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 com-
mittee concerned 
A BILL 
To amend title XVIII of the Social Security Act to expand 
access under the Medicare program to addiction treat-
ment in Federally qualified health centers and rural 
health clinics. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Expanding Access to 
Treatment Act’’. 
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SEC. 2. EXPANDING ACCESS UNDER THE MEDICARE PRO-
GRAM TO ADDICTION TREATMENT IN FEDER-
ALLY QUALIFIED HEALTH CENTERS AND 
RURAL HEALTH CLINICS. 
(a) FEDERALLY QUALIFIED HEALTH CENTERS.— 
Section 1834(o) of the Social Security Act (42 U.S.C. 
1395m(o)) is amended by adding at the end the following 
new paragraph: 
‘‘(3) ADDITIONAL
PAYMENTS
FOR
CERTAIN 
FQHCS WITH PRACTITIONERS RECEIVING DATA 2000 
CERTIFICATION.— 
‘‘(A) IN GENERAL.—In the case of a Fed-
erally qualified health center with respect to 
which, beginning January 1, 2019, Federally- 
qualified health center services (as defined in 
section 1861(aa)(3)) are furnished by a health 
care practitioner who first receives on or after 
such date a registration or waiver under section 
303(g) of the Controlled Substances Act to pre-
scribe or dispense methadone, buprenorphine, 
or suboxone for the purpose of maintenance or 
detoxification treatment, the Secretary shall, 
subject to availability of funds under subpara-
graph (B), make a payment (in accordance with 
such timing, method, and procedures as speci-
fied by the Secretary) to such Federally quali-
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fied health center in an amount determined by 
the Secretary, based on an approximation of the 
cost to receive training for purposes of such 
registration or waiver, as applicable. For pur-
poses of the previous sentence, a Federally- 
qualified health center shall apply for a pay-
ment described in such sentence at such time 
and in such manner as specified by the Sec-
retary and may apply for such a payment for 
each practitioner furnishing such services at 
such center who is described in such sentence. 
‘‘(B) FUNDING.—For purposes of making 
payments under this paragraph, there are ap-
propriated, out of amounts in the Treasury not 
otherwise appropriated, $6,000,000, which shall 
remain available until expended.’’. 
(b) RURAL HEALTH CLINIC.—Section 1833 of the 
Social Security Act (42 U.S.C. 1395l) is amended— 
(1) by redesignating the subsection (z) relating 
to medical review of spinal subluxation services as 
subsection (aa); and 
(2) by adding at the end the following new sub-
section: 
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‘‘(bb) ADDITIONAL PAYMENTS FOR CERTAIN RURAL 
HEALTH
CLINICS
WITH
PRACTITIONERS
RECEIVING 
DATA 2000 CERTIFICATION.— 
‘‘(1) IN
GENERAL.—In the case of a rural 
health clinic with respect to which, beginning Janu-
ary 1, 2019, rural health clinic services (as defined 
in section 1861(aa)(1)) are furnished by a health 
care practitioner who first receives on or after such 
date a registration or waiver under section 303(g) of 
the Controlled Substances Act to prescribe or dis-
pense methadone, buprenorphine, or suboxone for 
the purpose of maintenance or detoxification treat-
ment, the Secretary shall, subject to availability of 
funds under subparagraph (B), make a payment (in 
accordance with such timing, method, and proce-
dures as specified by the Secretary) to such rural 
health clinic in an amount determined by the Sec-
retary, based on an approximation of the cost to re-
ceive training for purposes of such registration or 
waiver, as applicable. For purposes of the previous 
sentence, a rural health clinic shall apply for a pay-
ment described in such sentence at such time and in 
such manner as specified by the Secretary and may 
apply for such a payment for each practitioner fur-
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nishing such services at such clinic who is described 
in such sentence. 
‘‘(2) FUNDING.—For purposes of making pay-
ments under this subsection, there are appropriated, 
out of amounts in the Treasury not otherwise appro-
priated, $2,000,000, which shall remain available 
until expended.’’. 
Æ 
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