II 

116TH CONGRESS 

2D SESSION S. 4524 

To amend titles XIX and XXI of the Social Security Act to provide coverage 

of comprehensive tobacco cessation services under such titles, and for 

other purposes. 

IN THE SENATE OF THE UNITED STATES 

AUGUST 12, 2020 

Mr. CARPER introduced the following bill; which was read twice and referred 

to the Committee on Finance 

A BILL 

To amend titles XIX and XXI of the Social Security Act 

to provide coverage of comprehensive tobacco cessation 

services under such titles, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Quit Because of 

5 COVID–19 Act’’. 

6 SEC. 2. COVERAGE OF COMPREHENSIVE TOBACCO CES7 SATION SERVICES IN MEDICAID. 

8 (a) REQUIRING MEDICAID COVERAGE OF COUN9 SELING AND PHARMACOTHERAPY FOR CESSATION OF TOVerDate Sep 11 2014 01:41 Aug 28, 2020 Jkt 099200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S4524.IS S4524

pamtmann on DSKBC07HB2PROD with BILLS
2 

•S 4524 IS

1 BACCO USE AND DEPENDENCE.—Section 1905 of the So2 cial Security Act (42 U.S.C. 1396d) is amended— 

3 (1) in subsection (a)(4)— 

4 (A) by striking ‘‘and (D)’’ and inserting 

5 ‘‘(D)’’; and 

6 (B) by inserting before the semicolon at 

7 the end the following: ‘‘; and (E) counseling 

8 and pharmacotherapy for cessation of tobacco 

9 use and dependence by individuals who are eli10 gible under the State plan (as defined in sub11 section (gg)) during the period beginning on the 

12 first day of the emergency period described in 

13 section 1135(g)(1)(B) and ending on the last 

14 day of the 2-year period that begins with the 

15 day after the last day of such emergency pe16 riod’’; and 

17 (2) by adding at the end the following new sub18 section: 

19 ‘‘(gg) COUNSELING AND PHARMACOTHERAPY FOR

20 CESSATION OF TOBACCO USE AND DEPENDENCE.— 

21 ‘‘(1) IN GENERAL.—For purposes of this title, 

22 the term ‘counseling and pharmacotherapy for ces23 sation of tobacco use and dependence’ means diag24 nostic, therapy, and counseling services and 

25 pharmacotherapy (including the coverage of preVerDate Sep 11 2014 19:00 Aug 29, 2020 Jkt 099200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S4524.IS S4524

pamtmann on DSKBC07HB2PROD with BILLS
3 

•S 4524 IS

1 scription and nonprescription tobacco cessation 

2 agents approved by the Food and Drug Administra3 tion) for the cessation of tobacco use and depend4 ence by individuals who use tobacco products or who 

5 are being treated for tobacco use and dependence 

6 that are furnished— 

7 ‘‘(A) by or under the supervision of a phy8 sician; or 

9 ‘‘(B) by any other health care professional 

10 who— 

11 ‘‘(i) is legally authorized to furnish 

12 such services under State law (or the State 

13 regulatory mechanism provided by State 

14 law) of the State in which the services are 

15 furnished; and 

16 ‘‘(ii) is authorized to receive payment 

17 for other services under this title or is des18 ignated by the Secretary for this purpose. 

19 ‘‘(2) LIMITATION.—Such term is limited to— 

20 ‘‘(A) services that are recommended— 

21 ‘‘(i) in the guideline entitled, ‘Treat22 ing Tobacco Use and Dependence: 2008 

23 Update: A Clinical Practice Guideline’ pub24 lished by the Public Health Service in May 


pamtmann on DSKBC07HB2PROD with BILLS
4 

•S 4524 IS

1 2008 (or any subsequent modification of 

2 such guideline); or 

3 ‘‘(ii) for the cessation of tobacco use 

4 and dependence by the United States Pre5 ventive Services Task Force; or 

6 ‘‘(B) any additional interventions approved 

7 by the Food and Drug Administration as safe 

8 and effective in the cessation of tobacco use and 

9 dependence by individuals who use tobacco 

10 products or who are being treated for tobacco 

11 use and dependence.’’. 

