,,ii  #aafth ,,congress  #b;d ,session  
,s4 #dgjb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #bd1
 #bjbj,mr4 ,toomey 7for himself and ,mr4
 ,manchin7 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 encourage appropriate 
prescribing under ,medicaid for victims 
of opioid overdose4  #a4 ,short title   
,this ,act may be cited as the          
,improving ,medicaid ,programs'         
,response to ,overdose ,victims and     
,enhancing ,addiction ,care ,act or the 
,,improve ,addiction ,care ,act4  #b4   
,encouraging appropriate prescribing    
under medicaid for victims of opioid    
overdose  7a7 ,in general ,section      
#aibg7;g77#b7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acifr-#h7;g77#b77  
is amended by adding at the end the     
following new subparagraph3  7,e7       
,additional drug use review requirements
 ,as part of a ,state's prospective and 

retrospective drug use review under     
subparagraphs 7,a7 and 7,b71 as         
applicable1 the ,state shall1 not later 
than ,january #a1 #bjbb1 develop and    
implement1 or review and update1        
protocols to1 subject to any applicable 
privacy or confidentiality protections--
 7i7 identify individuals receiving     
benefits under this title who have      
experienced a nonfatal opioid-related   
overdose within the last #e years1 to   
the extent that such data is available1 
and make a good faith effort to connect 
these individuals to treatment options  
that have been determined appropriate by
 the ,secretary2  7ii7 if an individual 
receiving benefits under this title     
experiences a fatal overdose that is    
opioid-related 7or1 if specified by the 
,secretary1 related to another covered  
outpatient drug71 not later than #f     
months after the date of such overdose--
 7,i7 notify each provider that1 during 
the period 7to be established by the    
,secretary7 preceding such overdose1    

prescribed opioids 7or such other       
specified covered outpatient drug1 if   
applicable7 to such individual of such  
overdose2 and  7,,ii7 provide each such 
provider with educational materials on  
prescribing opioids 7or such other      
specified covered outpatients drugs1 if 
applicable72  7iii7 ensure that a       
provider who is treating an individual  
receiving benefits under this title has 
notice of the individual's diagnosis or 
history of opioid use disorder1 opioid  
poisoning diagnosis1 or history of      
nonfatal opioid-related overdose2 and   
7iv7 perform ongoing retrospective drug 
utilization reviews and offer provider  
education that is informed by such      
reviews 7which may include education    
provided under an educational outreach  
program established under subparagraph  
7,d7 or through an intervention         
described in paragraph 7#c77;,c77iii77  
regarding appropriate prescribing       
practices for individuals receiving     
benefits under this title with a        

diagnosis or history of opioid use      
disorder1 a history of nonfatal         
opioid-related overdose1 or an opioid   
poisoning diagnosis4  4  7b7 ,technical 
amendments ,section #aicb7;i7 of the    
,social ,security ,act 7#db ,u4,s4,c4   
#acifu-#b7;i77 is amended-- 7#a7 by     
striking section #dhc4c7s77#d7 and      
inserting section #dch4c7s77#d72 and    
7#b7 by striking #dhc4c7s77#e7 and      
inserting #dch4c7s77#e74