,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #iech  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #cj1 #bjbf ,ms4 
,und]wood 7= h]self1 ,mr4 ,valadao1 ,mr4
 ,tonko1 ,mrs4 ,mill] ( ,we/ ,virg9ia1  
,mr4 ,la,hood1 & ,mr4 ,bo/7 introduc$ ! 
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,ways & ,means  ,a ,,bill 
,to am5d title ,,xviii ( ! ,social      
,security ,act to e/abli% cov]age =     
c]ta9 resid5tial sub/ance use disord]   
s]vices "u ! ,m$ic>e program4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,resid5tial ,recov]y = ,s5iors ,act4    
#b4 ,e/abli%+ cov]age = c]ta9 resid5tial
 sub/ance use disord] s]vices "u !      
,m$ic>e program  7a7 ,cov]age "u "p ,a  
,section #ahab7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acie;d7a77 is     
am5d$--  7#a7 9 ! head]1 by /rik+ & &   
ins]t+ 1 & resid5tial sub/ance use      
disord] s]vices aft] hospice c>e2  7#b7 
9 p>agraph 7#d71 by /rik+ & at ! end2   
7#c7 9 p>agraph 7#e71 by /rik+ ! p]iod  
at ! end & ins]t+ 22 &  7#d7 by add+ at 

! end ! foll[+ new p>agraphs3  7#f7     
cl9ically manag$ l[-int5sity resid5tial 
sub/ance use disord] s]vices 7z def9$ 9 
section #ahfa7nnn77#a77 furni%$ to an   
individual :o is a resid5t ( a cl9ically
 manag$ resid5tial sub/ance use disord] 
facility 7z def9$ 9 section             
#ahfa7nnn77#c77 if ! individual's       
initial ne$ = su* level ( s]vices is    
p]=m$1 & cont9u$ ne$ = su* level (      
s]vices is review$ & reaffirm$          
p]iodically 7on a frequ5cy specifi$ by !
 ,secret>y t is n less (t5 ?an e #cj    
days71 9 accordance ) ! mo/ curr5t      
edition approv$ by ! ,secret>y (        
evid5ce-bas$1 sub/ance use              
disord]-specific crit]ia develop$ by a  
nonpr(it m$ical association g5]ally     
recogniz$ = its exp]tise 9 addiction    
treatm5t2  7#g7 cl9ically manag$        
high-int5sity resid5tial sub/ance use   
disord] s]vices 7z def9$ 9 section      
#ahfa7ooo77#a77 furni%$ to an individual
 :o is a resid5t ( a cl9ically manag$   
resid5tial sub/ance use disord] facility

 7z def9$ 9 section #ahfa7nnn77#c77 if !
 individual's initial ne$ = su* level ( 
s]vices is p]=m$1 & cont9u$ ne$ = su*   
level ( s]vices is review$ & reaffirm$  
p]iodically 7on a frequ5cy specifi$ by !
 ,secret>y t is n less (t5 ?an e #cj    
days71 9 accordance ) ! mo/ curr5t      
edition approv$ by ! ,secret>y (        
evid5ce-bas$1 sub/ance use              
disord]-specific crit]ia develop$ by a  
nonpr(it m$ical association g5]ally     
recogniz$ = its exp]tise 9 addiction    
treatm5t2 &  7#h7 m$ically manag$       
resid5tial sub/ance use disord] s]vices 
7z def9$ 9 section #ahfa7ppp77#a77      
furni%$ to an individual :o is a resid5t
 ( a m$ically manag$ resid5tial sub/ance
 use disord] facility 7z def9$ 9 section
 #ahfa7ppp77#c77 if ! individual's      
initial ne$ = su* level ( s]vices is    
p]=m$1 & cont9u$ ne$ = su* level (      
s]vices is review$ & reaffirm$          
p]iodically 7on a frequ5cy specifi$ by !
 ,secret>y t is n less (t5 ?an e #aj    
days71 9 accordance ) ! mo/ curr5t      

