II
119THCONGRESS
1
STSESSION S. 665
To amend title XIX of the Social Security Act to establish the Health
Engagement Hub Demonstration Program to increase access to treat-
ment for opioid use disorder and other substance use disorders, and
for other purposes.
IN THE SENATE OF THE UNITED STATES
FEBRUARY20, 2025
Ms. C
ANTWELL(for herself and Mr. CASSIDY) introduced the following bill;
which was read twice and referred to the Committee on Finance
A BILL
To amend title XIX of the Social Security Act to establish
the Health Engagement Hub Demonstration Program
to increase access to treatment for opioid use disorder
and other substance use disorders, and for other pur-
poses.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Fatal Overdose Reduc-4
tion Act of 2025’’. 5
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SEC. 2. HEALTH ENGAGEMENT HUB DEMONSTRATION PRO-1
GRAM UNDER MEDICAID. 2
Section 1903 of the Social Security Act (42 U.S.C. 3
1396b) is amended by adding at the end the following new 4
subsection: 5
‘‘(cc) H
EALTHENGAGEMENTHUBDEMONSTRATION 6
P
ROGRAM.— 7
‘‘(1) A
UTHORITY.—The Secretary shall conduct 8
a demonstration program (referred to in this sub-9
section as the ‘demonstration program’) for the pur-10
pose of increasing access to treatment for opioid use 11
disorder and other substance use disorders through 12
the establishment of Health Engagement Hubs that 13
meet the criteria published by the Secretary under 14
paragraph (2)(A). 15
‘‘(2) P
UBLICATION OF GUIDANCE .—Not later 16
than 6 months after the date of enactment of this 17
subsection, the Secretary shall publish the following: 18
‘‘(A) C
ERTIFICATION CRITERIA.—The cri-19
teria described in paragraph (3)(A) (which may 20
be further defined and interpreted by the Sec-21
retary as necessary to carry out the demonstra-22
tion program) for an organization to be cer-23
tified by a State as a Health Engagement Hub 24
for purposes of participating in the demonstra-25
tion program. 26
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‘‘(B) PROSPECTIVE PAYMENT SYSTEM .— 1
Guidance for States selected to participate in 2
the demonstration program to use to establish 3
a prospective payment system for the required 4
items and services described in paragraph 5
(3)(B) (which may be further defined and inter-6
preted by the Secretary as necessary to carry 7
out the demonstration program) that are pro-8
vided by a certified Health Engagement Hub 9
participating in the demonstration program to 10
individuals who are eligible for medical assist-11
ance under a State plan under this title or 12
under a waiver of such plan. Such guidance 13
shall specify that the prospective payment sys-14
tem established by a State shall only apply to 15
the required items and services described in 16
paragraph (3)(B)(i) that are provided in ac-17
cordance with the requirements applicable 18
under this title to the provision of such services 19
to individuals who are eligible for medical as-20
sistance under the State plan under this title or 21
under a waiver of such plan. 22
‘‘(C) C
LARIFICATION REGARDING PAYMENT 23
FOR FURNISHING MEDICAL ASSISTANCE FOR 24
PRESCRIBED DRUGS OR COVERED OUTPATIENT 25
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DRUGS.—Statements that, with respect to the 1
provision of medical assistance for prescribed 2
drugs or covered outpatient drugs (as defined 3
in section 1927(k)) by a certified Health En-4
gagement Hub to individuals who are eligible 5
for medical assistance under the State plan 6
under this title or under a waiver of such plan 7
and in accordance with the requirements appli-8
cable under this title— 9
‘‘(i) the prospective payment system 10
established by a State for purposes of the 11
demonstration program shall not include 12
payment for such medical assistance (other 13
than with respect to the service of pro-14
viding a prescription or administering a 15
drug if needed); and 16
‘‘(ii) a certified Health Engagement 17
Hub that provides medical assistance for 18
prescribed drugs or covered outpatient 19
drugs (as so defined) shall not be pre-20
cluded from receiving payment under the 21
State plan under this title or under a waiv-22
er of such plan for the provision of such 23
medical assistance, that is in addition to, 24
and separate from, any payment made to 25
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the certified Health Engagement Hub 1
under such prospective payment system. 2
‘‘(D) E
LIGIBILITY OF AN INDIAN TRIBE , 3
TRIBAL ORGANIZATION, URBAN INDIAN ORGANI-4
ZATION, OR CONSORTIA.—Such requirements as 5
the Secretary determines appropriate for an In-6
