,,ii  #aai? ,,congress  #a/ ,session    
,s4 #cebb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ag1 #bjbe,ms4
 ,hassan 7= h]self & ,mr4 ,ju/ice7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to require t
 ,/ate ,m$icaid programs provide at lea/
 "o =mulation ( ea* type ( m$ication = !
 treatm5t ( opioid use disord] )\t prior
 au?orization or limitations on dosage1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,no ,r$ ,tape ,=   
,addiction ,treatm5t ,act4  #b4         
,provision ( m$ication-assi/$ treatm5t =
 opioid use disord] )\t prior           
au?orization or limitations on dosage "u
 ,m$icaid  7a7 ,9 g5]al ,section #aije (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acif;d7 is am5d$-- 7#a7 9 subsection  
7a77#bi71 by /rik+ 7#b7 & 7#c7 & ins]t+ 
7#b71 7#c71 & 7#d72 &  7#b7 9 subsection
 7ee71 by add+ at ! end ! foll[+ new    
p>agraph3  7#d7 ,provision (            

m$ication-assi/$ treatm5t )\t prior     
au?orization  7,a7 ,9 g5]al ,a ,/ate    
plan 7or a waiv] ( su* plan7 %all       
provide cov]age ( at lea/ #a =mulation (
 ea* drug & biological product describ$ 
9 p>agraph 7#a77;,a7 7:i* %all include1 
if available ) respect to su* a drug or 
biological product1 a =mulation t is    
long-la/+ & injectable7 t is n subject  
to prior au?orization or limitations on 
dosage z a condition ( cov]age or paym5t
 = su* drug or biological product4  7,b7
 ,rule ( con/ruction ,! requirem5t "u   
subp>agraph 7,a7 to provide cov]age ( at
 lea/ #a =mulation ( ea* drug &         
biological product describ$ 9 p>agraph  
7#a77;,a7 %all n be con/ru$ z modify+ or
 limit+ ! ability ( a ,/ate to e/abli% a
 =mul>y t is consi/5t ) ! requirem5ts ( 
section #aibg7;d77#d74  4  7b7 ,con=m+  
am5dm5t ,section #aibg7;d77#a77;,a7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acifr-#h7;d77#a77;,a77 is am5d$ by     
/rik+ ,a ,/ate & ins]t+ ,except z       
provid$ 9 section #aije7;ee77#d71 a     

,/ate4  7c7 ,effective date  7#a7 ,9    
g5]al ,subject to p>agraph 7#b71 !      
am5dm5ts made by ?is subsection %all    
apply ) respect to m$ical assi/ance     
provid$ on or aft] ! date t is #a ye>   
aft] ! date ( enactm5t ( ?is ,act4  7#b7
 ,exception = /ate legislation ,9 ! case
 ( a ,/ate plan "u title ,,xix ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq47 t ! ,secret>y ( ,heal? & 
,human ,s]vices det]m9es requires ,/ate 
legislation 9 ord] = su* plan to meet   
any requirem5t impos$ by ! am5dm5ts made
 by ?is section1 su* plan %all n be     
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( its    
failure to meet su* an additional       
requirem5t be=e ! fir/ day ( ! fir/     
cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           
legislature t beg9s aft] ! date ( !     
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 ! session %all be consid]$ to be a     

sep>ate regul> session ( ! ,/ate        
legislature4  #c4 ,,macpac report on    
utilization ( managem5t controls on !   
treatm5t ( opioid use disord] "u        
,m$icaid ,n lat] ?an #a ye> aft] ! date 
( enactm5t ( ?is section1 ! ,m$icaid &  
,,*ip ,paym5t & ,access ,commission %all
 submit to ,congress a report on issues 
relat$ to utilization managem5t controls
 = m$ication-assi/$ treatm5t ( opioid   
use disord] "u ! ,m$icaid program4 ,su* 
report %all include-- 7#a7 an analysis &
 description ( ! use ( utilization      
managem5t controls = m$ication-assi/$   
treatm5t furni%$ ?r\gh ! ,m$icaid       
program across all ,/ates 7z def9$ 9    
section #aaja7;a77#a7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#acja7;a77#a77 = purposes ( title ,,xix 
( su* ,act71 includ+ dos+ re/rictions1  
age limits1 c\nsel+ requirem5ts1 &      
psy*ological scre5+ requirem5ts2  7#b7  
an assessm5t ( ! ext5t to :i* su*       
utilization managem5t controls impose an
 adm9i/rative burd5 on cl9icians & o!r  

provid]s2 &  7#c7 an assessm5t ( o!r    
,m$icaid policies1 at bo? ! ,f$]al &    
,/ate level1 t imp$e pati5t access to   
m$ication-assi/$ treatm5t & complicate  
cl9ician or provid] prescrib+ practices4