12 (b) NO COST SHARING.— 

13 (1) IN GENERAL.—Subsections (a)(2) and 

14 (b)(2) of section 1916 of the Social Security Act (42 

15 U.S.C. 1396o) are each amended— 

16 (A) in subparagraph (F), by striking ‘‘or’’ 

17 at the end; 

18 (B) in subparagraph (G), by striking ‘‘; 

19 and’’ and inserting ‘‘, or’’; and 

20 (C) by adding at the end the following new 

21 subparagraph: 

22 ‘‘(H) counseling and pharmacotherapy for 

23 cessation of tobacco use and dependence (as de24 fined in section 1905(gg)) and covered out25 patient drugs (as defined in subsection (k)(2) of 


pamtmann on DSKBC07HB2PROD with BILLS
5 

•S 4524 IS

1 section 1927 and including nonprescription 

2 drugs described in subsection (d)(2) of such 

3 section) that are prescribed for purposes of pro4 moting, and when used to promote, tobacco ces5 sation in accordance with a guideline, rec6 ommendation, or approval specified in section 

7 1905(gg)(2) (as applicable) furnished during 

8 the period beginning on the first day of the 

9 emergency period described in section 

10 1135(g)(1)(B) and ending on the last day of 

11 the 2-year period that begins with the day after 

12 the last day of such emergency period; and’’. 

13 (2) APPLICATION TO ALTERNATIVE COST SHAR14 ING.—Section 1916A(b)(3)(B) of the Social Security 

15 Act (42 U.S.C. 1396o–1(b)(3)(B)) is amended by 

16 adding at the end the following new clause: 

17 ‘‘(xii) Counseling and 

18 pharmacotherapy for cessation of tobacco 

19 use and dependence (as defined in section 

20 1905(gg)) and covered outpatient drugs 

21 (as defined in subsection (k)(2) of section 

22 1927 and including nonprescription drugs 

23 described in subsection (d)(2) of such sec24 tion) that are prescribed for purposes of 

25 promoting, and when used to promote, toVerDate Sep 11 2014 01:41 Aug 28, 2020 Jkt 099200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S4524.IS S4524

pamtmann on DSKBC07HB2PROD with BILLS
6 

•S 4524 IS

1 bacco cessation in accordance with a guide2 line, recommendation, or approval specified 

3 in section 1905(gg)(2) (as applicable) fur4 nished during the period beginning on the 

5 first day of the emergency period described 

6 in section 1135(g)(1)(B) and ending on 

7 the last day of the 2-year period that be8 gins with the day after the last day of such 

9 emergency period.’’. 

10 (c) EXCEPTION FROM OPTIONAL RESTRICTION

11 UNDER MEDICAID PRESCRIPTION DRUG COVERAGE.— 

12 Section 1927(d)(2)(F) of the Social Security Act (42 

13 U.S.C. 1396r–8(d)(2)(F)) is amended to read as follows: 

14 ‘‘(F) Nonprescription drugs, except, in the 

15 case of pregnant women (and, during the period 

16 beginning on the first day of the emergency pe17 riod described in section 1135(g)(1)(B) and 

18 ending on the last day of the 2-year period that 

19 begins with the day after the last day of such 

20 emergency period, other individuals who use to21 bacco products or are being treated for tobacco 

22 use and dependence), when recommended in ac23 cordance with the guideline specified in section 

24 1905(bb)(2)(A) (or in accordance with a guide25 line, recommendation, or approval specified in 


pamtmann on DSKBC07HB2PROD with BILLS
7 

•S 4524 IS

1 section 1905(gg)(2), if applicable), agents ap2 proved by the Food and Drug Administration 

3 under the over-the-counter monograph process 

4 for purposes of promoting, and when used to 

5 promote, tobacco cessation.’’. 

