IB 
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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A BILL 
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. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. GUIDANCE TO IMPROVE CARE FOR INFANTS 
WITH NEONATAL ABSTINENCE SYNDROME 
AND THEIR MOTHERS; GAO STUDY ON GAPS 
IN MEDICAID COVERAGE FOR PREGNANT AND 
POSTPARTUM WOMEN WITH SUBSTANCE USE 
DISORDER. 
(a) GUIDANCE.—Not later than one year after the date 
of the enactment of this Act, the Secretary of Health and 
Human Services shall issue guidance to improve care for 
infants with neonatal abstinence syndrome and their moth-
ers. Such guidance shall include— 
(1) the types of services, including post-discharge 
services and parenting supports, for mothers and fa-
thers of babies with neonatal abstinence syndrome 
that States may cover under the Medicaid program 
under title XIX of the Social Security Act; 
(2) best practices from States with respect to in-
novative or evidenced-based payment models that 
focus on prevention, screening, treatment, plans of 
safe care, and post-discharge services for mothers and 
fathers with substance use disorders and babies with 
neonatal abstinence syndrome that improve care and 
clinical outcomes; 
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(3) recommendations for States on available fi-
nancing options under the Medicaid program under 
title XIX of such Act and under the Children’s Health 
Insurance Program under title XXI of such Act for 
Children’s Health Insurance Program Health Services 
Initiative funds for parents with substance use dis-
orders, infants with neonatal abstinence syndrome, 
and home visiting services; and 
(4) guidance and technical assistance to State 
Medicaid agencies regarding additional flexibilities 
and incentives related to screening, prevention, and 
post-discharge services, including parenting supports, 
under contracts with medicaid managed care organi-
zations. 
(b) GAO STUDY.—Not later than one year after the 
date of the enactment of this Act, the Comptroller General 
of the United States shall conduct a study, and submit to 
Congress a report, addressing gaps in coverage for pregnant 
women with substance use disorder under the Medicaid pro-
gram under title XIX of the Social Security Act, and gaps 
in coverage for postpartum women with substance use dis-
order who had coverage during their pregnancy under the 
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 guid-
ance to improve care for infants with neonatal abstinence 
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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 
provide for Medicaid coverage protections for 
pregnant and post-partum women while receiving 
inpatient treatment for a substance use disorder, 
and for other purposes. 
JUNE 12, 2018 
Reported with amendments, committed to the Committee 
of the Whole House on the State of the Union, and or-
dered to be printed 
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01:05 Jun 13, 2018
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PO 00000
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