| 1 | 1 | | II |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION S. 665 |
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| 5 | 5 | | To amend title XIX of the Social Security Act to establish the Health |
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| 6 | 6 | | Engagement Hub Demonstration Program to increase access to treat- |
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| 7 | 7 | | ment for opioid use disorder and other substance use disorders, and |
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| 8 | 8 | | for other purposes. |
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| 9 | 9 | | IN THE SENATE OF THE UNITED STATES |
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| 10 | 10 | | FEBRUARY20, 2025 |
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| 11 | 11 | | Ms. C |
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| 12 | 12 | | ANTWELL(for herself and Mr. CASSIDY) introduced the following bill; |
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| 13 | 13 | | which was read twice and referred to the Committee on Finance |
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| 14 | 14 | | A BILL |
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| 15 | 15 | | To amend title XIX of the Social Security Act to establish |
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| 16 | 16 | | the Health Engagement Hub Demonstration Program |
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| 17 | 17 | | to increase access to treatment for opioid use disorder |
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| 18 | 18 | | and other substance use disorders, and for other pur- |
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| 19 | 19 | | poses. |
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| 20 | 20 | | Be it enacted by the Senate and House of Representa-1 |
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| 21 | 21 | | tives of the United States of America in Congress assembled, 2 |
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| 22 | 22 | | SECTION 1. SHORT TITLE. 3 |
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| 23 | 23 | | This Act may be cited as the ‘‘Fatal Overdose Reduc-4 |
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| 24 | 24 | | tion Act of 2025’’. 5 |
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| 26 | 26 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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| 27 | 27 | | •S 665 IS |
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| 28 | 28 | | SEC. 2. HEALTH ENGAGEMENT HUB DEMONSTRATION PRO-1 |
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| 29 | 29 | | GRAM UNDER MEDICAID. 2 |
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| 30 | 30 | | Section 1903 of the Social Security Act (42 U.S.C. 3 |
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| 31 | 31 | | 1396b) is amended by adding at the end the following new 4 |
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| 32 | 32 | | subsection: 5 |
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| 33 | 33 | | ‘‘(cc) H |
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| 34 | 34 | | EALTHENGAGEMENTHUBDEMONSTRATION 6 |
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| 35 | 35 | | P |
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| 36 | 36 | | ROGRAM.— 7 |
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| 37 | 37 | | ‘‘(1) A |
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| 38 | 38 | | UTHORITY.—The Secretary shall conduct 8 |
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| 39 | 39 | | a demonstration program (referred to in this sub-9 |
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| 40 | 40 | | section as the ‘demonstration program’) for the pur-10 |
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| 41 | 41 | | pose of increasing access to treatment for opioid use 11 |
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| 42 | 42 | | disorder and other substance use disorders through 12 |
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| 43 | 43 | | the establishment of Health Engagement Hubs that 13 |
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| 44 | 44 | | meet the criteria published by the Secretary under 14 |
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| 45 | 45 | | paragraph (2)(A). 15 |
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| 46 | 46 | | ‘‘(2) P |
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| 47 | 47 | | UBLICATION OF GUIDANCE .—Not later 16 |
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| 48 | 48 | | than 6 months after the date of enactment of this 17 |
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| 49 | 49 | | subsection, the Secretary shall publish the following: 18 |
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| 50 | 50 | | ‘‘(A) C |
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| 51 | 51 | | ERTIFICATION CRITERIA.—The cri-19 |
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| 52 | 52 | | teria described in paragraph (3)(A) (which may 20 |
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| 53 | 53 | | be further defined and interpreted by the Sec-21 |
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| 54 | 54 | | retary as necessary to carry out the demonstra-22 |
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| 55 | 55 | | tion program) for an organization to be cer-23 |
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| 56 | 56 | | tified by a State as a Health Engagement Hub 24 |
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| 57 | 57 | | for purposes of participating in the demonstra-25 |
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| 58 | 58 | | tion program. 26 |
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| 61 | 61 | | •S 665 IS |
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| 62 | 62 | | ‘‘(B) PROSPECTIVE PAYMENT SYSTEM .— 1 |
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| 63 | 63 | | Guidance for States selected to participate in 2 |
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| 64 | 64 | | the demonstration program to use to establish 3 |
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| 65 | 65 | | a prospective payment system for the required 4 |
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| 66 | 66 | | items and services described in paragraph 5 |
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| 67 | 67 | | (3)(B) (which may be further defined and inter-6 |
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| 68 | 68 | | preted by the Secretary as necessary to carry 7 |
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| 69 | 69 | | out the demonstration program) that are pro-8 |
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| 70 | 70 | | vided by a certified Health Engagement Hub 9 |
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| 71 | 71 | | participating in the demonstration program to 10 |
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| 72 | 72 | | individuals who are eligible for medical assist-11 |
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| 73 | 73 | | ance under a State plan under this title or 12 |
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| 74 | 74 | | under a waiver of such plan. Such guidance 13 |
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| 75 | 75 | | shall specify that the prospective payment sys-14 |
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| 76 | 76 | | tem established by a State shall only apply to 15 |
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| 77 | 77 | | the required items and services described in 16 |
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| 78 | 78 | | paragraph (3)(B)(i) that are provided in ac-17 |
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| 79 | 79 | | cordance with the requirements applicable 18 |
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| 80 | 80 | | under this title to the provision of such services 19 |
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| 81 | 81 | | to individuals who are eligible for medical as-20 |
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| 82 | 82 | | sistance under the State plan under this title or 21 |