dian Tribe or Tribal organization, (as such 7
terms are defined in section 4 of the Indian 8
Self-Determination and Education Assistance 9
Act), a tribal consortia, or an Urban Indian or-10
ganization (as defined in section 4 of the Indian 11
Health Care Improvement Act), to apply for, 12
and be selected to participate in, the dem-13
onstration program. To the extent practicable, 14
such requirements shall be similar to the re-15
quirements applicable to a State desiring to 16
participate in the demonstration program. 17
‘‘(3) C
RITERIA FOR CERTIFICATION OF HEALTH 18
ENGAGEMENT HUBS .— 19
‘‘(A) G
ENERAL REQUIREMENTS .—In order 20
to be certified as a Health Engagement Hub, 21
an organization shall satisfy the following re-22
quirements: 23
‘‘(i) The organization demonstrates 24
that the organization is equipped to serve 25
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individuals who are eligible for medical as-1
sistance under a State plan under this title 2
or under a waiver of such plan (including 3
individuals who are eligible for such assist-4
ance but are not enrolled in such State 5
plan or waiver), as well as uninsured indi-6
viduals (as defined in section 1902(ss)), 7
and provide such populations with access 8
to a range of social and medical services, 9
in a drop-in manner and without prior ap-10
pointment. 11
‘‘(ii) The organization provides (in a 12
manner reflecting person-centered care) 13
the services specified in subparagraph (B) 14
which, if not available directly through the 15
organization, are provided or referred 16
through partnerships or formal contracts 17
with other providers. 18
‘‘(iii) The organization demonstrates 19
that in selecting the location for the 20
Health Engagement Hub, the organization 21
prioritized placement in communities dis-22
proportionately impacted by overdose and 23
other harms related to substance use dis-24
order (as further defined by the Sec-25
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retary), including rural areas, geographi-1
cally isolated areas within the State, tribal 2
areas, urban centers with under-resourced 3
behavioral health infrastructure, commu-4
nities with significant numbers of individ-5
uals experiencing homelessness, and com-6
munities negatively impacted by the crimi-7
nal-legal system. 8
‘‘(iv) The organization uses evidence- 9
based models to increase engagement and 10
improve outcomes for individuals with 11
opioid use disorder or other substance use 12
disorders, such as social work empower-13
ment models, motivational interviewing 14
models, shared decision-making models, 15
and other evidence-based recovery and sup-16
port services. 17
‘‘(v) The organization demonstrates 18
that the organization is equipped to pro-19
vide— 20
‘‘(I) overdose education and dis-21
tribution of a drug or device approved 22
or cleared under the Federal Food, 23
Drug, and Cosmetic Act for emer-24
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gency reversal of known or suspected 1
opioid overdose (such as naloxone); 2
‘‘(II) safer substance use edu-3
cation and supplies; 4
‘‘(III) safer-sex supplies; 5
‘‘(IV) emotional support and 6
counseling services to reduce harms 7
associated with substance use, using a 8
trauma-informed approach; and 9
‘‘(V) access, within 4 hours of 10
the arrival of an individual with opioid 11
use disorder or other substance use 12
disorder at a Health Engagement 13
Hub, to drugs approved under section 14
505 of the Federal Food, Drug, and 15
Cosmetic Act and biological products 16
licensed under section 351 of the Pub-17
lic Health Service Act (42 U.S.C. 18
262) for treatment of opioid use dis-19
order or substance use disorder with a 20
strong evidence base of significantly 21
reducing mortality, directly or through 22
partnerships or formal contracts with 23
other providers in a manner that in-24
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sures consistency of care and care co-1
ordination. 2
‘‘(vi) The organization demonstrates 3
that the organization is equipped to pro-4
vide, as selected by the organization, 1 or 5
more services to address health-related so-6
cial needs, which may include— 7
‘‘(I) identification services (such 8
as assistance with obtaining a govern-9
ment-recognized form of identifica-10
tion); 11
‘‘(II) employment counseling; 12
‘‘(III) recovery support services, 13
including services that promote a 14
process of change through which indi-15
viduals improve their health and 16
wellness, live self-directed lives, and 17
strive to reach their full potential 18
through career, education, or commu-19