6 (d) STATE MONITORING AND PROMOTING OF COM7 PREHENSIVE TOBACCO CESSATION SERVICES UNDER

8 MEDICAID.—Section 1902(a) of the Social Security Act 

9 (42 U.S.C. 1396a) is amended— 

10 (1) in paragraph (85), by striking at the end 

11 ‘‘and’’; 

12 (2) in paragraph (86), by striking the period at 

13 the end and inserting ‘‘; and’’; and 

14 (3) by inserting after paragraph (86) the fol15 lowing new paragraph: 

16 ‘‘(87) during the period beginning on the first 

17 day of the emergency period described in section 

18 1135(g)(1)(B) and ending on the last day of the 2- 

19 year period that begins with the day after the last 

20 day of such emergency period, provide that the State 

21 will monitor and promote the use of comprehensive 

22 tobacco cessation services under the State plan (in23 cluding by conducting an outreach campaign to in24 crease awareness of the benefits of using such serv25 ices) among— 


pamtmann on DSKBC07HB2PROD with BILLS
8 

•S 4524 IS

1 ‘‘(A) individuals entitled to medical assist2 ance under the State plan who use tobacco 

3 products; and 

4 ‘‘(B) clinicians and others who provide 

5 services to individuals entitled to medical assist6 ance under the State plan.’’. 

7 (e) FEDERAL REIMBURSEMENT FOR COVERAGE OF

8 TOBACCO CESSATION SERVICES AND OUTREACH CAM9 PAIGN.— 

10 (1) COVERAGE OF TOBACCO CESSATION SERV11 ICES.—Section 1905 of the Social Security Act (42 

12 U.S.C. 1396d), as amended by subsection (a), is 

13 amended— 

14 (A) in subsection (b), by striking ‘‘and 

15 (ff)’’ and inserting ‘‘(ff), and (gg)(3)’’; and 

16 (B) in subsection (gg), as added by sub17 section (a), by adding at the end the following 

18 new paragraph: 

19 ‘‘(3) INCREASED FMAP.—Notwithstanding sub20 section (b), the Federal medical assistance percent21 age for a State, with respect to amounts expended 

22 by such State for medical assistance furnished dur23 ing the emergency period described in section 

24 1135(g)(1)(B) for counseling and pharmacotherapy 


pamtmann on DSKBC07HB2PROD with BILLS
9 

•S 4524 IS

1 for cessation of tobacco use and dependence by eligi2 ble individuals, shall be equal to 100 percent.’’. 

3 (2) OUTREACH CAMPAIGN.—Section 1903(a) of 

4 the Social Security Act (42 U.S.C 1396b(a)) is 

5 amended— 

6 (A) by striking the period at the end of 

7 paragraph (7) and inserting ‘‘; plus’’; and 

8 (B) by inserting after paragraph (7) the 

9 following new paragraph: 

10 ‘‘(8) an amount equal to 100 percent of the 

11 sums expended in a quarter that occurs during the 

12 emergency period described in section 1135(g)(1)(B) 

13 which are attributable to the development, imple14 mentation, and evaluation of the outreach campaign 

15 required under section 1902(a)(87).’’. 

16 (f) NO PRIOR AUTHORIZATION FOR TOBACCO CES17 SATION DRUGS UNDER MEDICAID.—Section 1927(d) of 

18 the Social Security Act (42 U.S.C. 1396r–8(d)) is amend19 ed— 

20 (1) in paragraph (1)(A), by striking ‘‘A State’’ 

21 and inserting ‘‘Subject to paragraph (8), a State’’; 

22 and 

23 (2) by adding at the end the following new 

24 paragraph: 


pamtmann on DSKBC07HB2PROD with BILLS
10 

•S 4524 IS

1 ‘‘(8) NO PRIOR AUTHORIZATION PROGRAMS FOR

2 TOBACCO CESSATION DRUGS.—During the period be3 ginning on the first day of the emergency period de4 scribed in section 1135(g)(1)(B) and ending on the 

5 last day of the 2-year period after the last day of 

6 such emergency period, a State plan may not re7 quire, as a condition of coverage or payment for a 

8 covered outpatient drug that is an agent to promote 

9 smoking cessation (including agents approved by the 

10 Food and Drug Administration) or tobacco ces11 sation, the approval of such drug before its dis12 pensing.’’. 

13 (g) EXCLUSION OF ENHANCED PAYMENTS FROM

14 TERRITORIAL CAPS.—Notwithstanding any other provi15 sion of law, for purposes of section 1108 of the Social Se16 curity Act (42 U.S.C. 1308), with respect to any addi17 tional amount paid to a territory as a result of the applica18 tion of paragraph (8) of section 1903(a) or subsection 