edition approv$ by ! ,secret>y (        
evid5ce-bas$1 sub/ance use              
disord]-specific crit]ia develop$ by a  
nonpr(it m$ical association g5]ally     
recogniz$ = its exp]tise 9 addiction    
treatm5t4  4  7b7 ,resid5tial sub/ance  
use disord] s]vices1 programs1 &        
facilities def9$ ,section #ahfa ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7 is am5d$ by add+ at ! end !     
foll[+ new subsections3  7nnn7          
,cl9ically manag$ l[-,int5sity          
resid5tial sub/ance use disord] s]vices1
 program1 & facility  7#a7 ,cl9ically   
manag$ l[-int5sity resid5tial sub/ance  
use disord] s]vices ,! t]m cl9ically    
manag$ l[-int5sity resid5tial sub/ance  
use disord] s]vices means ! foll[+ items
 & s]vices furni%$ to an individual 9 a 
cl9ically manag$ l[-int5sity resid5tial 
sub/ance use disord] program 7z def9$ 9 
p>agraph 7#b77 & 7except z provid$ 9    
subp>agraph 7,c77 by su* program = !    
treatm5t ( sub/ance use disord]s &      
co-occurr+ conditions1 includ+-- 7,a7 b$

 & bo>d2  7,b7 su* cl9ical s]vices & o!r
 relat$ s]vices 7includ+ sub/ance use   
disord] & co-occurr+ condition          
assessm5ts & treatm5t plann+71 su* use (
 cl9ically manag$ resid5tial sub/ance   
use disord] facilities1 & su* m$ical    
social s]vices 7includ+ recov]y support 
s]vices71 z are ord9>ily furni%$ by !   
cl9ically manag$ l[-int5sity resid5tial 
sub/ance use disord] program = ! c>e &  
treatm5t ( individuals 9 su* program1 & 
su* drugs1 supplies1 appliances1 &      
equipm5t1 = use 9 ! cl9ically manag$    
l[-int5sity resid5tial sub/ance use     
disord] program1 z are ord9>ily furni%$ 
by su* program = ! c>e & treatm5t (     
individuals 9 su* program2 &  7,c7 su*  
o!r diagno/ic or !rapeutic items or     
s]vices1 furni%$ by ! cl9ically manag$  
l[-int5sity resid5tial sub/ance use     
disord] program or by o!rs "u           
arrangem5ts ) !m made by ! cl9ically    
manag$ l[-int5sity resid5tial sub/ance  
use disord] program1 z are ord9>ily     
furni%$ to individuals ei!r by su*      

cl9ically manag$ l[-int5sity resid5tial 
sub/ance use disord] program or by o!rs 
"u su* arrangem5ts1 exclud+--  7i7      
m$ical or surgical s]vices provid$ by a 
physician1 s]vices describ$ by          
subsection 7s77#b77,k71 & qualifi$      
psy*ologi/ s]vices2 &  7ii7 ! s]vices ( 
a private-duty nurse or o!r private-duty
 att5dant4  7#b7 ,cl9ically manag$      
l[-int5sity resid5tial sub/ance use     
disord] program ,! t]m cl9ically manag$ 
l[-int5sity resid5tial sub/ance use     
disord] program means a resid5tial      
program :i*-- 7,a7 is prim>ily engag$ 9 
provid+ #bd-;h\r /ructure & support &   
integrat$ cl9ical s]vices = ! diagnosis1
 treatm5t1 & c>e ( individuals )        
sub/ance use disord]s :o ne$ /ructure & 
support to build & practice _! recov]y &
 cop+ skills2  7,b7 directly provides a 
sub/ance use disord]-specific           
multidim5sional level ( c>e assessm5t at
 admission to det]m9e ! recomm5d$ level 
( c>e1 us+ protocols develop$ by a      
physician or advanc$ practice provid] ) 