nity-building; 20
‘‘(IV) family reunification serv-21
ices, including services that help the 22
reunification of family members sepa-23
rated by the legal system or foster 24
system; and 25
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‘‘(V) criminal-legal services, in-1
cluding the provision of legal clinical 2
consultation, legal information and 3
advice, legal referrals, and legal advo-4
cacy or retainer. 5
‘‘(vii) The organization demonstrates 6
that the organization is equipped to 7
meet— 8
‘‘(I) the minimum staffing re-9
quirements described in subparagraph 10
(C); 11
‘‘(II) the experience requirement 12
described in subparagraph (D); and 13
‘‘(III) the community advisory 14
board requirement described in sub-15
paragraph (E). 16
‘‘(viii) The organization agrees to pro-17
vide services to an uninsured individual (as 18
defined in section 1902(ss)), with fees for 19
such services imposed on a sliding scale 20
basis that— 21
‘‘(I) is developed at the discretion 22
of a certified Health Engagement 23
Hub or the State; 24
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‘‘(II) is based on an individual’s 1
ability to pay; and 2
‘‘(III) provides that the organiza-3
tion shall not reject or limit services 4
on the basis of an individual’s ability 5
to pay or place of residence. 6
‘‘(B) S
COPE OF ITEMS AND SERVICES .— 7
The items and services specified in this sub-8
paragraph are the following, subject to the re-9
quirements applicable under this title to the 10
provision of such items and services: 11
‘‘(i) R
EQUIRED ITEMS AND SERVICES 12
PAID FOR THROUGH THE PROSPECTIVE 13
PAYMENT SYSTEM.— 14
‘‘(I) Harm reduction services and 15
supplies. 16
‘‘(II) Patient-centered and pa-17
tient-driven physical and behavioral 18
health care that has walk-in avail-19
ability, is offered during non-tradi-20
tional hours, including evenings and 21
weekends, and includes— 22
‘‘(aa) primary mental health 23
and substance use disorder serv-24
ices, as defined by the Secretary, 25
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including screening, assessment, 1
and referrals to higher levels of 2
care; 3
‘‘(bb) shared decision-mak-4
ing for patients and providers for 5
opioid use disorder or substance 6
use disorder under which a pa-7
tient and provider discuss the pa-8
tient’s diagnosis and condition 9
together and evaluate treatment 10
options together; 11
‘‘(cc) wound care and sup-12
plies; 13
‘‘(dd) infectious disease vac-14
cination, screening, testing, and, 15
to the extent practicable, treat-16
ment (including for HIV, sexually 17
transmitted infections, and hepa-18
titis); 19
‘‘(ee) sexual and reproduc-20
tive health services provided di-21
rectly or through partnerships or 22
formal contracts with other pro-23
viders; and 24
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‘‘(ff) secure medication stor-1
age and inventory policies and 2
procedures for patients experi-3
encing homelessness or housing 4
insecurity. 5
‘‘(III) Medication management, 6
as specified by the State, including 7
with respect to the types of conditions 8
for which medication management 9
must be at a minimum available. 10
‘‘(IV) Targeted case manage-11
ment. 12
‘‘(V) Peer support services. 13
‘‘(VI) Community health out-14
reach and navigation services, includ-15
ing services that guide patients 16
through social and health care sys-17
tems to connect with services and 18
service providers that the patients 19
need. 20
‘‘(ii) P
RESCRIBED DRUGS AND COV -21
ERED OUTPATIENT DRUGS PAID SEPARATE 22
FROM THE PROSPECTIVE PAYMENT SYS -23
TEM.—Directly or through partnerships or 24
formal contracts with other providers, pre-25
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scribed drugs and covered outpatient drugs 1
(as defined in section 1927(k)) for which 2
medical assistance is available under the 3
State plan under this title or under a waiv-4
er of such plan that are provided in ac-5
cordance with requirements applicable 6
under this title and, if applicable, a rebate 7
agreement in effect under section 1927. 8
‘‘(C) M
INIMUM STAFFING REQUIRE -9
MENTS.— 10
‘‘(i) I
N GENERAL.—The minimum 11
staffing requirements specified in this sub-12
paragraph are the following: 13
‘‘(I) At least 1 part-time or full- 14
time health care provider who is li-15
censed to practice in the State where 16
the Health Engagement Hub is lo-17
cated and is licensed, registered, or 18
otherwise permitted, by the United 19
States to prescribe controlled sub-20
stances (as defined in section 102 of 21
the Controlled Substances Act) in the 22
course of professional practice. 23