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| 83 | 83 | | under a waiver of such plan. 22 |
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| 84 | 84 | | ‘‘(C) C |
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| 85 | 85 | | LARIFICATION REGARDING PAYMENT 23 |
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| 86 | 86 | | FOR FURNISHING MEDICAL ASSISTANCE FOR 24 |
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| 87 | 87 | | PRESCRIBED DRUGS OR COVERED OUTPATIENT 25 |
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| 89 | 89 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 |
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| 90 | 90 | | •S 665 IS |
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| 91 | 91 | | DRUGS.—Statements that, with respect to the 1 |
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| 92 | 92 | | provision of medical assistance for prescribed 2 |
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| 93 | 93 | | drugs or covered outpatient drugs (as defined 3 |
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| 94 | 94 | | in section 1927(k)) by a certified Health En-4 |
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| 95 | 95 | | gagement Hub to individuals who are eligible 5 |
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| 96 | 96 | | for medical assistance under the State plan 6 |
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| 97 | 97 | | under this title or under a waiver of such plan 7 |
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| 98 | 98 | | and in accordance with the requirements appli-8 |
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| 99 | 99 | | cable under this title— 9 |
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| 100 | 100 | | ‘‘(i) the prospective payment system 10 |
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| 101 | 101 | | established by a State for purposes of the 11 |
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| 102 | 102 | | demonstration program shall not include 12 |
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| 103 | 103 | | payment for such medical assistance (other 13 |
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| 104 | 104 | | than with respect to the service of pro-14 |
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| 105 | 105 | | viding a prescription or administering a 15 |
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| 106 | 106 | | drug if needed); and 16 |
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| 107 | 107 | | ‘‘(ii) a certified Health Engagement 17 |
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| 108 | 108 | | Hub that provides medical assistance for 18 |
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| 109 | 109 | | prescribed drugs or covered outpatient 19 |
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| 110 | 110 | | drugs (as so defined) shall not be pre-20 |
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| 111 | 111 | | cluded from receiving payment under the 21 |
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| 112 | 112 | | State plan under this title or under a waiv-22 |
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| 113 | 113 | | er of such plan for the provision of such 23 |
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| 114 | 114 | | medical assistance, that is in addition to, 24 |
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| 115 | 115 | | and separate from, any payment made to 25 |
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| 117 | 117 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 |
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| 118 | 118 | | •S 665 IS |
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| 119 | 119 | | the certified Health Engagement Hub 1 |
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| 120 | 120 | | under such prospective payment system. 2 |
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| 121 | 121 | | ‘‘(D) E |
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| 122 | 122 | | LIGIBILITY OF AN INDIAN TRIBE , 3 |
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| 123 | 123 | | TRIBAL ORGANIZATION, URBAN INDIAN ORGANI-4 |
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| 124 | 124 | | ZATION, OR CONSORTIA.—Such requirements as 5 |
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| 125 | 125 | | the Secretary determines appropriate for an In-6 |
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| 126 | 126 | | dian Tribe or Tribal organization, (as such 7 |
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| 127 | 127 | | terms are defined in section 4 of the Indian 8 |
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| 128 | 128 | | Self-Determination and Education Assistance 9 |
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| 129 | 129 | | Act), a tribal consortia, or an Urban Indian or-10 |
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| 130 | 130 | | ganization (as defined in section 4 of the Indian 11 |
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| 131 | 131 | | Health Care Improvement Act), to apply for, 12 |
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| 132 | 132 | | and be selected to participate in, the dem-13 |
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| 133 | 133 | | onstration program. To the extent practicable, 14 |
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| 134 | 134 | | such requirements shall be similar to the re-15 |
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| 135 | 135 | | quirements applicable to a State desiring to 16 |
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| 136 | 136 | | participate in the demonstration program. 17 |
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| 137 | 137 | | ‘‘(3) C |
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| 138 | 138 | | RITERIA FOR CERTIFICATION OF HEALTH 18 |
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| 139 | 139 | | ENGAGEMENT HUBS .— 19 |
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| 140 | 140 | | ‘‘(A) G |
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| 141 | 141 | | ENERAL REQUIREMENTS .—In order 20 |
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| 142 | 142 | | to be certified as a Health Engagement Hub, 21 |
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| 143 | 143 | | an organization shall satisfy the following re-22 |
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| 144 | 144 | | quirements: 23 |
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| 145 | 145 | | ‘‘(i) The organization demonstrates 24 |
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| 146 | 146 | | that the organization is equipped to serve 25 |
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| 148 | 148 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 6 |
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| 149 | 149 | | •S 665 IS |
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| 150 | 150 | | individuals who are eligible for medical as-1 |
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| 151 | 151 | | sistance under a State plan under this title 2 |
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| 152 | 152 | | or under a waiver of such plan (including 3 |
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| 153 | 153 | | individuals who are eligible for such assist-4 |
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| 154 | 154 | | ance but are not enrolled in such State 5 |
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| 155 | 155 | | plan or waiver), as well as uninsured indi-6 |
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| 156 | 156 | | viduals (as defined in section 1902(ss)), 7 |
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| 157 | 157 | | and provide such populations with access 8 |
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| 158 | 158 | | to a range of social and medical services, 9 |
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| 159 | 159 | | in a drop-in manner and without prior ap-10 |
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| 160 | 160 | | pointment. 11 |
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| 161 | 161 | | ‘‘(ii) The organization provides (in a 12 |
