carry out activities that increase the availability and ca-
pacity of the behavioral health workforce. Such activities 
may include providing loan repayment assistance for sub-
stance abuse treatment providers. 
SEC. 107. ADMINISTRATION FOR CHILDREN AND FAMILIES. 
Of the funds made available pursuant to section 
101(d)(6) for each of fiscal years 2020 through 2024— 
(1) $25,000,000 for each such fiscal year shall 
be for the Secretary of Health and Human Services 
to carry out title I of the Child Abuse Prevention 
and Treatment Act (42 U.S.C. 5101 et seq.); and 
(2) $25,000,000 for each such fiscal year shall 
be for the Secretary of Health and Human Services 
to carry out title II of such Act (42 U.S.C. 5116 et 
seq.). 
TITLE II—ADDITIONAL INVEST-
MENTS 
IN 
EXISTING 
PRO-
GRAMS TO RESPOND TO THE 
OPIOID EPIDEMIC 
SEC. 201. INCREASE IN FUNDING FOR REGIONAL PARTNER-
SHIP GRANTS. 
Section 436 of the Social Security Act (42 U.S.C. 
629f) is amended— 
(1) 
in 
subsection 
(a), 
by 
striking 
‘‘$345,000,000 for each of fiscal years 2017 through 
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2021’’ and inserting ‘‘$385,000,000 for each of fis-
cal years 2018 through 2024’’; and 
(2) in subsection (b)— 
(A) in paragraph (4)(A), by striking ‘‘2017 
through 2021’’ and inserting ‘‘2018 through 
2024’’; and 
(B) 
in 
paragraph 
(5), 
by 
striking 
‘‘$20,000,000 for each of fiscal years 2017 
through 2021’’ and inserting ‘‘$60,000,000 for 
each of fiscal years 2018 through 2024’’. 
SEC. 202. ACCOUNT FOR THE STATE AND TRIBAL RE-
SPONSE TO THE OPIOID ABUSE CRISIS. 
Section 1003(h) of the 21st Century Cures Act (42 
U.S.C. 
290ee–3 
note) 
is 
amended 
by 
striking 
‘‘$500,000,000 for each of fiscal years 2019 through 
2021’’ and inserting ‘‘$500,000,000 for fiscal years 2019 
and $3,750,000,000 for each of fiscal years 2020 through 
2023’’. 
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TITLE III—EXPANDING ACCESS 
TO TREATMENT SERVICES 
SEC. 301. ELIMINATING TIME LIMITATION FOR NURSE 
PRACTITIONERS, CLINICAL NURSE SPECIAL-
ISTS, CERTIFIED REGISTERED NURSE ANES-
THETISTS, CERTIFIED NURSE MIDWIVES, AND 
PHYSICIAN ASSISTANTS TO BE QUALIFYING 
PRACTITIONERS. 
Section 303(g)(2)(G)(iii)(III) of the Controlled Sub-
stances Act (21 U.S.C. 823(g)(2)(G)(iii)(III)) is amended 
by striking ‘‘for the period beginning on October 1, 2018, 
and ending on October 1, 2023,’’. 
SEC. 302. COVERAGE OF METHADONE UNDER MEDICARE 
PART B. 
(a) COVERAGE.—Section 1861(s)(2) of the Social Se-
curity Act (42 U.S.C. 1395x(s)(2)) is amended— 
(1) by striking ‘‘and’’ at the end of subpara-
graph (GG); 
(2) by adding ‘‘and’’ at the end of subpara-
graph (HH); and 
(3) by inserting after subparagraph (HH) the 
following new subparagraph: 
‘‘(II) methadone, if furnished or dispensed 
(including by prescription) in an oral form on 
or after January 1, 2019, to an individual for 
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the purpose of maintenance or detoxification 
treatment by a physician or other practitioner 
who has in effect a registration or waiver under 
section 303(g) of such Act (21 U.S.C. 823(g)) 
to dispense methadone for such purpose;’’. 
(b) PAYMENT.— 
(1) IN CONNECTION WITH PHYSICIAN AND SUP-
PLIER SERVICE.—Section 1842(o)(1) of the Social 
Security Act (42 U.S.C. 1395u(o)(1)) is amended by 
adding at the end the following new subparagraph: 
‘‘(H) In the case of methadone (as de-
scribed in section 1861(s)(2)(II)), the amount 
provided under section 1847A for such drug.’’. 
(2) 
COVERED
OPD
SERVICE.—Section 
1833(t)(1)(B)(iii) of the Social Security Act (42 
U.S.C. 1395l(t)(1)(B)(iii)) is amended by inserting 
‘‘and methadone described in paragraph (2)(II) of 
such section’’ after ‘‘section 1861(s)’’. 
(c) BUDGET NEUTRALITY.—The Secretary of Health 
and Human Services shall implement the amendments 
made by this section in a manner such that— 
(1) estimated expenditures under the physician 
fee schedule under section 1848 of the Social Secu-
rity Act (42 U.S.C. 1395w–4) with application of 
such amendments are equal to estimated expendi-
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tures under such schedule without application of 
such amendments; and 
(2) estimated expenditures under the prospec-
tive payment system under section 1833(t) of the 
Social Security Act (42 U.S.C. 1395l(t)) with appli-
cation of such amendments made by this section are 
equal to estimated expenditures under such system 
without application of such amendments. 
Æ 
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