,,ii  #aah? ,,congress  #b;d ,session   
,s4 #ddcj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bc1 #bjbd,ms4    
,cantwell 7= h]self & ,mr4 ,cassidy7    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to e/abli% a
 ,heal? ,engagem5t ,hub demon/ration    
program to increase access to treatm5t =
 opiate use disord] & o!r drug use      
treatm5t1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,fatal  
,ov]dose ,r$uction ,act ( #bjbd4  #b4   
,heal? ,engagem5t ,hub demon/ration     
program "u ,m$icaid ,section #aijc ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7 is am5d$ by add+ at ! end !    
foll[+ new subsection3  7cc7 ,heal?     
,engagem5t ,hub demon/ration program    
7#a7 ,au?ority ,! ,secret>y %all conduct
 a demon/ration program 7ref]r$ to 9 ?is
 subsection z ! demon/ration program7 = 
! purpose ( increas+ access to treatm5t 
= opiate use disord] & o!r drug use     

treatm5t ?r\gh ! e/abli%m5t ( ,heal?    
,engagem5t ,hubs t meet ! crit]ia       
publi%$ by ! ,secret>y "u p>agraph      
7#b77;,a74  7#b7 ,publication ( guidance
 ,n lat] ?an #f mon?s aft] ! date (     
enactm5t ( ?is subsection1 ! ,secret>y  
%all publi% ! foll[+3 7,a7 ,c]tification
 crit]ia ,! crit]ia describ$ 9 p>agraph 
7#c7 = an organization to be c]tifi$ by 
a ,/ate z a ,heal? ,engagem5t ,hub =    
purposes ( p>ticipat+ 9 ! demon/ration  
program4  7,b7 ,prospective paym5t sy/em
 ,guidance = ,/ates select$ to          
p>ticipate 9 ! demon/ration program to  
use to e/abli% a prospective paym5t     
sy/em = s]vices p]mitt$ "u p>agraph     
7#c77;,b7 t are provid$ by a c]tifi$    
,heal? ,engagem5t ,hub p>ticipat+ 9 !   
demon/ration program4  7#c7 ,crit]ia =  
c]tification ( ,heal? ,engagem5t ,hubs  
7,a7 ,g5]al requirem5ts ,9 ord] to be   
c]tifi$ z a ,heal? ,engagem5t ,hub1 an  
organization %all-- 7i7 demon/rate t !  
organization is able to s]ve z an       
all-9-"o location :]e individuals :o are

 eligible = m$ical assi/ance "u a ,/ate 
plan "u ?is title or "u a waiv] ( su*   
plan :o seek treatm5t = opiate use      
disord] or o!r drug use may access a    
range ( social & m$ical s]vices1 9 a    
drop-9 mann] & )\t prior appo9tm5t or   
pro( ( paym5t2  7ii7 provide ! s]vices  
specifi$ 9 subp>agraph 7,b7 79 a mann]  
reflect+ p]son-c5t]$ c>e7 :i*1 if n     
available directly ?r\gh ! organization1
 %all be provid$ ?r\gh =mal relation%ips
 ) o!r provid]s2  7iii7 demon/rate t 9  
select+ ! location = ! ,heal? ,engagem5t
 ,hub1 ! organization prioritiz$        
placem5t 9 communities                  
disproportionately impact$ by ov]dose1  
heal? issues1 & o!r h>ms relat$ to drug 
use1 z well z areas t are m$ically      
und]s]v$1 rural1 geographically isolat$ 
areas1 tribal areas1 or urban c5t]s )   
"u-res\rc$ behavioral heal?             
infra/ructure1 includ+ disadvantag$     
communities bas$ on race1 individuals   
exp]i5c+ homelessness1 & communities    
negatively impact$ by ! crim9al-legal   