exp]i5ce 9 specialty addiction treatm5t 
to confirm ! appropriat5ess ( treatm5t 9
 su* program = individuals :o are       
intoxicat$1 exp]i5c+ )drawal1 or pres5t+
 ) biom$ical comorbidities2  7,c7       
directly provides1 or has a direct      
affiliation )1 a provid] or provid]s :o 
c provide physical exam9ations1         
prescribe all addiction & psy*iatric    
m$ications1 & provide m$ication         
managem5t & laboratory te/+ z ne$$      
7except t access to me?adone is n       
requir$ if no provid]s ( me?adone =     
opioid use disord] are available1 z     
det]m9$ by ! ,secret>y72  7,d7 directly 
provides weekly cl9ical s]vices1 9 h\rly
 increm5ts to be det]m9$ by ! ,secret>y1
 9 an am\nt1 frequ5cy1 & int5sity       
appropriate to an individual's ne$s z   
det]m9$ by a sub/ance use               
disord]-specific multidim5sional        
assessm5t1 ) /ructur$ s]vices available 
sev5 days p] week2  7,e7 ma9ta9s cl9ical
 records on all pati5ts & ma9ta9s su*   
records z ! ,secret>y f9ds to be        

necess>y to det]m9e ! degree & int5sity 
( ! treatm5t provid$ to individuals     
entitl$ to cl9ically manag$ l[-int5sity 
resid5tial sub/ance use disord] program 
insurance b5efits "u "p ,a1 provid$ t ! 
,secret>y %all n require a program to   
ma9ta9 su* records 9 a mann] t is m     
ext5sive1 detail$1 or /r+5t ?an :at is  
requir$ ( an in/itution t is consid]$ a 
hospital "u subsection 7e72  7,f7       
coord9ates pati5t ref]rals & transitions
 to o!r levels ( c>e :5 ne$$1 includ+   
transition plann+ 9 p>tn]%ip ) o!r      
provid]s p>ticipat+ 9 ! ,m$ic>e program2
 &  7,g7 meets su* additional /aff+     
requirem5ts & o!r conditions z !        
,secret>y %all specify to ensure !      
effective & effici5t furni%+ ( su*      
program's s]vices & ! compliance ( su*  
program ) cl9ically manag$ l[-int5sity  
resid5tial sub/ance use disord] program 
/&>ds describ$ 9 ! mo/ curr5t edition   
approv$ by ! ,secret>y ( evid5ce-bas$1  
sub/ance use disord]-specific crit]ia   
develop$ by a nonpr(it m$ical           

association g5]ally recogniz$ = its     
exp]tise 9 addiction treatm5t4  ,obta9+ 
& ma9ta9+ c]tification f a c]tify+ body 
t has ! necess>y compet5cies to assess  
compliance ) su* program /&>ds & is     
approv$ by ! ,secret>y %all be deem$ to 
demon/rate compliance ) ! /&>ds describ$
 9 subp>agraph 7,g74  7#c7 ,cl9ically   
manag$ resid5tial sub/ance use disord]  
facility ,! t]m cl9ically manag$        
resid5tial sub/ance use disord] treatm5t
 facility means a facility :i*-- 7,a7 is
 enroll$ "u section #ahff7;j72  7,b7 is 
accr$it$ by an accr$it+ body approv$ by 
! ,secret>y2  7,c7 is legally au?oriz$  
to provide a cl9ically manag$ l[- or    
high-int5sity resid5tial sub/ance use   
disord] program "u ! law ( ! ,/ate 7or  
"u a ,/ate regulatory me*anism provid$  
by ,/ate law7 9 :i* ! facility is       
locat$2 &  7,d7 meets su* additional    
conditions z ! ,secret>y f9ds necess>y 9
 ! int]e/ ( ! heal? & safety (          
individuals :o are resid5ts ( su*       
facilities & are furni%$ cl9ically      