‘‘(II) At least 1 part-time or full- 24
time registered nurse or licensed prac-25
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tical nurse who can provide or super-1
vise staff providing medication man-2
agement, targeted case management, 3
wound care, and vaccine administra-4
tion. 5
‘‘(III) At least 1 part-time or 6
full-time licensed behavioral health 7
staff who is qualified to assess or pro-8
vide counseling about potential treat-9
ment options or about the need for 10
treatment. 11
‘‘(IV) At least 1 full-time equiva-12
lent staff who is a peer support spe-13
cialist, community health worker, or 14
recovery coach, with priority for hir-15
ing staff for such positions who are 16
individuals with lived and living expe-17
rience with substance use. 18
‘‘(V) Full-time outreach, engage-19
ment, and ongoing care navigation 20
staff, including peer support special-21
ists, community health workers, and 22
recovery coaches. At least 50 percent 23
of such staff shall be individuals with 24
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lived and living experience with sub-1
stance use. 2
‘‘(ii) S
TAFFING THROUGH CONTRAC -3
TUAL ARRANGEMENTS WITH PARTNER 4
AGENCIES.—An organization may enter 5
into a contractual arrangement with a 6
partner agency, such as a Federally-quali-7
fied health center, to satisfy the minimum 8
staffing requirements specified in clause (i) 9
with staff who are on-site at the Health 10
Engagement Hub. 11
‘‘(D) E
XPERIENCE.—An organization shall 12
have a demonstrated history of at least 12 13
months of providing opioid use disorder or sub-14
stance use disorder treatment services to indi-15
viduals. 16
‘‘(E) C
OMMUNITY ADVISORY BOARD .—An 17
organization shall have a community advisory 18
board composed of individuals with lived and 19
living experience with substance use that meets, 20
at a minimum— 21
‘‘(i) on a monthly basis, to review pro-22
gram utilization data and provide feedback 23
to the organization; and 24
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‘‘(ii) on a quarterly basis, with the ex-1
ecutives or board of directors of the orga-2
nization to provide input on service deliv-3
ery and receive feedback on actions taken 4
based on previous feedback provided by the 5
community advisory board. 6
‘‘(4) P
LANNING GRANTS ; ADMINISTRATION.— 7
There is appropriated, out of any funds in the 8
Treasury not otherwise appropriated, $60,000,000 9
to the Secretary for purposes of implementing, ad-10
ministering, and making planning grants to States 11
as soon as practicable for purposes of developing 12
proposals to participate in the demonstration pro-13
gram and obtaining technical assistance from the 14
Secretary with respect to the design and implemen-15
tation of the demonstration program, for expendi-16
tures attributable to collecting and reporting the in-17
formation and data required under paragraph 18
(6)(B), and for administrative expenses of the Sec-19
retary to carry out this subsection, to remain avail-20
able until expended. 21
‘‘(5) S
TATE DEMONSTRATION PROGRAMS .— 22
‘‘(A) I
N GENERAL.—Not later than 9 23
months after the date on which the Secretary 24
first awards a planning grant under paragraph 25
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(4), the Secretary shall solicit applications to 1
participate in the demonstration program solely 2
from States awarded such a grant. 3
‘‘(B) A
PPLICATION REQUIREMENTS .—An 4
application to participate in the demonstration 5
program shall include the following: 6
‘‘(i) A description of the target popu-7
lation (including the estimated number of 8
individuals in such population) to be served 9
by the State under the demonstration pro-10
gram. 11
‘‘(ii) An assurance that at least 50 12
percent of the Health Engagement Hubs 13
in the State shall be located in— 14
‘‘(I) a county (or municipality or 15
other unit of local government, if not 16
contained within any county) where 17
the mean drug overdose death rate 18
per 100,000 people over the past 3 19
years for which official data are avail-20
able from the State, is higher than 21
the most recent available national av-22
erage overdose death rate per 100,000 23
people over the past 3 years, as re-24
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ported by the Centers for Disease 1
Control and Prevention; or 2
‘‘(II) an area of the State that is 3
designated under section 332(a)(1)(A) 4
of the Public Health Service Act as a 5
mental health professional shortage 6
area. 7
‘‘(iii) A description of the prospective 8
payment system that is to be tested under 9
the demonstration program. 10