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| 162 | 162 | | manner reflecting person-centered care) 13 |
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| 163 | 163 | | the services specified in subparagraph (B) 14 |
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| 164 | 164 | | which, if not available directly through the 15 |
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| 165 | 165 | | organization, are provided or referred 16 |
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| 166 | 166 | | through partnerships or formal contracts 17 |
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| 167 | 167 | | with other providers. 18 |
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| 168 | 168 | | ‘‘(iii) The organization demonstrates 19 |
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| 169 | 169 | | that in selecting the location for the 20 |
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| 170 | 170 | | Health Engagement Hub, the organization 21 |
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| 171 | 171 | | prioritized placement in communities dis-22 |
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| 172 | 172 | | proportionately impacted by overdose and 23 |
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| 173 | 173 | | other harms related to substance use dis-24 |
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| 174 | 174 | | order (as further defined by the Sec-25 |
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| 176 | 176 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 7 |
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| 177 | 177 | | •S 665 IS |
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| 178 | 178 | | retary), including rural areas, geographi-1 |
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| 179 | 179 | | cally isolated areas within the State, tribal 2 |
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| 180 | 180 | | areas, urban centers with under-resourced 3 |
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| 181 | 181 | | behavioral health infrastructure, commu-4 |
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| 182 | 182 | | nities with significant numbers of individ-5 |
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| 183 | 183 | | uals experiencing homelessness, and com-6 |
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| 184 | 184 | | munities negatively impacted by the crimi-7 |
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| 185 | 185 | | nal-legal system. 8 |
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| 186 | 186 | | ‘‘(iv) The organization uses evidence- 9 |
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| 187 | 187 | | based models to increase engagement and 10 |
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| 188 | 188 | | improve outcomes for individuals with 11 |
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| 189 | 189 | | opioid use disorder or other substance use 12 |
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| 190 | 190 | | disorders, such as social work empower-13 |
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| 191 | 191 | | ment models, motivational interviewing 14 |
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| 192 | 192 | | models, shared decision-making models, 15 |
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| 193 | 193 | | and other evidence-based recovery and sup-16 |
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| 194 | 194 | | port services. 17 |
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| 195 | 195 | | ‘‘(v) The organization demonstrates 18 |
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| 196 | 196 | | that the organization is equipped to pro-19 |
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| 197 | 197 | | vide— 20 |
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| 198 | 198 | | ‘‘(I) overdose education and dis-21 |
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| 199 | 199 | | tribution of a drug or device approved 22 |
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| 200 | 200 | | or cleared under the Federal Food, 23 |
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| 201 | 201 | | Drug, and Cosmetic Act for emer-24 |
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| 203 | 203 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 8 |
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| 204 | 204 | | •S 665 IS |
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| 205 | 205 | | gency reversal of known or suspected 1 |
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| 206 | 206 | | opioid overdose (such as naloxone); 2 |
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| 207 | 207 | | ‘‘(II) safer substance use edu-3 |
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| 208 | 208 | | cation and supplies; 4 |
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| 209 | 209 | | ‘‘(III) safer-sex supplies; 5 |
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| 210 | 210 | | ‘‘(IV) emotional support and 6 |
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| 211 | 211 | | counseling services to reduce harms 7 |
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| 212 | 212 | | associated with substance use, using a 8 |
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| 213 | 213 | | trauma-informed approach; and 9 |
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| 214 | 214 | | ‘‘(V) access, within 4 hours of 10 |
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| 215 | 215 | | the arrival of an individual with opioid 11 |
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| 216 | 216 | | use disorder or other substance use 12 |
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| 217 | 217 | | disorder at a Health Engagement 13 |
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| 218 | 218 | | Hub, to drugs approved under section 14 |
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| 219 | 219 | | 505 of the Federal Food, Drug, and 15 |
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| 220 | 220 | | Cosmetic Act and biological products 16 |
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| 221 | 221 | | licensed under section 351 of the Pub-17 |
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| 222 | 222 | | lic Health Service Act (42 U.S.C. 18 |
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| 223 | 223 | | 262) for treatment of opioid use dis-19 |
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| 224 | 224 | | order or substance use disorder with a 20 |
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| 225 | 225 | | strong evidence base of significantly 21 |
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| 226 | 226 | | reducing mortality, directly or through 22 |
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| 227 | 227 | | partnerships or formal contracts with 23 |
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| 228 | 228 | | other providers in a manner that in-24 |
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| 231 | 231 | | •S 665 IS |
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| 232 | 232 | | sures consistency of care and care co-1 |
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| 233 | 233 | | ordination. 2 |
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| 234 | 234 | | ‘‘(vi) The organization demonstrates 3 |
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| 235 | 235 | | that the organization is equipped to pro-4 |
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| 236 | 236 | | vide, as selected by the organization, 1 or 5 |
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| 237 | 237 | | more services to address health-related so-6 |
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| 238 | 238 | | cial needs, which may include— 7 |
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| 239 | 239 | | ‘‘(I) identification services (such 8 |
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| 240 | 240 | | as assistance with obtaining a govern-9 |
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| 241 | 241 | | ment-recognized form of identifica-10 |
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| 242 | 242 | | tion); 11 |
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| 243 | 243 | | ‘‘(II) employment counseling; 12 |
