,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bjgb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #ab1 #bjbe,mr4   
,blum5?al 7= himself1 ,mr4 ,fett]man1   
,mr4 ,he9ri*1 ,mr4 ,lujn1 ,ms4 ,klobu*>1
 & ,mr4 ,wel*7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
promote af=dable access to evid5ce-bas$ 
opioid treatm5ts "u ! ,m$ic>e program & 
require cov]age ( m$ication assi/$      
treatm5t = opioid use disord]s1 opioid  
ov]dose rev]sal m$ications1 & recov]y   
support s]vices by heal? plans )\t      
co/-%>+ requirem5ts4  #a4 ,%ort title   
,?is ,act may be cit$ z ! ,maximiz+     
,opioid ,recov]y ,em]g5cy ,sav+s ,act or
 ! ,,m ,sav+s ,act4  #b4 ,te/+ (        
elim9ation ( ,m$ic>e co/-%>+ =          
evid5ce-bas$ opioid treatm5ts ,section  
#aaae;,a7b77#b7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acae;a7b77#b77 is  
am5d$-- 7#a7 9 subp>agraph 7,a71 9 ! la/
 s5t5ce1 by ins]t+ 1 & %all include !   
model describ$ 9 subp>agraph 7,d7 7:i*  

%all be implem5t$ by n lat] ?an six     
mon?s aft] ! date ( ! enactm5t ( !      
,maximiz+ ,opioid ,recov]y ,em]g5cy     
,sav+s ,act7 be=e ! p]iod at ! end2 &   
7#b7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,d7 ,af=dable access to  
evid5ce-bas$ opioid treatm5ts  7i7 ,9   
g5]al ,! model describ$ 9 ?is           
subp>agraph is a model t seeks to       
provide af=dable access to evid5ce-bas$ 
opioid treatm5ts & community-bas$       
recov]y support s]vices by elim9at+     
co9surance1 copaym5ts1 & d$uctibles     
o!rwise applicable "u p>ts ,b & ,d (    
title ,,xviii 7includ+ z su* p>ts are   
appli$ "u "p ,c ( su* title7 = ! foll[+ 
items & s]vices t are o!rwise cov]$ "u  
su* p>ts3 7,i7 ,drugs & biologicals     
prescrib$ or furni%$ to treat opioid use
 disord]s or rev]se ov]dose4  7,,ii7    
,behavioral heal? & community support   
s]vices furni%$ = ! treatm5t ( opioid   
use disord]s1 includ+ treatm5t (        
addiction 9 non-hospital resid5tial     
facilities lic5s$ to furni% su*         

treatm5t4  7,,iii7 ,recov]y support     
s]vices to ma9ta9 a heal?y life/yle     
foll[+ opioid misuse treatm5t1 su* z pe]
 c\nsel+ & transportation4  7ii7        
,selection ( sites ,! ,,cmi %all select 
#ae ,/ates 9 :i* to conduct ! model "u  
?is subp>agraph4 ,a ,/ate %all meet ea* 
( ! foll[+ crit]ia 9 ord] to be select$ 
"u ! prec$+ s5t5ce3 7,i7 ,! ,/ate has a 
high proportion ( ,m$ic>e b5efici>ies4  
7,,ii7 ,! ,/ate has a high rate (       
ov]dose dea?s due to opioids4  7,,iii7  
,! ,/ate has a significant p]c5tage (   
rural areas4  7iii7 ,t]m9ation &        
modification provision n applicable =   
fir/ five ye>s ( ! model ,! provisions (
 p>agraph 7#c77;,b7 %all apply to !     
model "u ?is subp>agraph beg9n+ on !    
date t is five ye>s aft] su* model is   
implem5t$1 b %all n apply to su* model  
prior to su* date4  4  #c4 ,cov]age (   
opioid treatm5ts  7a7 ,9 g5]al  7#a7    
,,phsa ,"p ,d ( title ,,xxvii ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#aaa et seq47 is am5d$

 by add+ at ! end ! foll[+3             
#bgii;,a-#aa4 ,cov]age ( opioid         
treatm5ts ,a gr\p heal? plan & a heal?  
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age %all1 at a      
m9imum1 ) respect to a p>ticipant1      
b5efici>y1 or enrollee 9 ! plan or      
cov]age1 provide cov]age = & %all n     
impose any co/-%>+ requirem5ts =-- 7#a7 
prescription drugs = ! treatm5t ( opioid
 use disord]s or to rev]se ov]dose2     
7#b7 behavioral heal? s]vices = !       
treatm5t ( opioid use disord]s1 includ+ 
treatm5t ( opioid use disord]s 9        
non-hospital resid5tial facilities      
lic5s$ to provide su* treatm5t2 or  7#c7
 community recov]y support s]vices t are
 provid$ 9 conjunction )1 :]e           
appropriate1 m$ication-assi/$ treatm5t =
 an opioid use disord]1 su* z pe]       
c\nsel+ & transportation1 to support !  
p>ticipant1 b5efici>y1 or enrollee 9    
ma9ta9+ a heal?y life/yle foll[+ opioid 
misuse treatm5t4  4  7#b7 ,,erisa  7,a7 
,9 g5]al ,subp>t ,b ( "p #g ( subtitle  