manag$ l[-int5sity resid5tial sub/ance  
use disord] s]vices 7or cl9ically manag$
 high-int5sity resid5tial sub/ance use  
disord] s]vices1 z ! case may be74      
7ooo7 ,cl9ically ,manag$ ,high-,int5sity
 ,resid5tial ,sub/ance ,use ,disord]    
,s]vices & ,program  7#a7 ,cl9ically    
manag$ high-int5sity resid5tial sub/ance
 use disord] s]vices ,! t]m cl9ically   
manag$ high-int5sity resid5tial sub/ance
 use disord] s]vices means ! foll[+     
items & s]vices furni%$ to an individual
 9 a cl9ically manag$ high-int5sity     
resid5tial sub/ance use disord] program 
7z def9$ 9 p>agraph 7#b77 & 7except z   
provid$ 9 subp>agraph 7,c77 by su*      
program = ! treatm5t ( sub/ance use     
disord]s & co-occurr+ conditions1       
includ+--  7,a7 b$ & bo>d2  7,b7 su*    
cl9ical s]vices & o!r relat$ s]vices    
7includ+ sub/ance use disord] &         
co-occurr+ condition assessm5ts &       
treatm5t plann+71 su* use ( cl9ically   
manag$ resid5tial sub/ance use disord]  
facilities1 & su* m$ical social s]vices 

7includ+ recov]y support s]vices71 z are
 ord9>ily furni%$ by ! cl9ically manag$ 
high-int5sity resid5tial sub/ance use   
disord] program = ! c>e & treatm5t (    
individuals 9 su* program1 & su* drugs1 
supplies1 appliances1 & equipm5t1 = use 
9 ! cl9ically manag$ high-int5sity      
resid5tial sub/ance use disord] program1
 z are ord9>ily furni%$ by su* program =
 ! c>e & treatm5t ( individuals 9 su*   
program2 &  7,c7 su* o!r diagno/ic or   
!rapeutic items or s]vices1 furni%$ by !
 cl9ically manag$ high-int5sity         
resid5tial sub/ance use disord] program 
or by o!rs "u arrangem5ts ) !m made by !
 cl9ically manag$ high-int5sity         
resid5tial sub/ance use disord] program1
 z are ord9>ily furni%$ to individuals  
ei!r by su* cl9ically manag$            
high-int5sity resid5tial sub/ance use   
disord] program or by o!rs "u su*       
arrangem5ts1 exclud+-- 7i7 m$ical or    
surgical s]vices provid$ by a physician1
 s]vices describ$ by subsection         
7s77#b77,k71 & qualifi$ psy*ologi/      

s]vices2 &  7ii7 ! s]vices ( a          
private-duty nurse or o!r private-duty  
att5dant4  7#b7 ,cl9ically manag$       
high-int5sity resid5tial sub/ance use   
disord] program ,! t]m cl9ically manag$ 
high-int5sity resid5tial sub/ance use   
disord] program means a resid5tial      
program :i*--  7,a7 is prim>ily engag$ 9
 provid+ #bd-;h\r sup]vision = !        
diagnosis1 treatm5t1 & c>e ( individuals
 ) sub/ance use disord]s :o ne$ a safe &
 /able liv+ environm5t to develop       
suffici5t recov]y skills s t !y d n     
imm$iately relapse or cont9ue to use 9  
an imm95tly dang]\s mann] ^u transition 
to a less int5sive level ( c>e2  7,b7   
directly provides a sub/ance use        
disord]-specific multidim5sional level (
 c>e assessm5t at admission to det]m9e !
 recomm5d$ level ( c>e1 us+ protocols   
develop$ by a physician or advanc$      
practice provid] exp]i5c$ 9 specialty   
addiction treatm5t to confirm !         
appropriat5ess ( treatm5t 9 su* facility
 = individuals :o are intoxicat$1       

