,i  #aagth ,,congress  #b;d ,session    
,h4 ,r4 #hijh  ,,in ,,the ,,house ,,of  
,,representatives  ,september #bj1      
#bjbb,mr4 ,estes 7for himself and ,mr4  
,panetta7 introduced the following bill2
 which was referred to the ,committee on
 ,energy and ,commerce1 and in addition 
to the ,committee on ,ways and ,means1  
for a period to be subsequently         
determined by the ,speaker1 in each case
 for consideration of such provisions as
 fall within the jurisdiction of the    
committee concerned  ,a ,,bill  ,to     
amend title ,,xi of the ,social         
,security ,act to require the ,inspector
 ,general of the ,department of ,health 
and ,human ,services to review a safe   
harbor under the anti-kickback statute  
for certain contingency management      
interventions1 and for other purposes4  
#a4 ,short title ,this ,act may be cited
 as the ,fighting ,stimulant and other  
,substance ,use ,disorders ,act4  #b4   
,review of safe harbor under the        
anti-kickback statute for certain       

contingency management interventions    
7a7 ,in general ,section #aabh;,d7a7 of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #acbj;a-#g;d7a77 is amended by
 adding at the end the following new    
paragraph3  7#c7 ,review of safe harbor 
for certain contingency management      
interventions  7,a7 ,in general         
,pursuant to the final rule titled      
,medicare and ,state ,health ,care      
,programs3 ,fraud and ,abuse2 ,revisions
 to ,safe ,harbors ,under the           
,anti-,kickback ,statute1 and ,civil    
,monetary ,penalty ,rules ,regarding    
,beneficiary ,inducements and published 
in the ,federal ,register on ,december  
#b1 #bjbj 7#he ,fed4 ,reg4 #ggfhd71 not 
later than one year after the date of   
the enactment of this paragraph1 the    
,inspector ,general of the ,department  
of ,health and ,human ,services shall   
conduct a review on whether to establish
 a safe harbor described in paragraph   
7#a77;,a77ii7 for evidence-based        
contingency management incentives and   

the parameters for such a safe harbor4  
,in conducting the review under the     
previous sentence1 the ,secretary shall 
consider the extent to which providing  
such a safe harbor for evidence-based   
contingency management incentives may   
result in any of the factors described  
in paragraph 7#b74 7i7 ,report ,not     
later than two years after the date of  
the enactment of this paragraph1 the    
,secretary and the ,inspector ,general  
of the ,department of ,health and ,human
 ,services shall submit to ,congress    
recommendations1 including based on the 
review conducted under subparagraph     
7,a71 for improving access to           
evidence-based contingency management   
interventions while ensuring quality of 
care1 ensuring fidelity to              
evidence-based practices1 and including 
strong program integrity safeguards that
 prevent increased waste1 fraud1 and    
abuse and prevent medically unnecessary 
or inappropriate items or services      
reimbursed in whole or in part by a     

,federal health care program4  4