 7including medication assisted

 treatment7 and health care services    
7including services provided by         
,federally certified opioid treatment   
programs or other appropriate health    
care providers to treat individuals with
 opioid use disorder and subsequent     
support and wrap around services that   
encourage employment and reintegration  
to society72  7,,ii7 education related  
to opioid use disorder2  7,,iii7        
implementing prevention activities1     
including the reduction of the          
furnishing of opioids by health care    
practitioners and introduction of       
non-opioid pain management approaches2  
7,,iv7 training for health care         
practitioners with respect to best      
practices for prescribing opioids1 pain 
management1 educating patients of the   
risk of opioid use to treat chronic and 
acute conditions1 recognizing potential 
cases of substance abuse1 referral of   
patients to treatment programs1 and     
overdose prevention2  7,v7 supporting   
,state and ,federal law enforcement     

actions and first responder capital     
equipment relating to the illegal       
distribution of opioids and opioid      
analogues2 and  7,,vi7 any other public 
health-related activities and social    
support services 7including housing1    
employment1 child-well being1 criminal  
justice1 and emergency management7      
relating to addressing the opioid abuse 
crisis within such ,state1 as such      
,state determines appropriate2 and      
evaluating at least one of the          
activities described in this clause to  
identify effective strategies to prevent
 opioid abuse and substance abuse       
disorders4 4  7b7 ,retroactive effective
 date ,the amendment made by this       
section shall take effect as if enacted 
on ,january #a1 #bjai4