,,ii  #aai? ,,congress  #a/ ,session    
,s4 #ffe  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #bj1 #bjbe,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% !
 ,heal? ,engagem5t ,hub ,demon/ration   
,program to increase access to treatm5t 
= opioid use disord] & o!r sub/ance use 
disord]s1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,fatal  
,ov]dose ,r$uction ,act ( #bjbe4  #b4   
,heal? ,engagem5t ,hub ,demon/ration    
,program "u ,m$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 
= opioid use disord] & o!r sub/ance use 

disord]s ?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#c77;,a7 7:i* may be fur!r def9$ &     
int]pret$ by ! ,secret>y z necess>y to  
c>ry out ! demon/ration program7 = 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 = ! requir$   
items & s]vices describ$ 9 p>agraph     
7#c77;,b7 7:i* may be fur!r def9$ &     
int]pret$ by ! ,secret>y z necess>y to  
c>ry out ! demon/ration program7 t are  
provid$ by a c]tifi$ ,heal? ,engagem5t  
,hub p>ticipat+ 9 ! demon/ration program
 to individuals :o are eligible = m$ical

 assi/ance "u a ,/ate plan "u ?is title 
or "u a waiv] ( su* plan4 ,su* guidance 
%all specify t ! prospective paym5t     
sy/em e/abli%$ by a ,/ate %all only     
apply to ! requir$ items & s]vices      
describ$ 9 p>agraph 7#c77;,b77i7 t are  
provid$ 9 accordance ) ! requirem5ts    
applicable "u ?is title to ! provision (
 su* s]vices to individuals :o are      
eligible = m$ical assi/ance "u ! ,/ate  
plan "u ?is title or "u a waiv] ( su*   
plan4  7,c7 ,cl>ification reg>d+ paym5t 
= furni%+ m$ical assi/ance = prescrib$  
drugs or cov]$ outpati5t drugs ,/atem5ts
 t1 ) respect to ! provision ( m$ical   
assi/ance = prescrib$ drugs or cov]$    
outpati5t drugs 7z def9$ 9 section      
#aibg7k77 by a c]tifi$ ,heal? ,engagem5t
 ,hub to individuals :o are eligible =  
m$ical assi/ance "u ! ,/ate plan "u ?is 
title or "u a waiv] ( su* plan & 9      
accordance ) ! requirem5ts applicable "u
 ?is title-- 7i7 ! prospective paym5t   
sy/em e/abli%$ by a ,/ate = purposes ( !
 demon/ration program %all n include    

paym5t = su* m$ical assi/ance 7o!r ?an )
 respect to ! s]vice ( provid+ a        
prescription or adm9i/]+ a drug if      
ne$$72 &  7ii7 a c]tifi$ ,heal?         
,engagem5t ,hub t provides m$ical       
assi/ance = prescrib$ drugs or cov]$    
outpati5t drugs 7z s def9$7 %all n be   
preclud$ f receiv+ paym5t "u ! ,/ate    
plan "u ?is title or "u a waiv] ( su*   
plan = ! provision ( su* m$ical         
assi/ance1 t is 9 addition to1 & sep>ate
 f1 any paym5t made to ! c]tifi$ ,heal? 
,engagem5t ,hub "u su* prospective      
paym5t sy/em4  7,d7 ,eligibility ( an   
,indian tribe1 tribal organization1     
,urban ,indian organization1 or         
consortia ,su* requirem5ts z ! ,secret>y
 det]m9es appropriate = an ,indian      
,tribe or ,tribal organization1 7z su*  
t]ms are def9$ 9 section #d ( ! ,indian 
,self-,det]m9ation & ,education         
,assi/ance ,act71 a tribal consortia1 or
 an ,urban ,indian organization 7z def9$
 9 section #d ( ! ,indian ,heal? ,c>e   
,improvem5t ,act71 to apply =1 & be     