sy/em2  7iv7 give priority to e/abli%+  
or adopt+ evid5ce-bas$ models to        
increase engagem5t or improve outcomes =
 individuals ) active1 ongo+ sub/ance   
use1 su* z social "w emp[]m5t models    
approv$ by ! ,secret>y1 motivational    
int]view+ models approv$ by ! ,secret>y1
 or %>$ decision mak+ models approv$ by 
! ,secret>y2 &  7v7 meet-- 7,i7 ! m9imum
 /aff+ requirem5ts describ$ 9           
subp>agraph 7,c72  7,,ii7 ! exp]i5ce    
requirem5t describ$ 9 subp>agraph 7,d72 
&  7,,iii7 ! community advisory bo>d    
requirem5t describ$ 9 subp>agraph 7,e74 
7,b7 ,scope ( s]vices ,! s]vices        
specifi$ 9 ?is subp>agraph are ! foll[+3
 7i7 ,requir$ s]vices  7,i7 ,h>m        
r$uction s]vices & supplies provid$     
directly by ! organization or "u an     
arrangem5t ) an organization t (f]s h>m 
r$uction s]vices 7:i* may include a     
syr+e s]vice program1 a                 
,f$]ally-qualifi$ heal? c5t]1 a         
community heal? c5t]1 a ,tribal heal?   
program1 or an opioid treatm5t program t

 (f]s su* s]vices71 t include-- 7aa7    
ov]dose education & naloxone            
di/ribution2  7bb7 saf] drug use        
education & supplies2  7cc7 saf]-sex    
supplies2  7dd7 emotional support &     
c\nsel+ s]vices to r$uce h>ms associat$ 
) sub/ance use1 includ+ trauma-in=m$    
c>e2 &  7ee7 access or ref]ral to       
m$ications & drugs approv$ by ! ,food & 
,drug ,adm9i/ration = treatm5t ( opioid 
use disord] ) a /rong evid5ce base (    
significantly r$uc+ mortality 7su* z    
me?adone & bupr5orph9e7 & o!r sub/ances1
 includ+ /imulants1 )9 #d h\rs4  7,,ii7 
,sub/ance use disord] scre5+ & brief    
int]v5tion4  7,,iii7 ,pati5t-c5t]$ &    
pati5t-driv5 physical & behavioral heal?
 c>e t has walk-9 availability1 is (f]$ 
dur+ non-traditional h\rs1 includ+ ev5+s
 & week5ds1 & includes-- 7aa7 %>$       
decision mak+ = pati5ts & provid]s =    
opioid use disord]1 /imulant use        
disord]1 or bo?1 "u :i* a pati5t &      
provid] discuss ! pati5t's diagnosis &  
condition toge!r & evaluate treatm5t    

options toge!r2  7bb7 prim>y m5tal heal?
 & sub/ance use disord] s]vices1 includ+
 scre5+1 assessm5t1 & ref]rals to high] 
levels ( c>e2  7cc7 w\nd c>e2  7dd7     
infecti\s disease vacc9ation1 scre5+1   
te/+1 &1 to ! ext5t practicable1        
treatm5t 7includ+ = ,,hiv1 sexually     
transmitt$ infections1 & hepatitis te/+ 
& treatm5t72  7ee7 access or ref]ral to 
sexual & reproductive heal? s]vices2    
7ff7 assessm5t & l9kage or ref]rals to  
psy*iatric s]vices & o!r specialty c>e2 
&  7gg7 secure m$ication /orage &       
inv5tory policies & proc$ures = pati5ts 
exp]i5c+ homelessness or h\s+           
insecurity4  7,,iv7 ,c>e coord9ation1   
complex case managem5t1 & o!r case      
managem5t1 c>e navigation1 & c>e        
coord9ation s]vices t may include-- 7aa7
 education & assi/ance ) obta9+ h\s+1   
transportation1 & o!r public assi/ance  
b5efits1 includ+ enrollm5t 9 ! ,/ate    
plan "u ?is title or "u a waiv] ( su*   
plan2  7bb7 id5tification s]vices 7su* z
 assi/ance ) obta9+ a gov]nm5t-recogniz$

 =m ( id5tification72  7cc7 employm5t   
c\nsel+2  7dd7 recov]y support c\nsel+2 
7ee7 family reunification s]vices2 &    
7ff7 crim9al-legal s]vices4  7,v7 ,all  
s]vices t may be provid$ "u ! ,outrea*  
,site_/,/reet ,place ( ,s]vice code     
7,,pos ,code #bg z ( ,octob] #a1 #bjbc7 
7or a successor place ( s]vice code74   
7,,vi7 ,community heal? outrea* &       
navigation s]vices to engage ) & conduct
 outrea* to community memb]s t is       
provid$ by outrea* & engagem5t /aff     
describ$ 9 subp>agraph 7,c77i77,,iv74   
7ii7 ,optional s]vices  7,i7 ,s]vices & 
supplies to meet basic ne$s1 includ+    
food1 clo?+1 & hygi5e supplies4  7,,ii7 
,evid5ce-bas$ & culturally appropriate  
behavioral heal? s]vices4  7,,iii7      
,m$ication managem5t = physical & m5tal 
heal? conditions4  7,c7 ,m9imum /aff+   
requirem5ts  7i7 ,9 g5]al ,! m9imum     
/aff+ requirem5ts specifi$ 9 ?is        
subp>agraph are ! foll[+3 7,i7 ,at lea/ 
#a "p-"t or full-"t heal? c>e provid] :o
 is lic5s$ to practice 9 ! ,/ate & is   