19 (gg)(3) of section 1905 of the Social Security Act (42 

20 U.S.C. 1396b(a), 1396d)— 

21 (1) the limitation on payments to territories 

22 under subsections (f) and (g) of such section 1108 

23 shall not apply to such additional amounts; and 

24 (2) such additional amounts shall be dis25 regarded in applying such subsections. 


pamtmann on DSKBC07HB2PROD with BILLS
11 

•S 4524 IS

1 SEC. 3. COVERAGE OF COMPREHENSIVE TOBACCO CES2 SATION SERVICES IN CHIP. 

3 (a) REQUIRING CHIP COVERAGE OF COUNSELING

4 AND PHARMACOTHERAPY FOR CESSATION OF TOBACCO

5 USE AND DEPENDENCE.— 

6 (1) IN GENERAL.—Section 2103(c)(2) of the 

7 Social Security Act (42 U.S.C. 1397cc(c)(2)) is 

8 amended by adding at the end the following new 

9 subparagraph: 

10 ‘‘(D) Counseling and pharmacotherapy for 

11 cessation of tobacco use and dependence by in12 dividuals who are eligible under the State child 

13 health plan during the period beginning on the 

14 first day of the emergency period described in 

15 section 1135(g)(1)(B) and ending on the last 

16 day of the 2-year period that begins with the 

17 day after the last day of such emergency pe18 riod.’’. 

19 (2) COUNSELING AND PHARMACOTHERAPY FOR

20 CESSATION OF TOBACCO USE AND DEPENDENCE DE21 FINED.—Section 2110(c) of the Social Security Act 

22 (42 U.S.C. 1397jj(c)) is amended by adding at the 

23 end the following new paragraph: 

24 ‘‘(10) COUNSELING AND PHARMACOTHERAPY

25 FOR CESSATION OF TOBACCO USE AND DEPEND26 ENCE.— 


pamtmann on DSKBC07HB2PROD with BILLS
12 

•S 4524 IS

1 ‘‘(A) IN GENERAL.—The term ‘counseling 

2 and pharmacotherapy for cessation of tobacco 

3 use and dependence’ means diagnostic, therapy, 

4 and counseling services and pharmacotherapy 

5 (including the coverage of prescription and non6 prescription tobacco cessation agents approved 

7 by the Food and Drug Administration) for the 

8 cessation of tobacco use and dependence by in9 dividuals who use tobacco products or who are 

10 being treated for tobacco use and dependence 

11 that are furnished— 

12 ‘‘(i) by or under the supervision of a 

13 physician; or 

14 ‘‘(ii) by any other health care profes15 sional who— 

16 ‘‘(I) is legally authorized to fur17 nish such services under State law (or 

18 the State regulatory mechanism pro19 vided by State law) of the State in 

20 which the services are furnished; and 

21 ‘‘(II) is authorized to receive pay22 ment for other services under this title 

23 or is designated by the Secretary for 

24 this purpose. 


pamtmann on DSKBC07HB2PROD with BILLS
13 

•S 4524 IS

1 ‘‘(B) LIMITATION.—Such term is limited 

2 to— 

3 ‘‘(i) services that are recommended— 

4 ‘‘(I) in the guideline entitled, 

5 ‘Treating Tobacco Use and Depend6 ence: 2008 Update: A Clinical Prac7 tice Guideline’ published by the Public 

8 Health Service in May 2008 (or any 

9 subsequent modification of such 

10 guideline); or 

11 ‘‘(II) for the cessation of tobacco 

12 use and dependence by the United 

13 States Preventive Services Task 

14 Force; or 

15 ‘‘(ii) any additional interventions ap16 proved by the Food and Drug Administra17 tion as safe and effective in the cessation 

18 of tobacco use and dependence by individ19 uals who use tobacco products or who are 

20 being treated for tobacco use and depend21 ence.’’. 