select$ to p>ticipate 91 ! demon/ration 
program4 ,to ! ext5t practicable1 su*   
requirem5ts %all be simil> to !         
requirem5ts applicable to a ,/ate desir+
 to p>ticipate 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 satisfy ! foll[+ requirem5ts3 7i7  
,! organization demon/rates t !         
organization is equipp$ to s]ve         
individuals :o are eligible = m$ical    
assi/ance "u a ,/ate plan "u ?is title  
or "u a waiv] ( su* plan 7includ+       
individuals :o are eligible = su*       
assi/ance b are n enroll$ 9 su* ,/ate   
plan or waiv]71 z well z un9sur$        
individuals 7z def9$ 9 section          
#aijb7ss771 & provide su* populations ) 
access to a range ( social & m$ical     
s]vices1 9 a drop-9 mann] & )\t prior   
appo9tm5t4  7ii7 ,! organization        
provides 79 a mann] reflect+ p]son-c5t]$
 c>e7 ! s]vices specifi$ 9 subp>agraph  

7,b7 :i*1 if n available directly ?r\gh 
! organization1 are provid$ or ref]r$   
?r\gh p>tn]%ips or =mal contracts ) o!r 
provid]s4  7iii7 ,! organization        
demon/rates t 9 select+ ! location = !  
,heal? ,engagem5t ,hub1 ! organization  
prioritiz$ placem5t 9 communities       
disproportionately impact$ by ov]dose & 
o!r h>ms relat$ to sub/ance use disord] 
7z fur!r def9$ by ! ,secret>y71 includ+ 
rural areas1 geographically isolat$     
areas )9 ! ,/ate1 tribal areas1 urban   
c5t]s ) "u-res\rc$ behavioral heal?     
infra/ructure1 communities ) significant
 numb]s ( individuals exp]i5c+          
homelessness1 & communities negatively  
impact$ by ! crim9al-legal sy/em4  7iv7 
,! organization uses evid5ce-bas$ models
 to increase engagem5t & improve        
outcomes = individuals ) opioid use     
disord] or o!r sub/ance use disord]s1   
su* z social "w emp[]m5t models1        
motivational int]view+ models1 %>$      
decision-mak+ models1 & o!r evid5ce-bas$
 recov]y & support s]vices4  7v7 ,!     

organization demon/rates t !            
organization is equipp$ to provide--    
7,i7 ov]dose education & di/ribution ( a
 drug or device approv$ or cle>$ "u !   
,f$]al ,food1 ,drug1 & ,cosmetic ,act = 
em]g5cy rev]sal ( kn[n or suspect$      
opioid ov]dose 7su* z naloxone72  7,,ii7
 saf] sub/ance use education & supplies2
  7,,iii7 saf]-sex supplies2  7,,iv7    
emotional support & c\nsel+ s]vices to  
r$uce h>ms associat$ ) sub/ance use1 us+
 a trauma-in=m$ approa*2 &  7,v7 access1
 )9 #d h\rs ( ! arrival ( an individual 
) opioid use disord] or o!r sub/ance use
 disord] at a ,heal? ,engagem5t ,hub1 to
 drugs approv$ "u section #eje ( !      
,f$]al ,food1 ,drug1 & ,cosmetic ,act & 
biological products lic5s$ "u section   
#cea ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bfb7 = treatm5t ( opioid
 use disord] or sub/ance use disord] ) a
 /rong evid5ce base ( significantly     
r$uc+ mortality1 directly or ?r\gh      
p>tn]%ips or =mal contracts ) o!r       
provid]s 9 a mann] t insures consi/5cy (