lic5s$1 regi/]$1 or o!rwise p]mitt$1 by 
! ,unit$ ,/ates to prescribe controll$  
sub/ances 7z def9$ 9 section #ajb ( !   
,controll$ ,sub/ances ,act7 9 ! c\rse ( 
pr(essional practice4  7,,ii7 ,at lea/  
#a "p-"t or full-"t regi/]$ pr(essional 
nurse or lic5s$ practical nurse :o c    
provide m$ication managem5t1 m$ical case
 managem5t1 c>e coord9ation1 w\nd c>e1  
vacc9e adm9i/ration1 & community-bas$   
outrea*4  7,,iii7 ,at lea/ #a "p-"t or  
full-"t lic5s$ behavioral heal? /aff :o 
is qualifi$ to assess & provide c\nsel+ 
& treatm5t recomm5dations = sub/ance use
 & m5tal heal? diagnoses4  7,,iv7       
,full-"t outrea*1 engagem5t1 & ongo+ c>e
 navigation /aff1 includ+ pe] c\nselors1
 community heal? work]s1 & recov]y      
coa*es4 ,at lea/ #ej p]c5t ( su* /aff   
%all be individuals ) a p]sonal hi/ory (
 drug use4  7ii7 ,/aff+ ?r\gh           
arrangem5ts ) p>tn] ag5cies ,an         
organization may ent] into an arrangem5t
 ) a p>tn] ag5cy1 su* z a               
,f$]ally-qualifi$ heal? c5t]1 to satisfy

 ! m9imum /aff+ requirem5ts specifi$ 9  
clause 7i74  7,d7 ,exp]i5ce ,an         
organization %all h a demon/rat$ hi/ory 
( at lea/ #ab mon?s ( s]vice provision  
to individuals :o use drugs1 includ+ ^? 
:o cont9ue ) sub/ance use :ile receiv+  
heal? & social s]vices4  7,e7 ,community
 advisory bo>d ,an organization %all h a
 community advisory bo>d compos$ (      
individuals ) a hi/ory ( sub/ance use1  
or :o cont9ue ) sub/ance use1 t meets1  
at a m9imum1 on-- 7i7 a mon?ly basis1 to
 review program utilization data &      
provide fe$back to ! organization2 &    
7ii7 on a qu>t]ly basis1 ) ! executives 
or bo>d ( directors ( ! organization to 
provide input on s]vice deliv]y &       
receive fe$back on actions tak5 bas$ on 
previ\s fe$back provid$ by ! community  
advisory bo>d4  7#d7 ,plann+ grants     
7,a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! 
date ( enactm5t ( ?is subsection1 !     
,secret>y %all aw>d plann+ grants to    
,/ates = ! purpose ( develop+ proposals 
to p>ticipate 9 ! demon/ration program4 

7,b7 ,am\nt ( grant ,! am\nt ( a grant  
aw>d$ to a ,/ate "u ?is p>agraph %all be
 suffici5t to pay #ajj p]c5t ( ! actual 
co/s exp5d$ by a ,/ate to c>ry out !    
activities requir$ "u subp>agraph 7,c74 
7,c7 ,use ( funds ,a ,/ate aw>d$ a      
plann+ grant "u ?is p>agraph %all       
solicit input on ! developm5t ( a       
proposal to p>ticipate 9 ! demon/ration 
program f pati5ts1 provid]s1 h>m        
r$uction s]vice provid]s1 social s]vice 
provid]s1 & o!r /akehold]s1 ) respect   
to-- 7i7 id5tify+ & c]tify+             
organizations z ,heal? ,engagem5t ,hubs 
= purposes ( p>ticipat+ 9 ! demon/ration
 program2 &  7ii7 e/abli%+ a prospective
 paym5t sy/em = s]vices provid$ by a    
c]tifi$ ,heal? ,engagem5t ,hub          
p>ticipat+ 9 ! demon/ration program1 9  
accordance ) ! guidance issu$ "u        
p>agraph 7#b77;,b74  7,d7 ,fund+ ,out ( 
any funds 9 ! ,treasury n o!rwise       
appropriat$1 !re are appropriat$ to !   
,secret>y su* sums z are necess>y to    
c>ry out ?is p>agraph1 to rema9         