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| 244 | 244 | | ‘‘(III) recovery support services, 13 |
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| 245 | 245 | | including services that promote a 14 |
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| 246 | 246 | | process of change through which indi-15 |
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| 247 | 247 | | viduals improve their health and 16 |
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| 248 | 248 | | wellness, live self-directed lives, and 17 |
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| 249 | 249 | | strive to reach their full potential 18 |
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| 250 | 250 | | through career, education, or commu-19 |
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| 251 | 251 | | nity-building; 20 |
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| 252 | 252 | | ‘‘(IV) family reunification serv-21 |
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| 253 | 253 | | ices, including services that help the 22 |
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| 254 | 254 | | reunification of family members sepa-23 |
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| 255 | 255 | | rated by the legal system or foster 24 |
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| 256 | 256 | | system; and 25 |
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| 258 | 258 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 10 |
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| 259 | 259 | | •S 665 IS |
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| 260 | 260 | | ‘‘(V) criminal-legal services, in-1 |
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| 261 | 261 | | cluding the provision of legal clinical 2 |
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| 262 | 262 | | consultation, legal information and 3 |
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| 263 | 263 | | advice, legal referrals, and legal advo-4 |
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| 264 | 264 | | cacy or retainer. 5 |
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| 265 | 265 | | ‘‘(vii) The organization demonstrates 6 |
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| 266 | 266 | | that the organization is equipped to 7 |
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| 267 | 267 | | meet— 8 |
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| 268 | 268 | | ‘‘(I) the minimum staffing re-9 |
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| 269 | 269 | | quirements described in subparagraph 10 |
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| 270 | 270 | | (C); 11 |
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| 271 | 271 | | ‘‘(II) the experience requirement 12 |
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| 272 | 272 | | described in subparagraph (D); and 13 |
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| 273 | 273 | | ‘‘(III) the community advisory 14 |
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| 274 | 274 | | board requirement described in sub-15 |
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| 275 | 275 | | paragraph (E). 16 |
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| 276 | 276 | | ‘‘(viii) The organization agrees to pro-17 |
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| 277 | 277 | | vide services to an uninsured individual (as 18 |
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| 278 | 278 | | defined in section 1902(ss)), with fees for 19 |
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| 279 | 279 | | such services imposed on a sliding scale 20 |
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| 280 | 280 | | basis that— 21 |
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| 281 | 281 | | ‘‘(I) is developed at the discretion 22 |
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| 282 | 282 | | of a certified Health Engagement 23 |
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| 283 | 283 | | Hub or the State; 24 |
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| 286 | 286 | | •S 665 IS |
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| 287 | 287 | | ‘‘(II) is based on an individual’s 1 |
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| 288 | 288 | | ability to pay; and 2 |
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| 289 | 289 | | ‘‘(III) provides that the organiza-3 |
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| 290 | 290 | | tion shall not reject or limit services 4 |
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| 291 | 291 | | on the basis of an individual’s ability 5 |
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| 292 | 292 | | to pay or place of residence. 6 |
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| 293 | 293 | | ‘‘(B) S |
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| 294 | 294 | | COPE OF ITEMS AND SERVICES .— 7 |
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| 295 | 295 | | The items and services specified in this sub-8 |
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| 296 | 296 | | paragraph are the following, subject to the re-9 |
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| 297 | 297 | | quirements applicable under this title to the 10 |
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| 298 | 298 | | provision of such items and services: 11 |
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| 299 | 299 | | ‘‘(i) R |
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| 300 | 300 | | EQUIRED ITEMS AND SERVICES 12 |
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| 301 | 301 | | PAID FOR THROUGH THE PROSPECTIVE 13 |
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| 302 | 302 | | PAYMENT SYSTEM.— 14 |
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| 303 | 303 | | ‘‘(I) Harm reduction services and 15 |
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| 304 | 304 | | supplies. 16 |
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| 305 | 305 | | ‘‘(II) Patient-centered and pa-17 |
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| 306 | 306 | | tient-driven physical and behavioral 18 |
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| 307 | 307 | | health care that has walk-in avail-19 |
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| 308 | 308 | | ability, is offered during non-tradi-20 |
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| 309 | 309 | | tional hours, including evenings and 21 |
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| 310 | 310 | | weekends, and includes— 22 |
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| 311 | 311 | | ‘‘(aa) primary mental health 23 |
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| 312 | 312 | | and substance use disorder serv-24 |
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| 313 | 313 | | ices, as defined by the Secretary, 25 |
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| 316 | 316 | | •S 665 IS |
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| 317 | 317 | | including screening, assessment, 1 |
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| 318 | 318 | | and referrals to higher levels of 2 |
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| 319 | 319 | | care; 3 |
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| 320 | 320 | | ‘‘(bb) shared decision-mak-4 |
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| 321 | 321 | | ing for patients and providers for 5 |
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| 322 | 322 | | opioid use disorder or substance 6 |
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| 323 | 323 | | use disorder under which a pa-7 |
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| 324 | 324 | | tient and provider discuss the pa-8 |
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| 325 | 325 | | tient’s diagnosis and condition 9 |
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| 326 | 326 | | together and evaluate treatment 10 |
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| 327 | 327 | | options together; 11 |
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| 328 | 328 | | ‘‘(cc) wound care and sup-12 |
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| 329 | 329 | | plies; 13 |