 c>e & c>e coord9ation4  7vi7 ,!        
organization demon/rates t !            
organization is equipp$ to provide1 z   
select$ by ! organization1 #a or m      
s]vices to address heal?-relat$ social  
ne$s1 :i* may include-- 7,i7            
id5tification s]vices 7su* z assi/ance )
 obta9+ a gov]nm5t-recogniz$ =m (       
id5tification72  7,,ii7 employm5t       
c\nsel+2  7,,iii7 recov]y support       
s]vices1 includ+ s]vices t promote a    
process ( *ange ?r\gh :i* individuals   
improve _! heal? & wellness1 live       
self-direct$ lives1 & /rive to rea* _!  
full pot5tial ?r\gh c>e]1 education1 or 
community-build+2  7,,iv7 family        
reunification s]vices1 includ+ s]vices t
 help ! reunification ( family memb]s   
sep>at$ by ! legal sy/em or fo/] sy/em2 
&  7,v7 crim9al-legal s]vices1 includ+ !
 provision ( legal cl9ical consultation1
 legal in=mation & advice1 legal        
ref]rals1 & legal advocacy or reta9]4   
7vii7 ,! organization demon/rates t !   
organization is equipp$ to 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 
7viii7 ,! organization agrees to provide
 s]vices to an un9sur$ individual 7z    
def9$ 9 section #aijb7ss771 ) fees = su*
 s]vices impos$ on a slid+ scale basis  
t-- 7,i7 is develop$ at ! discretion ( a
 c]tifi$ ,heal? ,engagem5t ,hub or !    
,/ate2  7,,ii7 is bas$ on an            
individual's ability to pay2 &  7,,iii7 
provides t ! organization %all n reject 
or limit s]vices on ! basis ( an        
individual's ability to pay or place (  
resid5ce4  7,b7 ,scope ( items & s]vices
 ,! items & s]vices specifi$ 9 ?is      
subp>agraph are ! foll[+1 subject to !  
requirem5ts applicable "u ?is title to !
 provision ( su* items & s]vices3 7i7   
,requir$ items & s]vices paid = ?r\gh ! 
prospective paym5t sy/em  7,i7 ,h>m     
r$uction s]vices & supplies4  7,,ii7    
,pati5t-c5t]$ & 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 prim>y m5tal 
heal? & sub/ance use disord] s]vices1 z 
def9$ by ! ,secret>y1 includ+ scre5+1   
assessm5t1 & ref]rals to high] levels ( 
c>e2  7bb7 %>$ decision-mak+ = pati5ts &
 provid]s = opioid use disord] or       
sub/ance use disord] "u :i* a pati5t &  
provid] discuss ! pati5t's diagnosis &  
condition toge!r & evaluate treatm5t    
options toge!r2  7cc7 w\nd c>e &        
supplies2  7dd7 infecti\s disease       
vacc9ation1 scre5+1 te/+1 &1 to ! ext5t 
practicable1 treatm5t 7includ+ = ,,hiv1 
sexually transmitt$ infections1 &       
hepatitis72  7ee7 sexual & reproductive 
heal? s]vices provid$ directly or ?r\gh 
p>tn]%ips or =mal contracts ) o!r       
provid]s2 &  7ff7 secure m$ication      
/orage & inv5tory policies & proc$ures =
 pati5ts exp]i5c+ homelessness or h\s+  
insecurity4  7,,iii7 ,m$ication         
managem5t1 z specifi$ by ! ,/ate1       

includ+ ) respect to ! types (          
conditions = :i* m$ication managem5t mu/
 be at a m9imum available4  7,,iv7      
,t>get$ case managem5t4  7,v7 ,pe]      
support s]vices4  7,,vi7 ,community     
heal? outrea* & navigation s]vices1     
includ+ s]vices t guide pati5ts ?r\gh   
social & heal? c>e sy/ems to connect )  
s]vices & s]vice provid]s t ! pati5ts   
ne$4  7ii7 ,prescrib$ drugs & cov]$     
outpati5t drugs paid sep>ate f !        
prospective paym5t sy/em ,directly or   
?r\gh p>tn]%ips or =mal contracts ) o!r 
provid]s1 prescrib$ drugs & cov]$       
outpati5t drugs 7z def9$ 9 section      
#aibg7k77 = :i* m$ical assi/ance is     
available "u ! ,/ate plan "u ?is title  
or "u a waiv] ( su* plan t are provid$ 9
 accordance ) requirem5ts applicable "u 
?is title &1 if applicable1 a rebate    
agreem5t 9 effect "u section #aibg4     
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 :]e ! ,heal? ,engagem5t ,hub is 
locat$ & 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/]$    
nurse or lic5s$ practical nurse :o c    
provide or sup]vise /aff provid+        
m$ication managem5t1 t>get$ case        
managem5t1 w\nd c>e1 & vacc9e           
adm9i/ration4  7,,iii7 ,at lea/ #a "p-"t
 or full-"t lic5s$ behavioral heal? /aff
 :o is qualifi$ to assess or provide    
c\nsel+ ab\t pot5tial treatm5t options  
or ab\t ! ne$ = treatm5t4  7,,iv7 ,at   
lea/ #a full-"t equival5t /aff :o is a  
pe] support speciali/1 community heal?  
work]1 or recov]y coa*1 ) priority =    
hir+ /aff = su* positions :o are        
individuals ) liv$ & liv+ exp]i5ce )    
sub/ance use4  7,v7 ,full-"t outrea*1   
engagem5t1 & ongo+ c>e navigation /aff1 
includ+ pe] support speciali/s1         