22 (b) NO COST SHARING.—Section 2103(e) of the So23 cial Security Act (42 U.S.C. 1397cc(e)) is amended by 

24 adding at the end the following new paragraph: 


pamtmann on DSKBC07HB2PROD with BILLS
14 

•S 4524 IS

1 ‘‘(5) NO COST SHARING ON BENEFITS FOR

2 COUNSELING AND PHARMACOTHERAPY FOR CES3 SATION OF TOBACCO USE AND DEPENDENCE.—The 

4 State child health plan may not impose deductibles, 

5 coinsurance, or other cost sharing with respect to 

6 benefits for counseling and pharmacotherapy for ces7 sation of tobacco use and dependence (as defined in 

8 section 2110(c)(10)) and prescription drugs that are 

9 covered under a State child health plan that are pre10 scribed for purposes of promoting tobacco cessation 

11 in accordance with a guideline, recommendation, or 

12 approval specified in section 2110(c)(10)(B) fur13 nished during the period beginning on the first day 

14 of the emergency period described in section 

15 1135(g)(1)(B) and ending on the last day of the 2- 

16 year period that begins with the day after the last 

17 day of such emergency period.’’. 

18 (c) EXCEPTION FROM OPTIONAL RESTRICTION

19 UNDER CHIP PRESCRIPTION DRUG COVERAGE.—Section 

20 2103 of the Social Security Act (42 U.S.C. 1397cc) is 

21 amended by adding at the end the following new sub22 section: 

23 ‘‘(g) EXCEPTION FROM OPTIONAL RESTRICTION

24 UNDER CHIP PRESCRIPTION DRUG COVERAGE.—The 


pamtmann on DSKBC07HB2PROD with BILLS
15 

•S 4524 IS

1 State child health plan may exclude or otherwise restrict 

2 nonprescription drugs, except— 

3 ‘‘(1) in the case of pregnant women, when rec4 ommended in accordance with a guideline, rec5 ommendation, or approval specified in section 

6 2110(c)(10)(B), agents approved by the Food and 

7 Drug Administration under the over-the-counter 

8 monograph process for purposes of promoting, and 

9 when used to promote, tobacco cessation; and 

10 ‘‘(2) in the case of individuals who are eligible 

11 under the State child health plan, when rec12 ommended in accordance with a guideline, rec13 ommendation, or approval specified in section 

14 2110(c)(10)(B) referred to in section 

15 2110(c)(10)(B), agents approved by the Food and 

16 Drug Administration under the over-the-counter 

17 monograph process for purposes of promoting, and 

18 when used to promote, tobacco cessation during the 

19 period beginning on the first day of the emergency 

20 period described in section 1135(g)(1)(B) and end21 ing on the last day of the 2-year period that begins 

22 on the day after the last day of such emergency pe23 riod.’’. 

24 (d) STATE MONITORING AND PROMOTING OF COM25 PREHENSIVE TOBACCO CESSATION SERVICES UNDER


pamtmann on DSKBC07HB2PROD with BILLS
16 

•S 4524 IS

1 CHIP.—Section 2102 of the Social Security Act (42 

2 U.S.C. 1397bb) is amended by adding at the end the fol3 lowing new subsection: 

4 ‘‘(d) STATE MONITORING AND PROMOTING OF COM5 PREHENSIVE TOBACCO CESSATION SERVICES UNDER

6 CHIP.—A State child health plan shall include a descrip7 tion of the procedures to be used by the State during the 

8 period beginning on the first day of the emergency period 

9 described in section 1135(g)(1)(B) and ending on the last 

10 day of the 2-year period after the last day of such emer11 gency period to monitor and promote the use of com12 prehensive tobacco cessation services under the State plan 

13 (including conducting an outreach campaign to increase 

14 awareness of the benefits of using such services) among— 

15 ‘‘(1) individuals entitled to child health assist16 ance under the State child health plan who use to17 bacco products; and 

18 ‘‘(2) clinicians and others who provide services 

19 to individuals entitled to child health assistance 

20 under the State child health plan.’’. 