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| 330 | 330 | | ‘‘(dd) infectious disease vac-14 |
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| 331 | 331 | | cination, screening, testing, and, 15 |
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| 332 | 332 | | to the extent practicable, treat-16 |
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| 333 | 333 | | ment (including for HIV, sexually 17 |
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| 334 | 334 | | transmitted infections, and hepa-18 |
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| 335 | 335 | | titis); 19 |
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| 336 | 336 | | ‘‘(ee) sexual and reproduc-20 |
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| 337 | 337 | | tive health services provided di-21 |
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| 338 | 338 | | rectly or through partnerships or 22 |
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| 339 | 339 | | formal contracts with other pro-23 |
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| 340 | 340 | | viders; and 24 |
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| 342 | 342 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 13 |
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| 343 | 343 | | •S 665 IS |
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| 344 | 344 | | ‘‘(ff) secure medication stor-1 |
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| 345 | 345 | | age and inventory policies and 2 |
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| 346 | 346 | | procedures for patients experi-3 |
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| 347 | 347 | | encing homelessness or housing 4 |
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| 348 | 348 | | insecurity. 5 |
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| 349 | 349 | | ‘‘(III) Medication management, 6 |
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| 350 | 350 | | as specified by the State, including 7 |
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| 351 | 351 | | with respect to the types of conditions 8 |
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| 352 | 352 | | for which medication management 9 |
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| 353 | 353 | | must be at a minimum available. 10 |
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| 354 | 354 | | ‘‘(IV) Targeted case manage-11 |
|---|
| 355 | 355 | | ment. 12 |
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| 356 | 356 | | ‘‘(V) Peer support services. 13 |
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| 357 | 357 | | ‘‘(VI) Community health out-14 |
|---|
| 358 | 358 | | reach and navigation services, includ-15 |
|---|
| 359 | 359 | | ing services that guide patients 16 |
|---|
| 360 | 360 | | through social and health care sys-17 |
|---|
| 361 | 361 | | tems to connect with services and 18 |
|---|
| 362 | 362 | | service providers that the patients 19 |
|---|
| 363 | 363 | | need. 20 |
|---|
| 364 | 364 | | ‘‘(ii) P |
|---|
| 365 | 365 | | RESCRIBED DRUGS AND COV -21 |
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| 366 | 366 | | ERED OUTPATIENT DRUGS PAID SEPARATE 22 |
|---|
| 367 | 367 | | FROM THE PROSPECTIVE PAYMENT SYS -23 |
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| 368 | 368 | | TEM.—Directly or through partnerships or 24 |
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| 369 | 369 | | formal contracts with other providers, pre-25 |
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| 372 | 372 | | •S 665 IS |
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| 373 | 373 | | scribed drugs and covered outpatient drugs 1 |
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| 374 | 374 | | (as defined in section 1927(k)) for which 2 |
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| 375 | 375 | | medical assistance is available under the 3 |
|---|
| 376 | 376 | | State plan under this title or under a waiv-4 |
|---|
| 377 | 377 | | er of such plan that are provided in ac-5 |
|---|
| 378 | 378 | | cordance with requirements applicable 6 |
|---|
| 379 | 379 | | under this title and, if applicable, a rebate 7 |
|---|
| 380 | 380 | | agreement in effect under section 1927. 8 |
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| 381 | 381 | | ‘‘(C) M |
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| 382 | 382 | | INIMUM STAFFING REQUIRE -9 |
|---|
| 383 | 383 | | MENTS.— 10 |
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| 384 | 384 | | ‘‘(i) I |
|---|
| 385 | 385 | | N GENERAL.—The minimum 11 |
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| 386 | 386 | | staffing requirements specified in this sub-12 |
|---|
| 387 | 387 | | paragraph are the following: 13 |
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| 388 | 388 | | ‘‘(I) At least 1 part-time or full- 14 |
|---|
| 389 | 389 | | time health care provider who is li-15 |
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| 390 | 390 | | censed to practice in the State where 16 |
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| 391 | 391 | | the Health Engagement Hub is lo-17 |
|---|
| 392 | 392 | | cated and is licensed, registered, or 18 |
|---|
| 393 | 393 | | otherwise permitted, by the United 19 |
|---|
| 394 | 394 | | States to prescribe controlled sub-20 |
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| 395 | 395 | | stances (as defined in section 102 of 21 |
|---|
| 396 | 396 | | the Controlled Substances Act) in the 22 |
|---|
| 397 | 397 | | course of professional practice. 23 |
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| 398 | 398 | | ‘‘(II) At least 1 part-time or full- 24 |
|---|
| 399 | 399 | | time registered nurse or licensed prac-25 |
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| 402 | 402 | | •S 665 IS |
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| 403 | 403 | | tical nurse who can provide or super-1 |
|---|
| 404 | 404 | | vise staff providing medication man-2 |
|---|
| 405 | 405 | | agement, targeted case management, 3 |
|---|
| 406 | 406 | | wound care, and vaccine administra-4 |
|---|
| 407 | 407 | | tion. 5 |
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| 408 | 408 | | ‘‘(III) At least 1 part-time or 6 |
|---|
| 409 | 409 | | full-time licensed behavioral health 7 |
|---|
| 410 | 410 | | staff who is qualified to assess or pro-8 |
|---|
| 411 | 411 | | vide counseling about potential treat-9 |
|---|
| 412 | 412 | | ment options or about the need for 10 |
|---|
| 413 | 413 | | treatment. 11 |
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| 414 | 414 | | ‘‘(IV) At least 1 full-time equiva-12 |
|---|
| 415 | 415 | | lent staff who is a peer support spe-13 |
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| 416 | 416 | | cialist, community health worker, or 14 |
|---|
| 417 | 417 | | recovery coach, with priority for hir-15 |
|---|
| 418 | 418 | | ing staff for such positions who are 16 |
|---|
| 419 | 419 | | individuals with lived and living expe-17 |
|---|
| 420 | 420 | | rience with substance use. 18 |
|---|
| 421 | 421 | | ‘‘(V) Full-time outreach, engage-19 |
|---|
| 422 | 422 | | ment, and ongoing care navigation 20 |
|---|
| 423 | 423 | | staff, including peer support special-21 |
|---|
| 424 | 424 | | ists, community health workers, and 22 |
|---|
| 425 | 425 | | recovery coaches. At least 50 percent 23 |
|---|
| 426 | 426 | | of such staff shall be individuals with 24 |
|---|
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| 429 | 429 | | •S 665 IS |
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| 430 | 430 | | lived and living experience with sub-1 |
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| 431 | 431 | | stance use. 2 |
|---|
| 432 | 432 | | ‘‘(ii) S |
|---|
| 433 | 433 | | TAFFING THROUGH CONTRAC -3 |
|---|
| 434 | 434 | | TUAL ARRANGEMENTS WITH PARTNER 4 |
|---|
| 435 | 435 | | AGENCIES.—An organization may enter 5 |
|---|
| 436 | 436 | | into a contractual arrangement with a 6 |
|---|
| 437 | 437 | | partner agency, such as a Federally-quali-7 |
|---|
| 438 | 438 | | fied health center, to satisfy the minimum 8 |
|---|
| 439 | 439 | | staffing requirements specified in clause (i) 9 |
|---|
| 440 | 440 | | with staff who are on-site at the Health 10 |