available until exp5d$4  7#e7 ,/ate     
demon/ration programs  7,a7 ,9 g5]al ,n 
lat] ?an #b ye>s aft] ! date ( enactm5t 
( ?is subsection1 ! ,secret>y %all      
solicit applications solely f ! ,/ates  
aw>d$ a plann+ grant "u p>agraph 7#d7 to
 p>ticipate 9 ! demon/ration program4   
7,b7 ,application requirem5ts ,an       
application to p>ticipate 9 !           
demon/ration program %all include !     
foll[+3 7i7 ,a description (1 includ+ ! 
e/imat$ numb] ( individuals 91 ! t>get  
population to be s]v$ by ! ,/ate "u !   
demon/ration program4  7ii7 ,an         
assurance t at lea/ #a_/b ( ! ,heal?    
,engagem5t ,hubs 9 ! ,/ate %all be      
locat$ 9-- 7,i7 a c\nty 7or a           
municipality1 if n conta9$ )9 any c\nty7
 :]e ! mean drug ov]dose dea? rate p]   
#ajj1jjj p ov] ! pa/ #c ye>s = :i*      
(ficial data is available f ! ,/ate1 is 
high] ?an ! mo/ rec5t available national
 av]age ov]dose dea? rate p] #ajj1jjj p1
 z report$ by ! ,c5t]s = ,disease       
,control & ,prev5tion2 or  7,,ii7 an    

area ( ! ,/ate t is designat$ "u section
 #ccb7;a77#a77;,a7 ( ! ,public ,heal?   
,s]vice ,act z a m5tal heal? pr(essional
 %ortage area4  7iii7 ,a description ( !
 prospective paym5t sy/em t is to be    
te/$ "u ! demon/ration program4  7iv7 ,a
 li/ ( ! c]tifi$ ,heal? ,engagem5t ,hubs
 locat$ 9 ! ,/ate t w p>ticipate 9 !    
demon/ration program4  7v7 ,v]ification 
t ea* su* c]tifi$ ,heal? ,engagem5t ,hub
 satisfies ! requirem5ts describ$ 9     
p>agraph 7#c77;,a74  7vi7 ,a description
 ( ! scope ( ! s]vices t w be paid = "u 
! prospective paym5t sy/em 7:i* includes
 at a m9imum ! requir$ s]vices describ$ 
9 p>agraph 7#c77;,b77i77 t is to be te/$
 "u ! demon/ration program4  7vii7      
,v]ification t ! ,/ate has agre$ to pay 
= su* s]vices at ! at ! rate e/abli%$ "u
 ! prospective paym5t sy/em4  7viii7    
,any o!r in=mation t ! ,secret>y may    
require relat+ to ! demon/ration program
 ) respect to det]m9+ ! s\ndness ( !    
propos$ prospective paym5t sy/em4  7,c7 
,selection crit]ia  7i7 ,9 g5]al ,!     

,secret>y %all select f among !         
applications submitt$ at lea/ #aj ,/ates
 to p>ticipate 9 ! demon/ration program 
bas$ on geographic & demographic        
div]sity4  7ii7 ,priority ,9 addition to
 ! crit]ia specifi$ 9 clause 7i71 !     
,secret>y %all prioritize select+ ,/ates
 ) ! highe/ rates ( opioid- or          
/imulant-involv$ ov]dose dea? rates4    
7,d7 ,l5g? ( demon/ration programs ,a   
,/ate select$ to p>ticipate 9 !         
demon/ration program %all p>ticipate 9 !
 program = a #b-ye> p]iod4  7,e7 ,waiv] 
( c]ta9 requirem5ts ,! ,secret>y %all   
waive section #aijb7;a77#a7 7relat+ to  
/atewid5ess71 section                   
#aijb7;a77#aj77;,b7 7relat+ to          
comp>ability71 & any o!r provision ( ?is
 title :i* w\ld be directly contr>y to !
 au?ority "u ?is subsection z may be    
necess>y = a ,/ate to p>ticipate 9 !    
demon/ration program 9 accordance ) ?is 
p>agraph4  7,f7 ,paym5ts to ,/ates  7i7 
,9 g5]al ,! ,secret>y %all pay a ,/ate  
p>ticipat+ 9 ! demon/ration program !   