21 (e) FEDERAL REIMBURSEMENT FOR CHIP COV22 ERAGE AND OUTREACH CAMPAIGN.—Section 2105(a) of 

23 the Social Security Act (42 U.S.C. 1397ee(a)) is amended 

24 by adding at the end the following new paragraph: 


pamtmann on DSKBC07HB2PROD with BILLS
17 

•S 4524 IS

1 ‘‘(5) FEDERAL REIMBURSEMENT FOR CHIP

2 COVERAGE OF COMPREHENSIVE TOBACCO CES3 SATION SERVICES AND OUTREACH CAMPAIGN.—In 

4 addition to the payments made under paragraph (1) 

5 (and, in the case of a payment that may be made 

6 both under paragraph (1) and under this paragraph, 

7 instead of a payment under paragraph (1)), for the 

8 period beginning on the first day of the emergency 

9 period described in section 1135(g)(1)(B) and end10 ing on the last day of the 2-year period that begins 

11 on the day after the last day of such emergency pe12 riod, the Secretary shall pay— 

13 ‘‘(A) an amount equal to 100 percent of 

14 the sums expended during each quarter which 

15 are attributable to the cost of furnishing coun16 seling and pharmacotherapy for cessation of to17 bacco use and dependence by individuals who 

18 are eligible under the State child health plan; 

19 plus 

20 ‘‘(B) an amount equal to 100 percent of 

21 the sums expended during each quarter which 

22 are attributable to the development, implemen23 tation, and evaluation of an outreach campaign 

24 to— 


pamtmann on DSKBC07HB2PROD with BILLS
18 

•S 4524 IS

1 ‘‘(i) increase awareness of comprehen2 sive tobacco cessation services covered in 

3 the State child health plan among— 

4 ‘‘(I) individuals who are likely to 

5 be eligible for medical assistance 

6 under the State child health plan; and 

7 ‘‘(II) clinicians and others who 

8 provide services to individuals who are 

9 likely to be eligible for medical assist10 ance under the State child health 

11 plan; and 

12 ‘‘(ii) increase awareness of the bene13 fits of using comprehensive tobacco ces14 sation services covered in the State child 

15 health plan among— 

16 ‘‘(I) individuals who are likely to 

17 be eligible for medical assistance 

18 under the State child health plan; and 

19 ‘‘(II) clinicians and others who 

20 provide services to individuals who are 

21 likely to be eligible for medical assist22 ance under the State child health plan 

23 about the benefits of using com24 prehensive tobacco cessation serv25 ices.’’. 


pamtmann on DSKBC07HB2PROD with BILLS
19 

•S 4524 IS

1 (f) NO PRIOR AUTHORIZATION FOR TOBACCO CES2 SATION DRUGS UNDER CHIP.—Section 2103 of the So3 cial Security Act (42 U.S.C. 1397cc), as amended by sub4 section (c), is further amended— 

5 (1) in subsection (c)(2)(A), by inserting ‘‘(in ac6 cordance with subsection (h))’’ after ‘‘Coverage of 

7 prescription drugs’’; and 

8 (2) by adding at the end the following new sub9 section: 

10 ‘‘(h) NO PRIOR AUTHORIZATION PROGRAMS FOR TO11 BACCO CESSATION DRUGS.—During the period beginning 

12 on the first day of the emergency period described in sec13 tion 1135(g)(1)(B) and ending on the last day of the 2- 

14 year period that begins with the day after the last day 

15 of such emergency period, a State child health plan may 

16 not require, as a condition of coverage or payment for a 

17 prescription drug that is an agent to promote smoking ces18 sation (including agents approved by the Food and Drug 

19 Administration) or tobacco cessation, the approval of such 

20 drug before its dispensing.’’. 

21 SEC. 4. CONFORMING AMENDMENTS. 

22 Title XIX of the Social Security Act (42 U.S.C. 1396 

23 et seq.) is amended in each of sections 1905(a)(4)(D), 

24 1905(bb)(1), 1905(bb)(2)(B), 1916(a)(2)(B), 

25 1916(b)(2)(B), and 1916A(b)(3)(B)(iii) by striking ‘‘toVerDate Sep 11 2014 01:41 Aug 28, 2020 Jkt 099200 PO 00000 Frm 00019 Fmt 6652 Sfmt 6201 E:\BILLS\S4524.IS S4524

pamtmann on DSKBC07HB2PROD with BILLS
20 

•S 4524 IS

1 bacco use’’ each place it appears and inserting ‘‘tobacco 

2 use and dependence’’. 

3 SEC. 5. RULE OF CONSTRUCTION. 

4 None of the amendments made by this Act shall be 

5 construed to limit coverage of any counseling or 

6 pharmacotherapy for individuals under 18 years of age. 

Æ 


pamtmann on DSKBC07HB2PROD with BILLS