|---|
| 441 | 441 | | Engagement Hub. 11 |
|---|
| 442 | 442 | | ‘‘(D) E |
|---|
| 443 | 443 | | XPERIENCE.—An organization shall 12 |
|---|
| 444 | 444 | | have a demonstrated history of at least 12 13 |
|---|
| 445 | 445 | | months of providing opioid use disorder or sub-14 |
|---|
| 446 | 446 | | stance use disorder treatment services to indi-15 |
|---|
| 447 | 447 | | viduals. 16 |
|---|
| 448 | 448 | | ‘‘(E) C |
|---|
| 449 | 449 | | OMMUNITY ADVISORY BOARD .—An 17 |
|---|
| 450 | 450 | | organization shall have a community advisory 18 |
|---|
| 451 | 451 | | board composed of individuals with lived and 19 |
|---|
| 452 | 452 | | living experience with substance use that meets, 20 |
|---|
| 453 | 453 | | at a minimum— 21 |
|---|
| 454 | 454 | | ‘‘(i) on a monthly basis, to review pro-22 |
|---|
| 455 | 455 | | gram utilization data and provide feedback 23 |
|---|
| 456 | 456 | | to the organization; and 24 |
|---|
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| 459 | 459 | | •S 665 IS |
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| 460 | 460 | | ‘‘(ii) on a quarterly basis, with the ex-1 |
|---|
| 461 | 461 | | ecutives or board of directors of the orga-2 |
|---|
| 462 | 462 | | nization to provide input on service deliv-3 |
|---|
| 463 | 463 | | ery and receive feedback on actions taken 4 |
|---|
| 464 | 464 | | based on previous feedback provided by the 5 |
|---|
| 465 | 465 | | community advisory board. 6 |
|---|
| 466 | 466 | | ‘‘(4) P |
|---|
| 467 | 467 | | LANNING GRANTS ; ADMINISTRATION.— 7 |
|---|
| 468 | 468 | | There is appropriated, out of any funds in the 8 |
|---|
| 469 | 469 | | Treasury not otherwise appropriated, $60,000,000 9 |
|---|
| 470 | 470 | | to the Secretary for purposes of implementing, ad-10 |
|---|
| 471 | 471 | | ministering, and making planning grants to States 11 |
|---|
| 472 | 472 | | as soon as practicable for purposes of developing 12 |
|---|
| 473 | 473 | | proposals to participate in the demonstration pro-13 |
|---|
| 474 | 474 | | gram and obtaining technical assistance from the 14 |
|---|
| 475 | 475 | | Secretary with respect to the design and implemen-15 |
|---|
| 476 | 476 | | tation of the demonstration program, for expendi-16 |
|---|
| 477 | 477 | | tures attributable to collecting and reporting the in-17 |
|---|
| 478 | 478 | | formation and data required under paragraph 18 |
|---|
| 479 | 479 | | (6)(B), and for administrative expenses of the Sec-19 |
|---|
| 480 | 480 | | retary to carry out this subsection, to remain avail-20 |
|---|
| 481 | 481 | | able until expended. 21 |
|---|
| 482 | 482 | | ‘‘(5) S |
|---|
| 483 | 483 | | TATE DEMONSTRATION PROGRAMS .— 22 |
|---|
| 484 | 484 | | ‘‘(A) I |
|---|
| 485 | 485 | | N GENERAL.—Not later than 9 23 |
|---|
| 486 | 486 | | months after the date on which the Secretary 24 |
|---|
| 487 | 487 | | first awards a planning grant under paragraph 25 |
|---|
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| 490 | 490 | | •S 665 IS |
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| 491 | 491 | | (4), the Secretary shall solicit applications to 1 |
|---|
| 492 | 492 | | participate in the demonstration program solely 2 |
|---|
| 493 | 493 | | from States awarded such a grant. 3 |
|---|
| 494 | 494 | | ‘‘(B) A |
|---|
| 495 | 495 | | PPLICATION REQUIREMENTS .—An 4 |
|---|
| 496 | 496 | | application to participate in the demonstration 5 |
|---|
| 497 | 497 | | program shall include the following: 6 |
|---|
| 498 | 498 | | ‘‘(i) A description of the target popu-7 |
|---|
| 499 | 499 | | lation (including the estimated number of 8 |
|---|
| 500 | 500 | | individuals in such population) to be served 9 |
|---|
| 501 | 501 | | by the State under the demonstration pro-10 |
|---|
| 502 | 502 | | gram. 11 |
|---|
| 503 | 503 | | ‘‘(ii) An assurance that at least 50 12 |
|---|
| 504 | 504 | | percent of the Health Engagement Hubs 13 |
|---|
| 505 | 505 | | in the State shall be located in— 14 |
|---|
| 506 | 506 | | ‘‘(I) a county (or municipality or 15 |
|---|
| 507 | 507 | | other unit of local government, if not 16 |
|---|
| 508 | 508 | | contained within any county) where 17 |
|---|
| 509 | 509 | | the mean drug overdose death rate 18 |
|---|
| 510 | 510 | | per 100,000 people over the past 3 19 |
|---|
| 511 | 511 | | years for which official data are avail-20 |
|---|
| 512 | 512 | | able from the State, is higher than 21 |
|---|
| 513 | 513 | | the most recent available national av-22 |
|---|
| 514 | 514 | | erage overdose death rate per 100,000 23 |
|---|
| 515 | 515 | | people over the past 3 years, as re-24 |
|---|
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| 518 | 518 | | •S 665 IS |
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| 519 | 519 | | ported by the Centers for Disease 1 |
|---|
| 520 | 520 | | Control and Prevention; or 2 |
|---|
| 521 | 521 | | ‘‘(II) an area of the State that is 3 |
|---|
| 522 | 522 | | designated under section 332(a)(1)(A) 4 |
|---|
| 523 | 523 | | of the Public Health Service Act as a 5 |
|---|
| 524 | 524 | | mental health professional shortage 6 |
|---|
| 525 | 525 | | area. 7 |
|---|
| 526 | 526 | | ‘‘(iii) A description of the prospective 8 |
|---|
| 527 | 527 | | payment system that is to be tested under 9 |
|---|
| 528 | 528 | | the demonstration program. 10 |
|---|
| 529 | 529 | | ‘‘(iv) A list of the certified Health En-11 |
|---|
| 530 | 530 | | gagement Hubs located in the State that 12 |
|---|
| 531 | 531 | | will participate in the demonstration pro-13 |
|---|
| 532 | 532 | | gram. 14 |
|---|
| 533 | 533 | | ‘‘(v) Verification that each such cer-15 |
|---|
| 534 | 534 | | tified Health Engagement Hub satisfies 16 |
|---|
| 535 | 535 | | the requirements described in paragraph 17 |
|---|
| 536 | 536 | | (3). 18 |
|---|
| 537 | 537 | | ‘‘(vi) Verification that the State has 19 |
|---|
| 538 | 538 | | agreed to pay for the items and services 20 |
|---|
| 539 | 539 | | required to be paid for through the pro-21 |
|---|
| 540 | 540 | | spective payment system at the rate estab-22 |
|---|
| 541 | 541 | | lished under the prospective payment sys-23 |
|---|
| 542 | 542 | | tem. 24 |
|---|
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| 545 | 545 | | •S 665 IS |
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| 546 | 546 | | ‘‘(vii) Any other information that the 1 |
|---|
| 547 | 547 | | Secretary may require relating to the dem-2 |
|---|
| 548 | 548 | | onstration program with respect to deter-3 |
|---|
| 549 | 549 | | mining the soundness of the proposed pro-4 |
|---|
| 550 | 550 | | spective payment system. 5 |
|---|
| 551 | 551 | | ‘‘(C) S |
|---|
| 552 | 552 | | ELECTION CRITERIA.— 6 |
|---|
| 553 | 553 | | ‘‘(i) I |
|---|
| 554 | 554 | | N GENERAL.—The Secretary 7 |
|---|
| 555 | 555 | | shall select from among the applications 8 |
|---|
| 556 | 556 | | submitted up to 10 States to participate in 9 |
|---|
| 557 | 557 | | the demonstration program. 10 |
|---|
| 558 | 558 | | ‘‘(ii) P |
|---|
| 559 | 559 | | RIORITY.—In selecting States 11 |
|---|
| 560 | 560 | | to participate in the demonstration pro-12 |
|---|
| 561 | 561 | | gram, the Secretary shall prioritize select-13 |
|---|
| 562 | 562 | | ing States— 14 |
|---|
| 563 | 563 | | ‘‘(I) with the highest opioid- or 15 |
|---|
| 564 | 564 | | stimulant-involved overdose death 16 |
|---|
| 565 | 565 | | rates; and 17 |
|---|
| 566 | 566 | | ‘‘(II) in a manner that ensures, 18 |
|---|
| 567 | 567 | | to the extent practicable, geographic 19 |
|---|
| 568 | 568 | | diversity across the United States. 20 |
|---|
| 569 | 569 | | ‘‘(D) L |
|---|
| 570 | 570 | | ENGTH OF DEMONSTRATION PRO -21 |
|---|
| 571 | 571 | | GRAMS.—A State selected to participate in the 22 |
|---|
| 572 | 572 | | demonstration program shall participate in the 23 |
|---|
| 573 | 573 | | program for a 5-year period. 24 |
|---|
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| 576 | 576 | | •S 665 IS |
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| 577 | 577 | | ‘‘(E) WAIVER OF CERTAIN REQUIRE -1 |
|---|
| 578 | 578 | | MENTS.—The Secretary shall waive section 2 |
|---|
| 579 | 579 | | 1902(a)(1) (relating to statewideness) and sec-3 |
|---|
| 580 | 580 | | tion 1902(a)(10)(B) (relating to comparability) 4 |
|---|
| 581 | 581 | | as may be necessary for a State to participate 5 |
|---|