,f$]al mat*+ p]c5tage specifi$ 9 clause 
7ii7 = am\nts exp5d$ by ! ,/ate = m$ical
 assi/ance = s]vices provid$ ?r\gh      
c]tifi$ ,heal? ,engagem5t ,hubs to      
individuals enroll$ "u ! ,/ate plan 7or 
"u a waiv] ( su* plan7 consi/+ (        
m$ications & drugs approv$ by ! ,food & 
,drug ,adm9i/ration = treatm5t ( opioid 
use disord] & o!r sub/ances1 includ+    
/imulants1 & ! s]vices specifi$ by !    
,/ate 9 its application "u subp>agraph  
7,b77vi71 at ! rate e/abli%$ "u !       
prospective paym5t sy/em e/abli%$ by !  
,/ate = purposes ( ! demon/ration       
program4  7ii7 ,f$]al mat*+ p]c5tage ,! 
,f$]al mat*+ p]c5tage specifi$ 9 ?is    
clause is-- 7,i7 ) respect to m$ical    
assi/ance describ$ 9 clause 7i7 t is    
furni%$ to a newly eligible individual  
describ$ 9 p>agraph 7#b7 ( section      
#aije7y71 ! mat*+ rate applicable "u    
p>agraph 7#a7 ( t section2 &  7,,ii7 )  
respect to m$ical assi/ance describ$ 9  
clause 7i7 t is furni%$ to an individual
 :o is n a newly eligible individual 7z 

s describ$71 b :o is eligible = m$ical  
assi/ance "u ! ,/ate plan "u ?is title  
or "u a waiv] ( su* plan1 ! enhanc$     
,,fmap applicable to ! ,/ate "u section 
#baje7;b74  7iii7 ,application ,paym5ts 
to ,/ates made "u ?is subp>agraph %all  
be consid]$ to h be5 made "u1 & are     
subject to1 ! requirem5ts ( ?is section4
  7#f7 ,reports  7,a7 ,annual ,/ate     
reports  7i7 ,9 g5]al ,ea* ,/ate select$
 to p>ticipate 9 ! demon/ration program 
"u p>agraph 7#e7 %all submit an annual  
report to ! ,secret>y on ! demon/ration 
program t includes ! foll[+3 7,i7 ,an   
assessm5t ( ! ext5t to :i* ,heal?       
,engagem5t ,hubs fund$ "u ! demon/ration
 program h increas$ access to treatm5t =
 opiate use disord] & o!r drug use      
treatm5t1 heal? s]vices = individuals :o
 use drugs1 & o!r social s]vices "u     
,/ate plans "u ?is title or "u waiv]s ( 
su* plans 9 ! area or areas ( ,/ates    
t>get$ by ! demon/ration program comp>$ 
to o!r areas ( ! ,/ate4  7,,ii7 ,an     
assessm5t on ! impact ( ,heal?          

,engagem5t ,hubs on r$uc+ opioid &      
/imulant ov]dose mortality rates & !    
rate ( adh]5ce to prescrib$ m$ication = 
opioid use1 hospitalization rates1 &    
h\s+ /atus = ! population s]v$ by a     
,heal? ,engagem5t ,hub z comp>$ to      
populations t are n s]v$ by a ,heal?    
,engagem5t ,hub4  7,,iii7 ,a description
 ( ! successes ( ! demon/ration program4
  7,,iv7 ,recomm5dations = improvem5ts  
to ! demon/ration program1 includ+ :e!r 
! demon/ration program %\ld be cont9u$1 
exp&$1 modifi$1 or t]m9at$4  7ii7 ,fund+
 ,out ( any funds 9 ! ,treasury n       
o!rwise appropriat$1 !re are appropriat$
 su* sums z are necess>y1 to rema9      
available until exp5d$1 = purposes (    
mak+ paym5ts to ,/ates = exp5ditures    
attributable to collect+ & report+ !    
in=mation requir$ "u ?is subp>agraph4   
7,b7 ,reports to congress  7i7 ,9 g5]al 
,! ,secret>y %all submit an annual      
report to ,congress t describes !       
in=mation1 f9d+s1 & recomm5dations 9 !  
annual ,/ate reports submitt$ to !      