exp]i5c+ )drawal1 or pres5t+ ) biom$ical
 comorbidities2  7,c7 directly provides1
 or has a direct affiliation )1 a       
provid] or provid]s :o c provide        
physical exam9ations1 prescribe all     
addiction & psy*iatric m$ications1 &    
provide m$ication managem5t & laboratory
 te/+ z ne$$ 7except t access to        
me?adone is n requir$ if no provid]s (  
me?adone = opioid use disord] are       
available1 z det]m9$ by ! ,secret>y72   
7,d7 directly provides #bj h\rs or m (  
cl9ical s]vices p] week 9 an am\nt1     
frequ5cy1 & int5sity appropriate to     
individual pati5t ne$s z det]m9$ by a   
sub/ance use disord]-specific           
multidim5sional assessm5t1 ) /ructur$   
s]vices available sev5 days p] week2    
7,e7 directly provides cl9ically manag$ 
resid5tial )drawal managem5t1 includ+   
#bd-;h\r sup]vision1 obs]vation1 &      
support = individuals :o are intoxicat$ 
or exp]i5c+ )drawal1 :o d n ne$ m$ically
 monitor$ or manag$ c>e 7z det]m9$ ?r\gh
 a m$ical evaluation72  7,f7 ma9ta9s    

cl9ical records on all pati5ts & ma9ta9s
 su* records z ! ,secret>y f9ds to be   
necess>y to det]m9e ! degree & int5sity 
( ! treatm5t provid$ to individuals     
entitl$ to cl9ically manag$             
high-int5sity resid5tial sub/ance use   
disord] program insurance b5efits "u "p 
,a1 provid$ t ! ,secret>y %all n require
 a program to ma9ta9 su* records 9 a    
mann] t is m ext5sive1 detail$1 or /r+5t
 ?an :at is requir$ ( an in/itution t is
 consid]$ a hospital "u subsection 7e72 
7,g7 managem5t ( pati5t ref]rals &      
transitions to o!r levels ( c>e :5 ne$$2
 &  7,h7 meets su* additional /aff+     
requirem5ts & o!r conditions z !        
,secret>y %all specify to ensure !      
effective & effici5t furni%+ ( su*      
program's s]vices & ! compliance ( su*  
program ) cl9ically manag$ high-int5sity
 resid5tial sub/ance use disord] program
 /&>ds describ$ 9 ! mo/ curr5t edition  
approv$ by ! ,secret>y ( evid5ce-bas$1  
sub/ance use disord]-specific crit]ia   
develop$ by a nonpr(it m$ical           

association g5]ally recogniz$ = its     
exp]tise 9 addiction treatm5t4  ,obta9+ 
& ma9ta9+ c]tification f a c]tify+ body 
t has ! necess>y compet5cies to assess  
compliance ) su* program /&>ds & is     
approv$ by ! ,secret>y %all be deem$ to 
demon/rate compliance ) ! /&>ds describ$
 9 subp>agraph 7,h74  7ppp7 ,m$ically   
manag$ resid5tial sub/ance use disord]  
s]vices1 program1 & facility  7#a7      
,m$ically manag$ resid5tial sub/ance use
 disord] s]vices ,! t]m m$ically manag$ 
resid5tial sub/ance use disord] s]vices 
means ! foll[+ items & s]vices furni%$  
to an individual 9 a m$ically manag$    
resid5tial sub/ance use disord] program 
7z def9$ 9 p>agraph 7#b77 & 7except z   
provid$ 9 subp>agraph 7,c77 by su*      
program = ! treatm5t ( sub/ance use     
disord]s & co-occurr+ conditions1       
includ+-- 7,a7 b$ & bo>d2  7,b7 #bd-;h\r
 nurs+ s]vices2  7,c7 su* cl9ical       
s]vices & o!r relat$ s]vices 7includ+   
sub/ance use disord] & co-occurr+       
condition assessm5ts & treatm5t plann+71