‘‘(iv) A list of the certified Health En-11
gagement Hubs located in the State that 12
will participate in the demonstration pro-13
gram. 14
‘‘(v) Verification that each such cer-15
tified Health Engagement Hub satisfies 16
the requirements described in paragraph 17
(3). 18
‘‘(vi) Verification that the State has 19
agreed to pay for the items and services 20
required to be paid for through the pro-21
spective payment system at the rate estab-22
lished under the prospective payment sys-23
tem. 24
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‘‘(vii) Any other information that the 1
Secretary may require relating to the dem-2
onstration program with respect to deter-3
mining the soundness of the proposed pro-4
spective payment system. 5
‘‘(C) S
ELECTION CRITERIA.— 6
‘‘(i) I
N GENERAL.—The Secretary 7
shall select from among the applications 8
submitted up to 10 States to participate in 9
the demonstration program. 10
‘‘(ii) P
RIORITY.—In selecting States 11
to participate in the demonstration pro-12
gram, the Secretary shall prioritize select-13
ing States— 14
‘‘(I) with the highest opioid- or 15
stimulant-involved overdose death 16
rates; and 17
‘‘(II) in a manner that ensures, 18
to the extent practicable, geographic 19
diversity across the United States. 20
‘‘(D) L
ENGTH OF DEMONSTRATION PRO -21
GRAMS.—A State selected to participate in the 22
demonstration program shall participate in the 23
program for a 5-year period. 24
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‘‘(E) WAIVER OF CERTAIN REQUIRE -1
MENTS.—The Secretary shall waive section 2
1902(a)(1) (relating to statewideness) and sec-3
tion 1902(a)(10)(B) (relating to comparability) 4
as may be necessary for a State to participate 5
in the demonstration program in accordance 6
with this paragraph. 7
‘‘(F) P
AYMENTS TO STATES.— 8
‘‘(i) I
N GENERAL.—For each quarter 9
occurring during the period for which the 10
demonstration program is conducted, the 11
Secretary shall pay a State participating in 12
the demonstration program an amount 13
equal to 90 percent (or, if higher, the Fed-14
eral medical assistance percentage other-15
wise applicable to the State and year under 16
section 1905 (without regard to this sub-17
paragraph)) of the amounts expended by 18
the State for the quarter for items and 19
services provided by certified Health En-20
gagement Hubs (directly or through part-21
nerships or formal contracts with other 22
providers) at the rate established under the 23
prospective payment system established by 24
the State for purposes of the demonstra-25
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tion program to individuals who are eligi-1
ble for, and enrolled under, the State plan 2
or under a waiver of such plan. 3
‘‘(ii) E
NSURING NO DUPLICATE PPS 4
PAYMENTS.—The guidance required under 5
paragraph (2)(B) shall include guidance on 6
how the Secretary will determine, if 2 or 7
more prospective payment systems may 8
apply to a service provided by a certified 9
Health Engagement Hub (directly or 10
through partnerships or formal contracts 11
with other providers) to an individual who 12
is eligible for, and enrolled under, the 13
State plan or under a waiver of such plan, 14
which prospective payment systems shall 15
apply for purposes of determining the 16
amount to be paid to a State for a quarter 17
under clause (i). 18
‘‘(iii) A
PPLICATION.—Payments made 19
to States made under this subparagraph 20
shall be considered to have been made 21
under, and are subject to, the requirements 22
of this section. 23
‘‘(6) R
EPORTS.— 24
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‘‘(A) INITIAL IMPLEMENTATION .—During 1
the first 2 years in which a State participates 2
in the demonstration program under paragraph 3
(5), the State shall submit to the Secretary 4
such information as the Secretary may require 5
relating to the implementation and initial oper-6
ation of the demonstration program. 7
‘‘(B) A
NNUAL STATE REPORTS .— 8
‘‘(i) I
N GENERAL.—Beginning with 9
the 3rd year in which a State participates 10
in the demonstration program under para-11
graph (5), the State shall submit an an-12
nual report to the Secretary on the dem-13
onstration program that includes the fol-14
lowing: 15
‘‘(I) An assessment of the extent 16
to which Health Engagement Hubs 17
funded under the demonstration pro-18
gram have increased access to treat-19
ment for opioid use disorder and other 20
substance use disorders, health serv-21
ices for individuals who use drugs, 22
and other social services under the 23
State’s plan under this title or under 24