community heal? work]s1 & recov]y       
coa*es4 ,at lea/ #ej p]c5t ( su* /aff   
%all be individuals ) liv$ & liv+       
exp]i5ce ) sub/ance use4  7ii7 ,/aff+   
?r\gh contractual arrangem5ts ) p>tn]   
ag5cies ,an organization may ent] into a
 contractual arrangem5t ) a p>tn] ag5cy1
 su* z a ,f$]ally-qualifi$ heal? c5t]1  
to satisfy ! m9imum /aff+ requirem5ts   
specifi$ 9 clause 7i7 ) /aff :o are     
on-site at ! ,heal? ,engagem5t ,hub4    
7,d7 ,exp]i5ce ,an organization %all h a
 demon/rat$ hi/ory ( at lea/ #ab mon?s (
 provid+ opioid use disord] or sub/ance 
use disord] treatm5t s]vices to         
individuals4  7,e7 ,community advisory  
bo>d ,an organization %all h a community
 advisory bo>d compos$ ( individuals )  
liv$ & liv+ exp]i5ce ) sub/ance use t   
meets1 at a m9imum-- 7i7 on 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+ grants2 adm9i/ration
 ,!re is appropriat$1 out ( any funds 9 
! ,treasury n o!rwise appropriat$1      
#fj1jjj1jjj to ! ,secret>y = purposes ( 
implem5t+1 adm9i/]+1 & mak+ plann+      
grants to ,/ates z soon z practicable = 
purposes ( develop+ proposals to        
p>ticipate 9 ! demon/ration program &   
obta9+ te*nical assi/ance f ! ,secret>y 
) respect to ! design & implem5tation ( 
! demon/ration program1 = exp5ditures   
attributable to collect+ & report+ !    
in=mation & data requir$ "u p>agraph    
7#f77;,b71 & = adm9i/rative exp5ses ( ! 
,secret>y to c>ry out ?is subsection1 to
 rema9 available until exp5d$4  7#e7    
,/ate demon/ration programs  7,a7 ,9    
g5]al ,n lat] ?an #i mon?s aft] ! date  
on :i* ! ,secret>y fir/ aw>ds a plann+  
grant "u p>agraph 7#d71 ! ,secret>y %all
 solicit applications to p>ticipate 9 ! 
demon/ration program solely f ,/ates    

aw>d$ su* a grant4  7,b7 ,application   
requirem5ts ,an application to          
p>ticipate 9 ! demon/ration program %all
 include ! foll[+3 7i7 ,a description ( 
! t>get population 7includ+ ! e/imat$   
numb] ( individuals 9 su* population7 to
 be s]v$ by ! ,/ate "u ! demon/ration   
program4  7ii7 ,an assurance t at lea/  
#ej p]c5t ( ! ,heal? ,engagem5t ,hubs 9 
! ,/ate %all be locat$ 9-- 7,i7 a c\nty 
7or municipality or o!r unit ( local    
gov]nm5t1 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 are available f ! ,/ate1 is
 high] ?an ! mo/ rec5t available        
national av]age ov]dose dea? rate p]    
#ajj1jjj p ov] ! pa/ #c ye>s1 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#c74  7vi7 ,v]ification t !   
,/ate has agre$ to pay = ! items &      
s]vices requir$ to be paid = ?r\gh !    
prospective paym5t sy/em at ! rate      
e/abli%$ "u ! prospective paym5t sy/em4 
7vii7 ,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$ up to #aj ,/ates  
to p>ticipate 9 ! demon/ration program4 
7ii7 ,priority ,9 select+ ,/ates to     
p>ticipate 9 ! demon/ration program1 !  
,secret>y %all prioritize select+       
,/ates-- 7,i7 ) ! highe/ opioid- or     
/imulant-involv$ ov]dose dea? rates2 &  
7,,ii7 9 a mann] t ensures1 to ! ext5t  

