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Union Calendar No. 565 

115TH CONGRESS 

2D SESSION H. R. 5789 

[Report No. 115–730] 

To amend title XIX of the Social Security Act to provide for Medicaid 

coverage protections for pregnant and post-partum women while receiving 

inpatient treatment for a substance use disorder, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 15, 2018 

Mr. FOSTER (for himself and Mr. GUTHRIE) introduced the following bill; 

which was referred to the Committee on Energy and Commerce 

JUNE 12, 2018 

Additional sponsors: Mrs. BLACKBURN, Mr. WALDEN, and Ms. HERRERA

BEUTLER

JUNE 12, 2018 

Reported with amendments, committed to the Committee of the Whole House 

on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on May 15, 2018] 


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•HR 5789 RH

A BILL 

To amend title XIX of the Social Security Act to provide 

for Medicaid coverage protections for pregnant and postpartum women while receiving inpatient treatment for 

a substance use disorder, and for other purposes. 


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•HR 5789 RH

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

3 SECTION 1. GUIDANCE TO IMPROVE CARE FOR INFANTS 

4 WITH NEONATAL ABSTINENCE SYNDROME 

5 AND THEIR MOTHERS; GAO STUDY ON GAPS 

6 IN MEDICAID COVERAGE FOR PREGNANT AND 

7 POSTPARTUM WOMEN WITH SUBSTANCE USE 

8 DISORDER. 

9 (a) GUIDANCE.—Not later than one year after the date 

10 of the enactment of this Act, the Secretary of Health and 

11 Human Services shall issue guidance to improve care for 

12 infants with neonatal abstinence syndrome and their moth13 ers. Such guidance shall include— 

14 (1) the types of services, including post-discharge 

15 services and parenting supports, for mothers and fa16 thers of babies with neonatal abstinence syndrome 

17 that States may cover under the Medicaid program 

18 under title XIX of the Social Security Act; 

19 (2) best practices from States with respect to in20 novative or evidenced-based payment models that 

21 focus on prevention, screening, treatment, plans of 

22 safe care, and post-discharge services for mothers and 

23 fathers with substance use disorders and babies with 

24 neonatal abstinence syndrome that improve care and 

25 clinical outcomes; 


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1 (3) recommendations for States on available fi2 nancing options under the Medicaid program under 

3 title XIX of such Act and under the Children’s Health 

4 Insurance Program under title XXI of such Act for 

5 Children’s Health Insurance Program Health Services 

6 Initiative funds for parents with substance use dis7 orders, infants with neonatal abstinence syndrome, 

8 and home visiting services; and 

9 (4) guidance and technical assistance to State 

10 Medicaid agencies regarding additional flexibilities 

11 and incentives related to screening, prevention, and 

12 post-discharge services, including parenting supports, 

13 under contracts with medicaid managed care organi14 zations. 

15 (b) GAO STUDY.—Not later than one year after the 

16 date of the enactment of this Act, the Comptroller General 

17 of the United States shall conduct a study, and submit to 

18 Congress a report, addressing gaps in coverage for pregnant 

19 women with substance use disorder under the Medicaid pro20 gram under title XIX of the Social Security Act, and gaps 

21 in coverage for postpartum women with substance use dis22 order who had coverage during their pregnancy under the 

23 Medicaid program under such title. 

Amend the title so as to read: ‘‘A bill to require the 

Secretary of Health and Human Services to issue guidance to improve care for infants with neonatal abstinence 


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•HR 5789 RH

syndrome and their mothers, and require the Comptroller 

General of the United States to conduct a study on gaps 

in Medicaid coverage for pregnant and postpartum 

women with substance use disorder.’’. 


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Union Calendar No. 565 

115TH CONGRESS 

2D SESSION H. R. 5789 

[Report No. 115–730] 

A BILL 

To amend title XIX of the Social Security Act to 

and for other purposes. inpatient treatment for a substance use disorder, pregnant and post-partum women while receiving provide for Medicaid coverage protections for 

JUNE 12, 2018 

Reported with amendments, committed to the Committee 

dered to be printed of the Whole House on the State of the Union, and orVerDate Sep 11 2014 01:05 Jun 13, 2018 Jkt 079200 PO 00000 Frm 00006 Fmt 6651 Sfmt 6651 E:\BILLS\H5789.RH H5789

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