 su* use ( m$ically manag$ resid5tial   
sub/ance use disord] facilities1 & su*  
m$ical social s]vices 7includ+ recov]y  
support s]vices71 z are ord9>ily furni%$
 by ! m$ically manag$ resid5tial        
sub/ance use disord] program = ! c>e &  
treatm5t ( resid5ts ( su* program1 & su*
 drugs1 supplies1 appliances1 &         
equipm5t1 = use 9 ! m$ically manag$     
resid5tial sub/ance use disord] program1
 z are ord9>ily furni%$ by su* program =
 ! c>e & treatm5t ( resid5ts ( su*      
program2 &  7,d7 su* o!r diagno/ic or   
!rapeutic items or s]vices1 furni%$ by !
 m$ically manag$ resid5tial sub/ance use
 disord] program or by o!rs "u          
arrangem5ts ) !m made by ! m$ically     
manag$ resid5tial sub/ance use disord]  
program1 z are ord9>ily furni%$ to      
resid5ts ei!r by ! m$ically manag$      
resid5tial sub/ance use disord] program 
or by o!rs "u su* arrangem5ts1 exclud+--
 7i7 m$ical or surgical s]vices provid$ 
by a physician1 s]vices describ$ by     
subsection 7s77#b77,k71 & qualifi$      

psy*ologi/ s]vices2 &  7ii7 ! s]vices ( 
a private-duty nurse or o!r private-duty
 att5dant4  7#b7 ,m$ically manag$       
resid5tial sub/ance use disord] program 
,! t]m m$ically manag$ resid5tial       
sub/ance use disord] program means a    
resid5tial program :i*--  7,a7 is       
prim>ily engag$ 9 provid+ managem5t (   
sub/ance )drawal & biom$ical            
comorbidities1 includ+ diagnosis1       
treatm5t1 & c>e1 = individuals )        
sub/ance use disord]s :o ne$ #bd-;h\r   
obs]vation1 monitor+1 & treatm5t1 b d n 
require ! full res\rces ( a hospital2   
7,b7 directly provides a compreh5sive   
nurs+ assessm5t at ! "t ( admission1 ) a
 sub/ance use disord]-focus$ hi/ory     
obta9$ z "p ( ! initial assessm5t :i* is
 review$ by a physician or advanc$      
practice provid] )9 #bd h\rs (          
admission2  7,c7 directly provides a    
compreh5sive physical exam9ation by a   
physician or advanc$ practice provid] )9
 #bd h\rs ( admission2  7,d7 directly   
provides suffici5t biopsy*osocial scre5+

 & assessm5ts ( ! pati5t's sub/ance use 
disord]s & co-occurr+ disord]s to       
det]m9e ! appropriate recomm5d$ level ( 
c>e & treatm5t plann+2  7,e7 directly   
provides daily m$ical int]v5tions1      
includ+ nurs+ & m$ical monitor+ =       
/abilization ( acute )drawal1 biom$ical 
& psy*iatric conditions1 & psy*osocial  
s]vices to enc\rage engagem5t 9 ongo+   
treatm5t1 all 9 an am\nt1 frequ5cy1 &   
int5sity appropriate to individual      
pati5t ne$s z det]m9$ by a sub/ance use 
disord]-specific multidim5sional        
assessm5t2  7,f7 directly provides      
ess5tial m$ications on site ) policies &
 proc$ures t def9e ess5tial m$ic9es bas$
 on curr5t /&>ds ( cl9ical practice & t 
ensure ^! m$ications are /ock$ & access 
to all ,food & ,drug                    
,adm9i/ration-approv$ m$ications = !    
treatm5t ( sub/ance use disord]s 7except
 t access to me?adone is n requir$ if no
 provid]s ( me?adone = opioid use       
disord] are available1 z det]m9$ by !   
,secret>y72  7,g7 directly provides     

