,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #cecb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #ah1 #bjbj,mrs4   
,capito 7= h]self & ,mrs4 ,%ahe57       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d titles     
,,xviii & ,,xix ( ! ,social ,security   
,act to provide cov]age ( prescription  
digital !rapeutics = ! treatm5t ( m5tal 
heal? & sub/ance use disord]s "u !      
,m$ic>e & ,m$icaid programs1 & = o!r    
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,prescription ,digital     
,!rapeutics to ,support ,recov]y ,act4  
#b4 ,cov]age ( prescription digital     
!rapeutics "u ! ,m$ic>e program  7a7    
,cov]age z m$ical & o!r heal? s]vice    
,section #ahfa7s77#b7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciex7s77#b77 is am5d$-- 7#a7 9        
subp>agraph 7,,gg71 by /rik+ & at ! end2
  7#b7 9 subp>agraph 7,,hh71 by /rik+ ! 
p]iod at ! end & ins]t+ 2 &2 &  7#c7 by 
add+ at ! end ! foll[+ new subp>agraph3 

7,,ii7 prescription digital !rapeutics z
 def9$ 9 subsection 7kkk74  4  7b7      
,prescription digital !rapeutics def9$  
,section #ahfa ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #aciex7 is am5d$ by 
add+ at ! end !re( ! foll[+ new         
subsection3  7kkk7 ,prescription        
,digital ,!rapeutics def9$  7#a7 ,9     
g5]al ,! t]m prescription digital       
!rapeutic means a product1 device1      
int]net application1 or o!r te*nology   
t-- 7,a7 is approv$ or cle>$ by ! ,food 
& ,drug ,adm9i/ration "u a relevant     
au?ority 7)9 ! mean+ ( p>agraph 7#b772  
7,b7 has an approv$ indication = !      
prev5tion1 managem5t1 or treatm5t ( a   
m5tal heal? or sub/ance use disord]1    
includ+ opioid use disord]2  7,c7 uses  
behavioral treatm5t or modification to  
a*ieve its int5d$ result2 &  7,d7 c only
 be disp5s$ pursuant to a prescription4 
7#b7 ,relevant au?ority def9$ ,=        
purposes ( p>agraph 7#a71 ! t]m relevant
 au?ority means ! foll[+ sections ( !   
,f$]al ,food1 ,drug1 & ,cosmetic ,act3  

7,a7 ,section #eaj7k7 ( su* ,act 7#ba   
,u4,s4,c4 #cfj7k774  7,b7 ,section #eae 
( su* ,act 7#ba ,u4,s4,c4 #cfj;e74  4   
7c7 ,paym5t = prescription digital      
!rapeutics ,section #ahcd ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #aciem7 is
 am5d$ by add+ at ! end ! foll[+ new    
subsection3  7x7 ,paym5t = prescription 
digital !rapeutics  7#a7 ,sep>ate paym5t
 ,! ,secret>y %all make a paym5t        
7sep>ate f any paym5t t may o!rwise be  
made "u ?is title = a relat$ s]vice7 9 !
 am\nt e/abli%$ pursuant to p>agraph    
7#c7 = a prescription digital !rapeutic 
7z def9$ 9 section #ahfa7kkk77 t is     
furni%$ on or aft] ,janu>y #a1 #bjba4   
7#b7 ,paym5t recipi5t ,paym5t "u ?is    
subsection %all be made to any provid] (
 s]vices or suppli] enroll$ "u ?is title
 t-- 7,a7 prescribes a prescription     
digital !rapeutic 7z def9$ 9 su*        
subsection72  7,b7 uses su* prescription
 digital !rapeutic z an integral "p ( a 
treatm5t = a relat$ s]vice2 &  7,c7     
agrees to accept1 z paym5t 9 full1 aft] 

! application ( any d$uctible or        
co9surance t may be appli$ "u ?is "p1 ! 
am\nt e/abli%$ pursuant to p>agraph     
7#c74  7#c7 ,e/abli%m5t ( paym5t am\nt  
7,a7 ,9 g5]al ,! ,secret>y %all e/abli% 
a paym5t me?odology = a prescription    
digital !rapeutic only 9 accordance ) ! 
requirem5ts ( ?is p>agraph4  7,b7       
,developm5t ( fee s*$ule ,)9 #ahj days (
 ! approval or cle>ance describ$ 9      
section #ahfa7kkk77#a77;,a71 ! ,secret>y
 %all develop a propos$ fee s*$ule = ea*
 prescription digital !rapeutic s       
approv$ or cle>$4 ,9 develop+ su* fee   
s*$ule1 ! ,secret>y may use ! gap fill+ 
process describ$ on #hd ,f$]al ,regi/]  
#fjgbi ?r\gh #fjgdb & publi%$ on        
,novemb] #h1 #bjai4  7,c7 ,notice &     
comm5t requir$ ,^u ! developm5t ( !     
propos$ fee s*$ule describ$ 9           
subp>agraph 7,b71 ! ,secret>y %all      
publi% 9 ! ,f$]al ,regi/] su* propos$   
fee s*$ule4 ,section #ahga %all apply to
 any propos$ fee s*$ul$ publi%$ pursuant
 to ?is subp>agraph4  7#d7 ,rule (      

con/ruction ,= purposes ( p>agraph 7#a71
 a s]vice is relat$ to ! use ( a        
prescription digital !rapeutic if !     
s]vice-- 7,a7 is an integral "p ( ! use 
( ! prescription digital !rapeutic2     
7,b7 is necess>y to a*ieve ! full int5d$
 result ( ! prescription digital        
!rapeutic2 &  7,c7 mu/1 pursuant to !   
approval or cle>ance describ$ 9 section 
#ahfa7kkk77#a77;,a71 be adjunctive to ! 
use ( ! prescription digital !rapeutic4 
4  7d7 ,rule ( con/ruction2 effective   
date  7#a7 ,rule ( con/ruction ,no      
provision ( ?is section1 or ! enactm5t (
 ?is section1 %all be con/ru$ to imply  
t1 9 ! case ( an item or s]vice t meets 
! def9ition ( a prescription digital    
!rapeutic "u ?is section = :i* cov]age  
or paym5t "u ! ,m$ic>e program is       
already available prior to ! date ( !   
enactm5t ( ?is ,act may n be cov]$ or   
reimburs$ "u su* program4  7#b7         
,effective date ,! am5dm5ts made by ?is 
section %all apply to a prescription    
digital !rapeutic disp5s$ aft] ,decemb] 

#ca1 #bjbj4  #c4 ,cov]age ( prescription
 digital !rapeutics "u ! ,m$icaid       
program ,section #aije7;a7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acif;d7a77 is am5d$-- 7#a7 9 p>agraph  
7#bi71 by /rik+ 2 & & ins]t+ a          
semicolon2  7#b7 by r$esignat+ p>agraph 
7#cj7 z p>agraph 7#ca72 &  7#c7 by      
ins]t+ ! foll[+ p>agraph aft] p>agraph  
7#bi73  7#cj7 prescription digital      
!rapeutics 7z def9$ 9 section           
#ahfa7kkk772 &  4