a waiver of such plan in the area or 25
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areas of the State targeted by the 1
demonstration program, as compared 2
to other areas of the State. 3
‘‘(II) An assessment of the extent 4
to which Health Engagement Hubs 5
are reducing opioid and stimulant 6
overdose mortality rates and the rate 7
of adherence to prescribed medication 8
for opioid use, hospitalization rates, 9
recovery rates, and housing status for 10
the populations served by the Health 11
Engagement Hubs as compared to 12
populations that are not served by the 13
Health Engagement Hubs. 14
‘‘(III) Data and information 15
comparing for populations served by 16
the Health Engagement Hubs the ra-17
cial and socioeconomic demographics, 18
housing status, employment, and 19
other metrics, as recommended by the 20
Secretary, of such populations. 21
‘‘(IV) A description of the suc-22
cesses of the demonstration program. 23
‘‘(V) Recommendations for im-24
provements to the demonstration pro-25
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gram, including whether the dem-1
onstration program should be contin-2
ued, expanded, modified, or termi-3
nated. 4
‘‘(ii) D
ATA AVAILABILITY .—Each 5
State selected to participate in the dem-6
onstration program under paragraph (5) 7
shall agree, as a condition of such selec-8
tion, to cooperate with data collection for 9
purposes of the national implementation 10
evaluation under paragraph (7). 11
‘‘(iii) I
NFORMATION AND DATA COL -12
LECTION AND REPORTING EXPENDI -13
TURES.—From amounts made available 14
under paragraph (4)(A)(i), the Secretary 15
shall make payments to States for expendi-16
tures attributable to collecting and report-17
ing the information and data required 18
under this subparagraph. 19
‘‘(C) R
EPORTS TO CONGRESS AND THE 20
COMPTROLLER GENERAL .— 21
‘‘(i) I
N GENERAL.—Beginning with 22
the 3rd year in which a State participates 23
in the demonstration program under para-24
graph (5), the Secretary shall submit to 25
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Congress and the Comptroller General of 1
the United States, and make publicly avail-2
able, an annual report that describes the 3
information, findings, and recommenda-4
tions in the annual State reports submitted 5
to the Secretary under subparagraph (A). 6
‘‘(ii) I
MPLEMENTATION EVALUATION 7
RESULTS.—The Secretary shall include 8
with the first 3 annual reports submitted 9
by the Secretary under this subparagraph 10
the findings and conclusions of the na-11
tional implementation evaluation required 12
by paragraph (7). 13
‘‘(7) N
ATIONAL IMPLEMENTATION EVALUA -14
TION.— 15
‘‘(A) I
N GENERAL.—The Secretary shall 16
contract with an entity that meets the require-17
ments of subparagraph (B)(ii) to solicit public 18
input and conduct a national implementation 19
evaluation of the planning grants awarded 20
under paragraph (4) and the State demonstra-21
tion programs under paragraph (5) to deter-22
mine the reach, effectiveness, adoption, and im-23
plementation of the demonstration program in 24
each such State and to allow for a complete as-25
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sessment of the impact of Health Engagement 1
Hubs in each State participating in the dem-2
onstration program. 3
‘‘(B) R
EQUIREMENTS.— 4
‘‘(i) I
NFORMATION.—The evaluation 5
shall include information on the character-6
istics of the individuals who received serv-7
ices, service utilization metrics over time 8
(including by staff role), and input from 9
interviews with such individuals and staff. 10
‘‘(ii) E
LIGIBLE ENTITIES.—In order 11
to be eligible to conduct the evaluation, an 12
entity shall— 13
‘‘(I) have documented experience 14
conducting implementation evalua-15
tions of health and social services pro-16
grams; and 17
‘‘(II) satisfy such additional eligi-18
bility criteria as the Secretary may es-19
tablish.’’. 20
SEC. 3. GOVERNMENT ACCOUNTABILITY OFFICE REPORT. 21
Not later than 18 months after receipt of the annual 22
State reports and the findings and conclusions of the na-23
tional implementation evaluation under paragraph (6)(C) 24
of section 1903(cc) of the Social Security Act (as added 25
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by section 2), the Comptroller General of the United 1
States shall provide to the Committee on Finance of the 2
Senate and the Committee on Energy and Commerce of 3
the House of Representatives a report assessing the Sec-4
retary’s evaluation of the Health Engagement Hub Dem-5
onstration Program established under such section. 6
Æ
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