,,ii  #aafth ,,congress  #b;d ,session  
,s4 #dfgd  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #bc1
 #bjbj,ms4 ,klobuchar 7for herself and  
,ms4 ,smith7 introduced the following   
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to amend title ,,xix of the ,social  
,security ,act to clarify that drugs and
 biologicals used for                   
medication-assisted treatment under     
,medicaid are subject to the            
requirements of the ,medicaid ,drug     
,rebate ,program4  #a4 ,short title     
,this ,act may be cited as the          
,strengthening ,medicaid ,coverage of   
,,mat ,act4  #b4 ,inclusion in the      
,medicaid drug rebate program of covered
 outpatient drugs used for              
medication-assisted treatment  7a7 ,in  
general ,section #aije of the ,social   
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is amended-- 7#a7 in paragraph 7#bi7 of 
subsection 7a7-- 7,a7 by moving the     
margin of such paragraph #b ems to the  

right2 and  7,b7 by striking subject to 
paragraph 7#b7 and inserting subject to 
paragraphs 7#b7 and 7#c72 and  7#b7 in  
subsection 7ee71 by adding at the end   
the following3  7#c7 ,application of    
rebate requirements ,the requirements of
 section #aibg shall apply to any drug  
or biological product described in      
paragraph 7#a77;,a7 that is-- 7,a7      
furnished as medical assistance in      
accordance with subsection 7a77#bi7 and 
section #aijb7;a77#aj77;,a72 and  7,b7 a
 covered outpatient drug 7as defined in 
section #aibg7k71 except that1 in       
applying paragraph 7#b77;,a7 of such    
section to a drug described in paragraph
 7#a77;,a71 such drug shall be deemed a 
prescribed drug for purposes of         
subsection 7a77#ab774  4  7b7           
,conforming amendment ,section          
#aibg7;d77#g7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acifr-#h7;d77#g77  
is amended by adding at the end the     
following new subparagraph3  7,d7 ,drugs
 and biological products described in   

subsection 7ee77#a77;,a7 of section     
#aije that are furnished as medical     
assistance in accordance with subsection
 7a77#bi7 of such section and section   
#aijb7;a77#aj77;,a74  4  7c7            
,retroactive effective date ,the        
amendments made by this section shall   
take effect as if included in the       
enactment of section #ajjf7;b7 of the   
,,support for ,patients and ,communities
 ,act 7,public ,law #aae-bga2 #acb      
,stat4 #ciad74