| 582 | 582 | | in the demonstration program in accordance 6 |
|---|
| 583 | 583 | | with this paragraph. 7 |
|---|
| 584 | 584 | | ‘‘(F) P |
|---|
| 585 | 585 | | AYMENTS TO STATES.— 8 |
|---|
| 586 | 586 | | ‘‘(i) I |
|---|
| 587 | 587 | | N GENERAL.—For each quarter 9 |
|---|
| 588 | 588 | | occurring during the period for which the 10 |
|---|
| 589 | 589 | | demonstration program is conducted, the 11 |
|---|
| 590 | 590 | | Secretary shall pay a State participating in 12 |
|---|
| 591 | 591 | | the demonstration program an amount 13 |
|---|
| 592 | 592 | | equal to 90 percent (or, if higher, the Fed-14 |
|---|
| 593 | 593 | | eral medical assistance percentage other-15 |
|---|
| 594 | 594 | | wise applicable to the State and year under 16 |
|---|
| 595 | 595 | | section 1905 (without regard to this sub-17 |
|---|
| 596 | 596 | | paragraph)) of the amounts expended by 18 |
|---|
| 597 | 597 | | the State for the quarter for items and 19 |
|---|
| 598 | 598 | | services provided by certified Health En-20 |
|---|
| 599 | 599 | | gagement Hubs (directly or through part-21 |
|---|
| 600 | 600 | | nerships or formal contracts with other 22 |
|---|
| 601 | 601 | | providers) at the rate established under the 23 |
|---|
| 602 | 602 | | prospective payment system established by 24 |
|---|
| 603 | 603 | | the State for purposes of the demonstra-25 |
|---|
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| 606 | 606 | | •S 665 IS |
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| 607 | 607 | | tion program to individuals who are eligi-1 |
|---|
| 608 | 608 | | ble for, and enrolled under, the State plan 2 |
|---|
| 609 | 609 | | or under a waiver of such plan. 3 |
|---|
| 610 | 610 | | ‘‘(ii) E |
|---|
| 611 | 611 | | NSURING NO DUPLICATE PPS 4 |
|---|
| 612 | 612 | | PAYMENTS.—The guidance required under 5 |
|---|
| 613 | 613 | | paragraph (2)(B) shall include guidance on 6 |
|---|
| 614 | 614 | | how the Secretary will determine, if 2 or 7 |
|---|
| 615 | 615 | | more prospective payment systems may 8 |
|---|
| 616 | 616 | | apply to a service provided by a certified 9 |
|---|
| 617 | 617 | | Health Engagement Hub (directly or 10 |
|---|
| 618 | 618 | | through partnerships or formal contracts 11 |
|---|
| 619 | 619 | | with other providers) to an individual who 12 |
|---|
| 620 | 620 | | is eligible for, and enrolled under, the 13 |
|---|
| 621 | 621 | | State plan or under a waiver of such plan, 14 |
|---|
| 622 | 622 | | which prospective payment systems shall 15 |
|---|
| 623 | 623 | | apply for purposes of determining the 16 |
|---|
| 624 | 624 | | amount to be paid to a State for a quarter 17 |
|---|
| 625 | 625 | | under clause (i). 18 |
|---|
| 626 | 626 | | ‘‘(iii) A |
|---|
| 627 | 627 | | PPLICATION.—Payments made 19 |
|---|
| 628 | 628 | | to States made under this subparagraph 20 |
|---|
| 629 | 629 | | shall be considered to have been made 21 |
|---|
| 630 | 630 | | under, and are subject to, the requirements 22 |
|---|
| 631 | 631 | | of this section. 23 |
|---|
| 632 | 632 | | ‘‘(6) R |
|---|
| 633 | 633 | | EPORTS.— 24 |
|---|
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| 636 | 636 | | •S 665 IS |
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| 637 | 637 | | ‘‘(A) INITIAL IMPLEMENTATION .—During 1 |
|---|
| 638 | 638 | | the first 2 years in which a State participates 2 |
|---|
| 639 | 639 | | in the demonstration program under paragraph 3 |
|---|
| 640 | 640 | | (5), the State shall submit to the Secretary 4 |
|---|
| 641 | 641 | | such information as the Secretary may require 5 |
|---|
| 642 | 642 | | relating to the implementation and initial oper-6 |
|---|
| 643 | 643 | | ation of the demonstration program. 7 |
|---|
| 644 | 644 | | ‘‘(B) A |
|---|
| 645 | 645 | | NNUAL STATE REPORTS .— 8 |
|---|
| 646 | 646 | | ‘‘(i) I |
|---|
| 647 | 647 | | N GENERAL.—Beginning with 9 |
|---|
| 648 | 648 | | the 3rd year in which a State participates 10 |
|---|
| 649 | 649 | | in the demonstration program under para-11 |
|---|
| 650 | 650 | | graph (5), the State shall submit an an-12 |
|---|
| 651 | 651 | | nual report to the Secretary on the dem-13 |
|---|
| 652 | 652 | | onstration program that includes the fol-14 |
|---|
| 653 | 653 | | lowing: 15 |
|---|
| 654 | 654 | | ‘‘(I) An assessment of the extent 16 |
|---|
| 655 | 655 | | to which Health Engagement Hubs 17 |
|---|
| 656 | 656 | | funded under the demonstration pro-18 |
|---|
| 657 | 657 | | gram have increased access to treat-19 |
|---|
| 658 | 658 | | ment for opioid use disorder and other 20 |
|---|
| 659 | 659 | | substance use disorders, health serv-21 |
|---|
| 660 | 660 | | ices for individuals who use drugs, 22 |
|---|
| 661 | 661 | | and other social services under the 23 |
|---|
| 662 | 662 | | State’s plan under this title or under 24 |
|---|
| 663 | 663 | | a waiver of such plan in the area or 25 |
|---|
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| 666 | 666 | | •S 665 IS |
|---|
| 667 | 667 | | areas of the State targeted by the 1 |
|---|
| 668 | 668 | | demonstration program, as compared 2 |
|---|
| 669 | 669 | | to other areas of the State. 3 |
|---|
| 670 | 670 | | ‘‘(II) An assessment of the extent 4 |
|---|
| 671 | 671 | | to which Health Engagement Hubs 5 |
|---|
| 672 | 672 | | are reducing opioid and stimulant 6 |
|---|
| 673 | 673 | | overdose mortality rates and the rate 7 |
|---|
| 674 | 674 | | of adherence to prescribed medication 8 |
|---|
| 675 | 675 | | for opioid use, hospitalization rates, 9 |
|---|
| 676 | 676 | | recovery rates, and housing status for 10 |
|---|
| 677 | 677 | | the populations served by the Health 11 |
|---|
| 678 | 678 | | Engagement Hubs as compared to 12 |
|---|
| 679 | 679 | | populations that are not served by the 13 |
|---|
| 680 | 680 | | Health Engagement Hubs. 14 |
|---|
| 681 | 681 | | ‘‘(III) Data and information 15 |
|---|
| 682 | 682 | | comparing for populations served by 16 |
|---|
| 683 | 683 | | the Health Engagement Hubs the ra-17 |
|---|
| 684 | 684 | | cial and socioeconomic demographics, 18 |
|---|
| 685 | 685 | | housing status, employment, and 19 |
|---|
| 686 | 686 | | other metrics, as recommended by the 20 |
|---|
| 687 | 687 | | Secretary, of such populations. 21 |
|---|
| 688 | 688 | | ‘‘(IV) A description of the suc-22 |
|---|
| 689 | 689 | | cesses of the demonstration program. 23 |
|---|
| 690 | 690 | | ‘‘(V) Recommendations for im-24 |
|---|
| 691 | 691 | | provements to the demonstration pro-25 |
|---|
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| 694 | 694 | | •S 665 IS |
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| 695 | 695 | | gram, including whether the dem-1 |
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| 696 | 696 | | onstration program should be contin-2 |
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| 697 | 697 | | ued, expanded, modified, or termi-3 |
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| 698 | 698 | | nated. 4 |
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| 699 | 699 | | ‘‘(ii) D |
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| 700 | 700 | | ATA AVAILABILITY .—Each 5 |
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| 701 | 701 | | State selected to participate in the dem-6 |
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| 702 | 702 | | onstration program under paragraph (5) 7 |
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| 703 | 703 | | shall agree, as a condition of such selec-8 |
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| 704 | 704 | | tion, to cooperate with data collection for 9 |
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| 705 | 705 | | purposes of the national implementation 10 |
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| 706 | 706 | | evaluation under paragraph (7). 11 |
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| 707 | 707 | | ‘‘(iii) I |
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| 708 | 708 | | NFORMATION AND DATA COL -12 |
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| 709 | 709 | | LECTION AND REPORTING EXPENDI -13 |
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| 710 | 710 | | TURES.—From amounts made available 14 |
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| 711 | 711 | | under paragraph (4)(A)(i), the Secretary 15 |