resid5tial intoxication & )drawal       
managem5t s]vices & resid5tial managem5t
 ( biom$ical conditions2  7,h7 ma9ta9s  
cl9ical records on all pati5ts & ma9ta9s
 su* records z ! ,secret>y f9ds to be   
necess>y to det]m9e ! degree & int5sity 
( ! treatm5t provid$ to individuals     
entitl$ to cl9ically manag$             
high-int5sity resid5tial sub/ance use   
disord] program insurance b5efits "u "p 
,a1 provid$ t ! ,secret>y %all n require
 a program to ma9ta9 su* records 9 a    
mann] t is m ext5sive1 detail$1 or /r+5t
 ?an :at is requir$ ( an in/itution t is
 consid]$ a hospital "u subsection 7e72 
7,i7 managem5t ( pati5t transitions to  
o!r levels ( c>e :5 ne$$2 &  7,j7 meets 
su* additional /aff+ requirem5ts & o!r  
conditions z ! ,secret>y %all specify to
 ensure ! effective & effici5t furni%+ (
 su* program's s]vices & ! compliance ( 
su* program ) cl9ically manag$          
high-int5sity resid5tial sub/ance use   
disord] program /&>ds describ$ 9 ! mo/  
curr5t edition approv$ by ! ,secret>y ( 

evid5ce-bas$1 sub/ance use              
disord]-specific crit]ia develop$ by a  
nonpr(it m$ical association g5]ally     
recogniz$ = its exp]tise 9 addiction    
treatm5t4  ,obta9+ & ma9ta9+            
c]tification f a c]tify+ body t has !   
necess>y compet5cies to assess          
compliance ) su* program /&>ds & is     
approv$ by ! ,secret>y %all be deem$ to 
demon/rate compliance ) ! /&>ds describ$
 9 subp>agraph 7,j74  7#c7 ,m$ically    
manag$ resid5tial sub/ance use disord]  
facility ,! t]m m$ically manag$         
resid5tial sub/ance use disord] treatm5t
 facility means a facility :i*-- 7,a7 is
 enroll$ "u section #ahff7;j72  7,b7 is 
accr$it$ by an accr$it+ body approv$ by 
! ,secret>y2  7,c7 is legally au?oriz$  
to provide a m$ically manag$ resid5tial 
sub/ance use disord] program "u ! law ( 
! ,/ate 7or "u a ,/ate regulatory       
me*anism provid$ by ,/ate law7 9 :i* !  
facility is locat$2 &  7,d7 meets su*   
additional conditions z ! ,secret>y f9ds
 necess>y 9 ! int]e/ ( ! heal? & safety 

( individuals :o are resid5ts ( su*     
facilities & are furni%$ m$ically manag$
 resid5tial sub/ance use disord]        
s]vices4  4  7c7 ,includ+ resid5tial    
sub/ance use disord] facilities z m$ic>e
 provid]s ,section #ahff7;e7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acie;cc7e77 is am5d$--  7#a7 9 p>agraph
 7#b71 by /rik+ at ! end &2  7#b7 9     
p>agraph 7#c71 by /rik+ ! p]iod at ! end
 & ins]t+ 22 &  7#c7 by add+ at ! end ! 
foll[+ new p>agraphs3  7#d7 cl9ically   
manag$ resid5tial sub/ance use disord]  
facilities 7z def9$ 9 p>agraph 7#c7 (   
section #ahfa7nnn771 b only ) respect to
 ! furni%+ ( cl9ically manag$           
l[-int5sity resid5tial sub/ance use     
disord] s]vices 7z def9$ 9 p>agraph 7#a7
 ( su* section7 & cl9ically manag$      
high-int5sity resid5tial sub/ance use   
disord] s]vices 7z def9$ 9 p>agraph 7#a7
 ( section #ahfa7ooo771 z applicable2 & 
7#e7 m$ically manag$ resid5tial sub/ance
 use disord] facilities 7z def9$ 9      
p>agraph 7#c7 ( section #ahfa7ppp771 b  

