,i #aai? ,,congress #a/ ,session ,h4 ,r4 #eabj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #c1 #bjbe,ms4 ,pett]s5 7= h]self & ,mrs4 ,kiggans ( ,virg9ia7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,ways & ,means1 & ,arm$ ,s]vices1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to am5d titles ,,xviii & ,,xix ( ! ,social ,security ,act & title #aj1 ,unit$ ,/ates ,code1 to provide no-co/ cov]age = ! prev5tive di/ribution ( opioid ov]dose rev]sal drugs4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,hospitals ,z ,naloxone ,di/ribution ,sites ,act or ! ,,h&s ,act4 #b4 ,no-co/ cov]age ( prev5tive opioid ov]dose rev]sal drugs 7a7 ,cov]age "u ,m$ic>e 7#a7 ,cov]age ,section #ahfa7s77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$-- 7,a7 9 subp>agraph 7,,jj71 by add+ & aft] ! semicolon at ! end2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,,kk7 a prev5tive opioid ov]dose rev]sal drug 7z def9$ 9 subsection 7nnn77 furni%$ on or aft] ,janu>y #a1 #bjbf2 4 7#b7 ,prev5tive opioid ov]dose rev]sal drug def9$ ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7nnn7 ,prev5tive opioid ov]dose rev]sal drug ,! t]m prev5tive opioid ov]dose rev]sal drug means an opioid ov]dose rev]sal drug1 :i* may be ei!r intranasal or intramuscul>1 t is furni%$ by a physician1 nurse practition]1 physician assi/ant1 or o!r att5d+ cl9ical p]sonnel 7z det]m9$ by ! ,secret>y by regulation7 to an individual :o is an inpati5t ( a hospital1 critical access hospital1 or rural em]g5cy hospital1 or is a pati5t ( ! em]g5cy dep>tm5t ( su* a hospital or an ambulatory surgical c5t]1 b only if-- 7#a7 su* physician1 nurse practition]1 physician assi/ant1 or att5d+ cl9ical pr(essional det]m9es t su* individual is at risk = an opioid ov]dose2 & 7#b7 su* drug is furni%$ at ! "t su* individual is dis*>g$ f ! hospital or leaves ! em]g5cy dep>tm5t or ambulatory surgical c5t]1 z ! case may be1 toge!r ) in/ructions = ! adm9i/ration ( su* drug4 4 7#c7 ,prohibition ( co/ %>+ ,section #ahcc ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7 is am5d$-- 7,a7 9 subsection 7a77#a7-- 7i7 9 subp>agraph 7,s77i71 by /rik+ subp>agraph 7,,ee71 & ins]t+ subp>agraphs 7,,ee7 & 7,,ii712 7ii7 9 subp>agraph 7,,gg71 by /rik+ & at ! end2 & 7iii7 by ins]t+ 1 & 7,,ii7 ) respect to a prev5tive opioid ov]dose rev]sal drug 7z def9$ 9 section #ahfa7nnn77 furni%$ on or aft] ,janu>y #a1 #bjbf1 ! am\nts paid %all be #ajj p]c5t ( ! less] ( ! actual *>ges = su* drug or ! am\nt det]m9$ "u section #ahdb7o7 be=e ! semicolon at ! end2 & 7,b7 9 subsection 7b7-- 7i7 by /rik+ 1 & 7#ac7 & ins]t+ 7#ac72 & 7ii7 by /rik+ section #ahfa7n744 & ins]t+ section #ahfa7n71 & 7#ad7 su* d$uctible %all n apply ) respect to a prev5tive opioid rev]sal drug 7z def9$ 9 section #ahfa7nnn77 furni%$ on or aft] ,janu>y #a1 #bjbf44 7#d7 ,prohibition ( co/ %>+ = ,m$ic>e ,advantage plans ,section #aheb7;a77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bb7;a77#a77;,b77 is am5d$-- 7,a7 9 clause 7iv7-- 7i7 by r$esignat+ subclause 7,,viii7 z subclause 7,,ix72 & 7ii7 by ins]t+ aft] subclause 7,,vii7 ! foll[+ new subclause3 7,,viii7 ,a prev5tive opioid rev]sal drug 7z def9$ 9 section #ahfa7nnn774 2 & 7,b7 9 clause 7v71 by /rik+ & 7,,vi7 & ins]t+ 7,,vi71 & 7,,viii74 7b7 ,cov]age "u ,m$icaid 7#a7 ,m&atory cov]age 7,a7 ,9 g5]al ,section #aijb7;a77#aj77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#aj77;,a77 is am5d$ by /rik+ & 7#cj7 & ins]t+ 7#cj71 & 7#cb74 7,b7 ,alt]native b5efit plans ,section #aicg7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifu-#g7;b77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#i7 ,prev5tive opioid ov]dose rev]sal drugs ,not)/&+ ! previ\s provisions ( ?is section1 a ,/ate may n provide = m$ical assi/ance ?r\gh enrollm5t ( an individual ) b5*m>k cov]age or b5*m>k-equival5t