II 

115TH CONGRESS 

2D SESSION S. 2912 

To require the Secretary of Health and Human Services to publish data 

related to the prevalence of substance use disorders in the Medicaid 

beneficiary population and the treatment of substance use disorders 

under Medicaid, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MAY 22, 2018 

Mr. CASSIDY (for himself, Mr. MENENDEZ, Mr. GRASSLEY, and Mr. WARNER) 

introduced the following bill; which was read twice and referred to the 

Committee on Finance 

A BILL 

To require the Secretary of Health and Human Services 

to publish data related to the prevalence of substance 

use disorders in the Medicaid beneficiary population and 

the treatment of substance use disorders under Medicaid, 

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 ‘‘Opioid Addiction 

5 Treatment Programs Enhancement Act’’. 


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1 SEC. 2. T–MSIS SUBSTANCE USE DISORDER DATA BOOK. 

2 (a) IN GENERAL.—Not later than the date that is 

3 12 months after the date of enactment of this Act, the 

4 Secretary of Health and Human Services (in this section 

5 referred to as the ‘‘Secretary’’) shall publish on the public 

6 website of the Centers for Medicare & Medicaid Services 

7 a report with comprehensive data on the prevalence of sub8 stance use disorders in the Medicaid beneficiary popu9 lation and services provided for the treatment of substance 

10 use disorders under Medicaid. 

11 (b) CONTENT OF REPORT.—The report required 

12 under subsection (a) shall include, at a minimum, the fol13 lowing data for each State (including, to the extent avail14 able, for the District of Columbia, Puerto Rico, the Virgin 

15 Islands, Guam, the Northern Mariana Islands, and Amer16 ican Samoa): 

17 (1) The number and percentage of individuals 

18 enrolled in the State Medicaid plan or waiver of such 

19 plan in each of the major enrollment categories (as 

20 defined in a public letter from the Medicaid and 

21 CHIP Payment and Access Commission to the Sec22 retary) who have been diagnosed with a substance 

23 use disorder and whether such individuals are en24 rolled under the State Medicaid plan or a waiver of 

25 such plan, including the specific waiver authority 


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1 under which they are enrolled, to the extent avail2 able. 

3 (2) A list of the substance use disorder treat4 ment services by each major type of service, such as 

5 counseling, medication assisted treatment, peer sup6 port, residential treatment, and inpatient care, for 

7 which beneficiaries in each State received at least 1 

8 service under the State Medicaid plan or a waiver of 

9 such plan. 

10 (3) The number and percentage of individuals 

11 with a substance use disorder diagnosis enrolled in 

12 the State Medicaid plan or waiver of such plan who 

13 received substance use disorder treatment services 

14 under such plan or waiver by each major type of 

15 service under paragraph (2) within each major set16 ting type, such as outpatient, inpatient, residential, 

17 and other home and community-based settings. 

18 (4) The number of services provided under the 

19 State Medicaid plan or waiver of such plan per indi20 vidual with a substance use disorder diagnosis en21 rolled in such plan or waiver for each major type of 

22 service under paragraph (2). 

23 (5) The number and percentage of individuals 

24 enrolled in the State Medicaid plan or waiver, by 


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1 major enrollment category, who received substance 

2 use disorder treatment through— 

3 (A) a medicaid managed care entity (as de4 fined in section 1932(a)(1)(B) of the Social Se5 curity Act (42 U.S.C. 1396u–2(a)(1)(B))), in6 cluding the number of such individuals who re7 ceived such assistance through a prepaid inpa8 tient health plan or a prepaid ambulatory 

9 health plan; 

10 (B) a fee-for-service payment model; or 

11 (C) an alternative payment model, to the 

12 extent available. 

13 (6) The number and percentage of individuals 

14 with a substance use disorder who receive substance 

15 use disorder treatment services in an outpatient or 

16 home and community-based setting after receiving 

17 treatment in an inpatient or residential setting, and 

18 the number of services received by such individuals 

19 in the outpatient or home and community-based set20 ting. 

21 (c) ANNUAL UPDATES.—The Secretary shall issue an 

22 updated version of the report required under subsection 

23 (a) not later than January 1 of each calendar year 

24 through 2024. 


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1 (d) USE OF T–MSIS DATA.—The report required 

2 under subsection (a) and updates required under sub3 section (c) shall— 

4 (1) use data and definitions from the Trans5 formed Medicaid Statistical Information System 

6 (‘‘T–MSIS’’) data set that is no more than 12 

7 months old on the date that the report or update is 

8 published; and 

9 (2) as appropriate, include a description with 

10 respect to each State of the quality and complete11 ness of the data and caveats describing the limita12 tions of the data reported to the Secretary by the 

13 State that is sufficient to communicate the appro14 priate uses for the information. 

15 SEC. 3. MAKING T–MSIS DATA ON SUBSTANCE USE DIS16 ORDERS AVAILABLE TO RESEARCHERS. 

17 (a) IN GENERAL.—The Secretary of Health and 

18 Human Services (referred to in this section as the ‘‘Sec19 retary’’) shall publish in the Federal Register a system 

20 of records notice for the data specified in subsection (b) 

21 for the Transformed Medicaid Statistical Information Sys22 tem, in accordance with section 552a(e)(4) of title 5, 

23 United States Code. The notice shall outline policies that 

24 protect the security and privacy of the data that, at a minVerDate Sep 11 2014 00:10 May 30, 2018 Jkt 079200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\S2912.IS S2912

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1 imum, meet the security and privacy policies of SORN 09– 

2 70–0541 for the Medicaid Statistical Information System. 

3 (b) REQUIRED DATA.—The data covered by the sys4 tems of records notice required under subsection (a) shall 

5 be sufficient for researchers and States to analyze the 

6 prevalence of substance use disorders in the Medicaid ben7 eficiary population and the treatment of substance use dis8 orders under Medicaid across all States (including the Dis9 trict of Columbia, Puerto Rico, the Virgin Islands, Guam, 

10 the Northern Mariana Islands, and American Samoa), 

11 forms of treatment, and treatment settings. 

12 (c) INITIATION OF DATA-SHARING ACTIVITIES.—Not 

13 later than January 1, 2019, the Secretary shall initiate 

14 the data-sharing activities outlined in the notice required 

15 under subsection (a). 

Æ 


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