only ) respect to ! furni%+ ( cl9ically 
manag$ l[-int5sity resid5tial sub/ance  
use disord] s]vices 7z def9$ 9 p>agraph 
7#a7 ( section #ahfa7nnn771 cl9ically   
manag$ high-int5sity resid5tial sub/ance
 use disord] s]vices 7z def9$ 9 p>agraph
 7#a7 ( section #ahfa7ooo771 & m$ically 
manag$ resid5tial sub/ance use disord]  
s]vices 7z def9$ 9 p>agraph 7#a7 (      
section #ahfa7ppp771 z applicable4  4   
7d7 ,prospective paym5t sy/em =         
resid5tial sub/ance use disord] s]vices 
,section #ahhf ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acieww7 is am5d$ by
 add+ at ! end ! foll[+ new subsection3 
7u7 ,prospective paym5t = resid5tial    
sub/ance use disord] facilities  7#a7   
,developm5t ( sy/em ,! ,secret>y %all   
develop a p] diem prospective paym5t    
sy/em = l[-int5sity cl9ically manag$1   
high-int5sity cl9ically manag$1 &       
m$ically manag$ resid5tial sub/ance use 
disord] s]vices1 z ^? t]ms are def9$1   
respectively1 9 sections #ahfa7nnn77#a71
 7ooo77#a71 & #ahfa7ppp77#a7            

7collectively1 resid5tial sub/ance use  
disord] s]vices74 ,su* sy/em %all       
include appropriate adju/m5ts to reflect
 ! diff]+ res\rce-int5sity ( l[-int5sity
 cl9ically manag$1 high-int5sity        
cl9ically manag$1 & m$ically manag$     
resid5tial sub/ance use disord] s]vices1
 & may include an adequate pati5t       
classification sy/em t reflects         
diff]5ces 9 pati5t res\rce use & co/4 ,9
 develop+ su* sy/em1 ! ,secret>y may    
require cl9ically manag$ & m$ically     
manag$ resid5tial sub/ance use disord]  
facilities1 z ^? t]ms are def9$ 9       
sections #ahfa7nnn77#c7 & 7ppp77#c71    
respectively 7collectively1 resid5tial  
sub/ance use disord] facilities71 to    
submit su* in=mation to ! ,secret>y1    
includ+ co/ reports1 z ! ,secret>y may  
require to develop su* sy/em4  7#b7     
,implem5tation  7,a7 ,9 g5]al ,!        
,secret>y %all provide1 = co/ report+   
p]iods beg9n+ on or aft] ,octob] #a1    
#bjbf1 = paym5ts = resid5tial sub/ance  
use disord] s]vices furni%$ by          

resid5tial sub/ance use disord]         
facilities 9 accordance ) ! prospective 
paym5t sy/em e/abli%$ by ! ,secret>y "u 
?is subsection4  7,b7 ,paym5ts  7i7     
,initial ,paym5ts ,! ,secret>y %all     
implem5t su* prospective paym5t sy/em 9 
! initial fiscal ye> s t ! e/imat$      
aggregate am\nt ( prospective paym5t    
rates is equal to #ajj p]c5t ( ! e/imat$
 am\nt ( reasonable co/s incurr$ by     
resid5tial sub/ance use disord]         
facilities 9 furni%+ su* s]vices4  7ii7 
,paym5ts 9 ,subsequ5t ,ye>s ,paym5ts    
rates 9 ye>s aft] ! ye> ( implem5tation 
( su* sy/em %all be ! paym5t rates 9 !  
previ\s ye>1 adju/$ by an increase      
factor4 ,su* factor %all be bas$ on an  
appropriate p]c5tage increase 9 a m>ket 
basket ( goods & s]vices compris+ !     
s]vices = :i* paym5t is made "u ?is     
subsection4  4