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| 712 | 712 | | shall make payments to States for expendi-16 |
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| 713 | 713 | | tures attributable to collecting and report-17 |
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| 714 | 714 | | ing the information and data required 18 |
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| 715 | 715 | | under this subparagraph. 19 |
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| 716 | 716 | | ‘‘(C) R |
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| 717 | 717 | | EPORTS TO CONGRESS AND THE 20 |
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| 718 | 718 | | COMPTROLLER GENERAL .— 21 |
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| 719 | 719 | | ‘‘(i) I |
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| 720 | 720 | | N GENERAL.—Beginning with 22 |
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| 721 | 721 | | the 3rd year in which a State participates 23 |
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| 722 | 722 | | in the demonstration program under para-24 |
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| 723 | 723 | | graph (5), the Secretary shall submit to 25 |
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| 726 | 726 | | •S 665 IS |
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| 727 | 727 | | Congress and the Comptroller General of 1 |
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| 728 | 728 | | the United States, and make publicly avail-2 |
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| 729 | 729 | | able, an annual report that describes the 3 |
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| 730 | 730 | | information, findings, and recommenda-4 |
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| 731 | 731 | | tions in the annual State reports submitted 5 |
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| 732 | 732 | | to the Secretary under subparagraph (A). 6 |
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| 733 | 733 | | ‘‘(ii) I |
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| 734 | 734 | | MPLEMENTATION EVALUATION 7 |
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| 735 | 735 | | RESULTS.—The Secretary shall include 8 |
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| 736 | 736 | | with the first 3 annual reports submitted 9 |
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| 737 | 737 | | by the Secretary under this subparagraph 10 |
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| 738 | 738 | | the findings and conclusions of the na-11 |
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| 739 | 739 | | tional implementation evaluation required 12 |
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| 740 | 740 | | by paragraph (7). 13 |
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| 741 | 741 | | ‘‘(7) N |
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| 742 | 742 | | ATIONAL IMPLEMENTATION EVALUA -14 |
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| 743 | 743 | | TION.— 15 |
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| 744 | 744 | | ‘‘(A) I |
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| 745 | 745 | | N GENERAL.—The Secretary shall 16 |
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| 746 | 746 | | contract with an entity that meets the require-17 |
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| 747 | 747 | | ments of subparagraph (B)(ii) to solicit public 18 |
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| 748 | 748 | | input and conduct a national implementation 19 |
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| 749 | 749 | | evaluation of the planning grants awarded 20 |
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| 750 | 750 | | under paragraph (4) and the State demonstra-21 |
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| 751 | 751 | | tion programs under paragraph (5) to deter-22 |
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| 752 | 752 | | mine the reach, effectiveness, adoption, and im-23 |
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| 753 | 753 | | plementation of the demonstration program in 24 |
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| 754 | 754 | | each such State and to allow for a complete as-25 |
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| 757 | 757 | | •S 665 IS |
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| 758 | 758 | | sessment of the impact of Health Engagement 1 |
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| 759 | 759 | | Hubs in each State participating in the dem-2 |
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| 760 | 760 | | onstration program. 3 |
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| 761 | 761 | | ‘‘(B) R |
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| 762 | 762 | | EQUIREMENTS.— 4 |
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| 763 | 763 | | ‘‘(i) I |
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| 764 | 764 | | NFORMATION.—The evaluation 5 |
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| 765 | 765 | | shall include information on the character-6 |
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| 766 | 766 | | istics of the individuals who received serv-7 |
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| 767 | 767 | | ices, service utilization metrics over time 8 |
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| 768 | 768 | | (including by staff role), and input from 9 |
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| 769 | 769 | | interviews with such individuals and staff. 10 |
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| 770 | 770 | | ‘‘(ii) E |
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| 771 | 771 | | LIGIBLE ENTITIES.—In order 11 |
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| 772 | 772 | | to be eligible to conduct the evaluation, an 12 |
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| 773 | 773 | | entity shall— 13 |
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| 774 | 774 | | ‘‘(I) have documented experience 14 |
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| 775 | 775 | | conducting implementation evalua-15 |
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| 776 | 776 | | tions of health and social services pro-16 |
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| 777 | 777 | | grams; and 17 |
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| 778 | 778 | | ‘‘(II) satisfy such additional eligi-18 |
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| 779 | 779 | | bility criteria as the Secretary may es-19 |
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| 780 | 780 | | tablish.’’. 20 |
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| 781 | 781 | | SEC. 3. GOVERNMENT ACCOUNTABILITY OFFICE REPORT. 21 |
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| 782 | 782 | | Not later than 18 months after receipt of the annual 22 |
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| 783 | 783 | | State reports and the findings and conclusions of the na-23 |
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| 784 | 784 | | tional implementation evaluation under paragraph (6)(C) 24 |
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| 785 | 785 | | of section 1903(cc) of the Social Security Act (as added 25 |
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| 788 | 788 | | •S 665 IS |
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| 789 | 789 | | by section 2), the Comptroller General of the United 1 |
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| 790 | 790 | | States shall provide to the Committee on Finance of the 2 |
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| 791 | 791 | | Senate and the Committee on Energy and Commerce of 3 |
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| 792 | 792 | | the House of Representatives a report assessing the Sec-4 |
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| 793 | 793 | | retary’s evaluation of the Health Engagement Hub Dem-5 |
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| 794 | 794 | | onstration Program established under such section. 6 |
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| 795 | 795 | | Æ |
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