I 

115TH CONGRESS 

2D SESSION H. R. 5769 

To amend title XVIII of the Social Security Act to expand access under 

the Medicare program to addiction treatment in Federally qualified health 

centers and rural health clinics. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 10, 2018 

Mr. ROTHFUS (for himself and Mr. DANNY K. DAVIS of Illinois) introduced 

the following bill; which was referred to the Committee on Energy and 

Commerce, and in addition to the Committee on Ways and Means, for 

a period to be subsequently determined by the Speaker, in each case for 

consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To amend title XVIII of the Social Security Act to expand 

access under the Medicare program to addiction treatment in Federally qualified health centers and rural 

health clinics. 

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 ‘‘Expanding Access to 

5 Treatment Act’’. 


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1 SEC. 2. EXPANDING ACCESS UNDER THE MEDICARE PRO2 GRAM TO ADDICTION TREATMENT IN FEDER3 ALLY QUALIFIED HEALTH CENTERS AND 

4 RURAL HEALTH CLINICS. 

5 (a) FEDERALLY QUALIFIED HEALTH CENTERS.— 

6 Section 1834(o) of the Social Security Act (42 U.S.C. 

7 1395m(o)) is amended by adding at the end the following 

8 new paragraph: 

9 ‘‘(3) ADDITIONAL PAYMENTS FOR CERTAIN

10 FQHCS WITH PRACTITIONERS RECEIVING DATA 2000

11 CERTIFICATION.— 

12 ‘‘(A) IN GENERAL.—In the case of a Fed13 erally qualified health center with respect to 

14 which, beginning January 1, 2019, Federally15 qualified health center services (as defined in 

16 section 1861(aa)(3)) are furnished by a health 

17 care practitioner who first receives on or after 

18 such date a registration or waiver under section 

19 303(g) of the Controlled Substances Act to pre20 scribe or dispense methadone, buprenorphine, 

21 or suboxone for the purpose of maintenance or 

22 detoxification treatment, the Secretary shall, 

23 subject to availability of funds under subpara24 graph (B), make a payment (in accordance with 

25 such timing, method, and procedures as speci26 fied by the Secretary) to such Federally qualiVerDate Sep 11 2014 02:35 May 30, 2018 Jkt 079200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H5769.IH H5769

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1 fied health center in an amount determined by 

2 the Secretary, based on an approximation of the 

3 cost to receive training for purposes of such 

4 registration or waiver, as applicable. For pur5 poses of the previous sentence, a Federally6 qualified health center shall apply for a pay7 ment described in such sentence at such time 

8 and in such manner as specified by the Sec9 retary and may apply for such a payment for 

10 each practitioner furnishing such services at 

11 such center who is described in such sentence. 

12 ‘‘(B) FUNDING.—For purposes of making 

13 payments under this paragraph, there are ap14 propriated, out of amounts in the Treasury not 

15 otherwise appropriated, $6,000,000, which shall 

16 remain available until expended.’’. 

17 (b) RURAL HEALTH CLINIC.—Section 1833 of the 

18 Social Security Act (42 U.S.C. 1395l) is amended— 

19 (1) by redesignating the subsection (z) relating 

20 to medical review of spinal subluxation services as 

21 subsection (aa); and 

22 (2) by adding at the end the following new sub23 section: 


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1 ‘‘(bb) ADDITIONAL PAYMENTS FOR CERTAIN RURAL

2 HEALTH CLINICS WITH PRACTITIONERS RECEIVING

3 DATA 2000 CERTIFICATION.— 

4 ‘‘(1) IN GENERAL.—In the case of a rural 

5 health clinic with respect to which, beginning Janu6 ary 1, 2019, rural health clinic services (as defined 

7 in section 1861(aa)(1)) are furnished by a health 

8 care practitioner who first receives on or after such 

9 date a registration or waiver under section 303(g) of 

10 the Controlled Substances Act to prescribe or dis11 pense methadone, buprenorphine, or suboxone for 

12 the purpose of maintenance or detoxification treat13 ment, the Secretary shall, subject to availability of 

14 funds under subparagraph (B), make a payment (in 

15 accordance with such timing, method, and proce16 dures as specified by the Secretary) to such rural 

17 health clinic in an amount determined by the Sec18 retary, based on an approximation of the cost to re19 ceive training for purposes of such registration or 

20 waiver, as applicable. For purposes of the previous 

21 sentence, a rural health clinic shall apply for a pay22 ment described in such sentence at such time and in 

23 such manner as specified by the Secretary and may 

24 apply for such a payment for each practitioner furVerDate Sep 11 2014 02:35 May 30, 2018 Jkt 079200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H5769.IH H5769

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1 nishing such services at such clinic who is described 

2 in such sentence. 

3 ‘‘(2) FUNDING.—For purposes of making pay4 ments under this subsection, there are appropriated, 

5 out of amounts in the Treasury not otherwise appro6 priated, $2,000,000, which shall remain available 

7 until expended.’’. 

Æ 


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