,secret>y "u subp>agraph 7,a74  7ii7    
,implem5tation evaluation results ,!    
,secret>y %all include ) ! fir/ #c      
annual reports submitt$ by ! ,secret>y  
"u ?is subp>agraph ! f9d+s & conclusions
 ( ! implem5tation evaluation requir$ by
 p>agraph 7#g74  7#g7 ,implem5tation    
evaluation  7,a7 ,9 g5]al ,! ,secret>y  
%all solicit public input & fund an     
implem5tation evaluation ( ! plann+     
grants aw>d$ "u p>agraph 7#d7 & !       
initial set ( ,/ates select$ = !        
demon/ration program "u p>agraph 7#e7 to
 det]m9e ! rea*1 effectiv5ess1 adoption1
 & implem5tation ( ! demon/ration       
program 9 ea* su* ,/ate to docum5t !    
degree to :i* ! s]vices 7 implem5t$ z   
int5d$ & all[ = a complete assessm5t ( !
 impact ( ! ,heal? ,engagem5t ,hubs 9   
ea* su* ,/ate4  7,b7 ,requirem5ts  7i7  
,in=mation ,! evaluation %all include   
in=mation on ! *>act]i/ics ( !          
individuals :o receive s]vices1 s]vice  
utilization metrics ov] "t 7includ+ by  
/aff role71 & input f int]views ) su*   

individuals & /aff4  7ii7 ,eligible     
entities ,9 ord] to be eligible to      
conduct ! evaluation1 an entity %all h  
docum5t$ exp]i5ce conduct+ implem5tation
 evaluations ( heal? & social s]vices   
programs = individuals :o use drugs4    
7,c7 ,fund+ ,out ( any funds 9 !        
,treasury n o!rwise appropriat$1 !re are
 appropriat$ to ! ,secret>y su* sums z  
are necess>y to c>ry out ?is p>agraph1  
to rema9 available until exp5d$4  4  #c4
 ,gov]nm5t ,acc\ntability ,(fice report 
7a7 ,9 g5]al ,n lat] ?an #f mon?s aft] !
 conclusion ( ! demon/ration program    
e/abli%$ "u subsection 7cc7 ( section   
#aijc ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif;b71 z add$ by section   
#b1 ! ,comptroll] ,g5]al ( ! ,unit$     
,/ates %all conduct & publi% a          
comp>ative analysis on ! impacts ( !    
heal? engagem5t hubs c]tifi$ "u su*     
program 79 ?is section ref]r$ to z heal?
 engagem5t hubs7 comp>$ to ! impacts (  
o!r opioid treatm5t programs & heal? c>e
 organizations t (f] behavioral heal?   

c>e or sub/ance use disord] s]vices4    
7b7 ,cont5t ( analysis ,! analysis      
requir$ "u ?is section %all include !   
foll[+3 7#a7 ,data & in=mation analyz+  
diff]5ces 9 rates among individuals :o  
receive behavioral heal? c>e or sub/ance
 use disord] s]vices ?r\gh a heal?      
engagem5t hub & among individuals :o    
receive su* c>e or s]vices ?r\gh a      
program or organization ref]r$ to 9     
subsection 7a7 = ea* ( ! foll[+ factors3
 7,a7 ,*anges 9 rates ( mortality4  7,b7
 ,*anges 9 rates ( recidivism4  7,c7    
,rates ( relapse4  7,d7 ,rates (        
hospital & em]g5cy dep>tm5t utilization4
  7,e7 ,frequ5cy ( visits = c>e or      
s]vices4  7,f7 ,rates ( successful      
int]v5tion ?r\gh ! adm9i/ration (       
bupr5orph9e or o!r m$ication approv$ by 
! ,food & ,drug ,adm9i/ration = !       
treatm5t ( sub/ance use disord]4  7#b7  
,data & in=mation comp>+ ! racial &     
socioeconomic demographics1 h\s+ /atus1 
employm5t1 & o!r metrics1 z recomm5d$ by
 ! ,secret>y ( ,heal? & ,human ,s]vices1

 ( ! population gr\ps t receive         
behavioral heal? c>e or sub/ance use    
disord] s]vices ?r\gh a heal? engagem5t 
hub or ?r\gh a program or organization  
ref]r$ to 9 subsection 7a74