practicable1 geographic div]sity across 
! ,unit$ ,/ates4  7,d7 ,l5g? (          
demon/ration programs ,a ,/ate select$  
to p>ticipate 9 ! demon/ration program  
%all p>ticipate 9 ! program = a #e-ye>  
p]iod4  7,e7 ,waiv] ( c]ta9 requirem5ts 
,! ,secret>y %all waive section         
#aijb7;a77#a7 7relat+ to /atewid5ess7 & 
section #aijb7;a77#aj77;,b7 7relat+ to  
comp>ability7 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 ,=
 ea* qu>t] occurr+ dur+ ! p]iod = :i* ! 
demon/ration program is conduct$1 !     
,secret>y %all pay a ,/ate p>ticipat+ 9 
! demon/ration program an am\nt equal to
 #ij p]c5t 7or1 if high]1 ! ,f$]al      
m$ical assi/ance p]c5tage o!rwise       
applicable to ! ,/ate & ye> "u section  
#aije 7)\t reg>d to ?is subp>agraph77 ( 
! am\nts exp5d$ by ! ,/ate = ! qu>t] =  
items & s]vices provid$ by c]tifi$      
,heal? ,engagem5t ,hubs 7directly or    
?r\gh p>tn]%ips or =mal contracts ) o!r 

provid]s7 at ! rate e/abli%$ "u !       
prospective paym5t sy/em e/abli%$ by !  
,/ate = purposes ( ! demon/ration       
program to individuals :o are eligible  
=1 & enroll$ "u1 ! ,/ate plan or "u a   
waiv] ( su* plan4  7ii7 ,ensur+ no      
duplicate pps paym5ts ,! guidance       
requir$ "u p>agraph 7#b77;,b7 %all      
include guidance on h[ ! ,secret>y w    
det]m9e1 if #b or m prospective paym5t  
sy/ems may apply to a s]vice provid$ by 
a c]tifi$ ,heal? ,engagem5t ,hub        
7directly or ?r\gh p>tn]%ips or =mal    
contracts ) o!r provid]s7 to an         
individual :o is eligible =1 & enroll$  
"u1 ! ,/ate plan or "u a waiv] ( su*    
plan1 :i* prospective paym5t sy/ems %all
 apply = purposes ( det]m9+ ! am\nt to  
be paid to a ,/ate = a qu>t] "u clause  
7i74  7iii7 ,application ,paym5ts made  
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 ,initial          
implem5tation ,dur+ ! fir/ #b ye>s 9 :i*

 a ,/ate p>ticipates 9 ! demon/ration   
program "u p>agraph 7#e71 ! ,/ate %all  
submit to ! ,secret>y su* in=mation z ! 
,secret>y may require relat+ to !       
implem5tation & initial op]ation ( !    
demon/ration program4  7,b7 ,annual /ate
 reports  7i7 ,9 g5]al ,beg9n+ ) ! #crd 
ye> 9 :i* a ,/ate p>ticipates 9 !       
demon/ration program "u p>agraph 7#e71 !
 ,/ate %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 = opioid use
 disord] & o!r sub/ance use disord]s1   
heal? s]vices = individuals :o use      
drugs1 & o!r social s]vices "u ! ,/ate's
 plan "u ?is title or "u a waiv] ( su*  
plan 9 ! area or areas ( ! ,/ate t>get$ 
by ! demon/ration program1 z comp>$ to  
o!r areas ( ! ,/ate4  7,,ii7 ,an        
assessm5t ( ! ext5t to :i* ,heal?       
,engagem5t ,hubs are r$uc+ opioid &     
/imulant ov]dose mortality rates & !    

rate ( adh]5ce to prescrib$ m$ication = 
opioid use1 hospitalization rates1      
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