cov]age "u ?is section unless1 beg9n+ on ,janu>y #a1 #bjbf1 su* cov]age includes 7& does n impose any d$uction1 co/ %>+1 or simil> *>ge =7 prev5tive opioid ov]dose rev]sal drugs describ$ 9 section #ahfa7nnn74 4 7#b7 ,inclusion 9 m$ical assi/ance 7,a7 ,9 g5]al ,section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 is am5d$-- 7i7 9 p>agraph 7#ca71 by /rik+ & at ! end2 7ii7 by r$esignat+ p>agraph 7#cb7 z p>agraph 7#cc72 & 7iii7 by ins]t+ aft] p>agraph 7#ca7 ! foll[+ new p>agraph3 7#cb7 beg9n+ ,janu>y #a1 #bjbf1 prev5tive opioid ov]dose rev]sal drugs describ$ 9 section #ahfa7nnn72 & 4 7#c7 ,application ( rebate requirem5ts ,section #aibg ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#h7 is am5d$-- 7,a7 9 subsection 7d77#g71 by add+ at ! end ! foll[+ new subp>agraph3 7,f7 ,prev5tive opioid ov]dose rev]sal drugs describ$ 9 section #ahfa7nnn7 t are furni%$ z m$ical assi/ance 9 accordance ) section #aije7;a77#cb7 & section #aijb7;a77#aj77;,a74 2 & 7,b7 9 subsection 7k77#d7-- 7i7 by /rik+ ,if a ,/ate plan & ins]t+3 7,a7 ,9 g5]al ,if a ,/ate plan 2 & 7ii7 by add+ at ! end ! foll[+ new subp>agraph3 7,b7 ,prev5tive opioid ov]dose rev]sal drugs ,beg9n+ ,janu>y #a1 #bjbf1 9 apply+ p>agraph 7#b77;,a7 to a prev5tive opioid ov]dose rev]sal drug describ$ 9 section #ahfa7nnn71 su* drug %all be deem$ a prescrib$ drug = purposes ( section #aije7;a77#ab74 4 7#d7 ,prohibition ( co/ %>+ 7,a7 ,9 g5]al ,section #aiaf ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifo7 is am5d$-- 7i7 9 subsection 7a77#b7-- 7,i7 9 subp>agraph 7,i71 by /rik+ or at ! end2 7,,ii7 9 subp>agraph 7,j71 by /rik+ 2 & at ! end & ins]t+ 1 or2 & 7,,iii7 by add+ at ! end ! foll[+ new subp>agraph3 7,k7 beg9n+ ,janu>y #a1 #bjbf1 prev5tive opioid ov]dose rev]sal drugs describ$ 9 section #ahfa7nnn72 & 2 & 7ii7 9 subsection 7b77#b7-- 7,i7 9 subp>agraph 7,i71 by /rik+ or at ! end2 7,,ii7 9 subp>agraph 7,j71 by /rik+ 2 & at ! end & ins]t+ 1 or2 & 7,,iii7 by add+ at ! end ! foll[+ new subp>agraph3 7,k7 beg9n+ ,janu>y #a1 #bjbf1 prev5tive opioid ov]dose rev]sal drugs describ$ 9 section #ahfa7nnn72 & 4 7,b7 ,application to alt]native co/ %>+ ,section #aiaf;,a7b77#c77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acifo-#a7;b77#c77;,b77 is am5d$ by add+ at ! end ! foll[+ new clause3 7xv7 ,beg9n+ ,janu>y #a1 #bjbf1 prev5tive opioid ov]dose rev]sal drugs describ$ 9 section #ahfa7nnn74 4 7c7 ,cov]age "u ,,tric>e ,section #ajgd;g ( title #aj1 ,unit$ ,/ates ,code1 is am5d$ z foll[s3 7#a7 ,9 subsection 7a77#f71 by add+ at ! end ! foll[+ new subp>agraph3 7,f7 ,not)/&+ subp>agraphs 7,a71 7,b71 & 7,c71 beg9n+ on ,janu>y #a1 #bjbf1 an eligible cov]$ b5efici>y %all n be requir$ to pay a co/-%>+ am\nt = a prev5tive opioid ov]dose rev]sal drug4 4 7#b7 ,9 subsection 7i71 by add+ at ! end ! foll[+ new p>agraph3 7#e7 ,! t]m prev5tive opioid ov]dose rev]sal drug has ! mean+ giv5 su* t]m 9 section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex74 4 7d7 ,regulatory guidance 7#a7 ,/ate bo>ds ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,commission] ( ,food & ,drugs %all issue guidance = ,/ate bo>ds ( ph>macy1 nurs+1 & m$ic9e ) respect to-- 7,a7 enhanc+ safe & effective hospital-bas$ disp5s+ & di/ribution ( opioid ov]dose rev]sal drugs2 & 7,b7 elim9at+ b>ri]s to su* disp5s+ & di/ribution4 7#b7 ,hospital ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance = hospitals ) respect to bill+ = prev5tive opioid ov]dose rev]sal drugs describ$ 9 section #ahfa7nnn7 ( ! ,social ,security ,act1 z add$ by subsection 7a77#b74 7e7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to require a provid] ( s]vices or suppli] to furni% a prev5tive opioid ov]dose rev]sal drug describ$ 9 section #ahfa7nnn7 ( ! ,social ,security ,act1 z add$ by subsection 7a77#b71 to an individual at risk ( an opioid ov]dose4