,b ( title ,i ( ! ,employee ,retirem5t  
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe et seq47 is am5d$ by    
add+ at ! end ! foll[+3  #gbf4 ,cov]age 
( opioid treatm5ts ,a gr\p heal? plan & 
a heal? insurance issu] (f]+ gr\p heal? 
insurance cov]age %all1 at a m9imum1 )  
respect to a p>ticipant or b5efici>y 9 !
 plan or cov]age1 provide cov]age = &   
%all n impose any co/-%>+ requirem5ts   
=-- 7#a7 prescription drugs = ! treatm5t
 ( opioid use disord]s or to rev]se     
ov]dose2  7#b7 behavioral heal? s]vices 
= ! treatm5t ( opioid use disord]s1     
includ+ treatm5t ( opioid use disord]s 9
 non-hospital resid5tial facilities     
lic5s$ to provide su* treatm5t2 or  7#c7
 community recov]y support s]vices t are
 provid$ 9 conjunction )1 :]e           
appropriate1 m$ication-assi/$ treatm5t =
 an opioid use disord]1 su* z pe]       
c\nsel+ & transportation1 to support !  
p>ticipant or b5efici>y 9 ma9ta9+ a     
heal?y life/yle foll[+ opioid misuse    
treatm5t4  4  7,b7 ,cl]ical am5dm5t ,!  

table ( cont5ts 9 section #a ( !        
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #ajja et    
seq47 is am5d$ by ins]t+ aft] ! item    
relat+ to section #gbe ! foll[+ new     
item3  ,sec4 #gbf4 ,cov]age ( opioid    
treatm5ts4  4  7#c7 ,,irc  7,a7 ,9 g5]al
 ,*apt] #ajj ( ! ,int]nal ,rev5ue ,code 
( #aihf is am5d$ by add+ at ! end !     
foll[+3  #ihbf4 ,cov]age ( opioid       
treatm5ts ,a gr\p heal? plan %all1 at a 
m9imum1 ) respect to a p>ticipant or    
b5efici>y 9 ! plan1 provide cov]age = & 
%all n impose any co/-%>+ requirem5ts   
=-- 7#a7 prescription drugs = ! treatm5t
 ( opioid use disord]s or to rev]se     
ov]dose2  7#b7 behavioral heal? s]vices 
= ! treatm5t ( opioid use disord]s1     
includ+ treatm5t ( opioid use disord]s 9
 non-hospital resid5tial facilities     
lic5s$ to provide su* treatm5t2 or  7#c7
 community recov]y support s]vices t are
 provid$ 9 conjunction )1 :]e           
appropriate1 m$ication-assi/$ treatm5t =
 an opioid use disord]1 su* z pe]       

c\nsel+ & transportation1 to support !  
p>ticipant or b5efici>y 9 ma9ta9+ a     
heal?y life/yle foll[+ opioid misuse    
treatm5t4  4  7,b7 ,cl]ical am5dm5t ,!  
table ( sections = sub*apt] ,b ( *apt]  
#ajj ( ! ,int]nal ,rev5ue ,code ( #aihf 
is am5d$ by add+ at ! end ! foll[+ new  
item3 ,sec4 #ihbf4 ,cov]age ( opioid    
treatm5ts44  7b7 ,effective date ,!     
am5dm5ts made by subsection 7a7 %all    
apply ) respect to plan ye>s beg9n+ on  
or aft] ,janu>y #a1 #bjbg4  #d4 ,enhanc$
 ,f$]al mat* = m$ication-assi/$ treatm5t
 & recov]y support s]vices "u ,m$icaid  
7a7 ,9 g5]al ,section #aije7;b7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7b77 is am5d$ by add+ at ! end ! 
foll[+3 ,not)/&+ ! fir/ s5t5ce ( ?is    
subsection1 dur+ ! portion ( ! p]iod    
describ$ 9 subsection 7a77#bi7 t beg9s  
on ! date ( enactm5t ( ?is s5t5ce1 !    
,f$]al m$ical assi/ance p]c5tage %all be
 #ij p]c5t ) respect to am\nts exp5d$   
dur+ su* portion ( su* p]iod by a ,/ate 
t is "o ( ! #ej ,/ates or ! ,di/rict (  

,columbia z m$ical assi/ance =          
m$ication-assi/$ treatm5t 7z def9$ 9    
subsection 7ee77#a7744  7b7 ,/ate option
 ,to provide recov]y support s]vices z  
"p ( m$ication-,assi/$ treatm5t ,section
 #aije7;ee77#a7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acif;d7ee77#a77 is 
am5d$-- 7#a7 9 subp>agraph 7,a71 by     
/rik+ 2 & & ins]t+ a semicolon2  7#b7 9 
subp>agraph 7,b71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7#c7 by add+ at !  
end ! foll[+ new subp>agraph3  7,c7 at !
 option ( a ,/ate1 includes recov]y     
support s]vices1 su* z pe] c\nsel+ &    
transportation1 t are provid$ to an     
individual 9 conjunction ) ! provision (
 su* drugs & biological products to     
support ! individual 9 ma9ta9+ a heal?y 
life/yle foll[+ opioid misuse treatm5t4 
4