of section 202(c) of the Controlled Substances Act, or any 
combination thereof, as specified by the State.’’. 
(b) 
GUIDANCE
ON
AT-RISK
POPULATION 
TRANSITIONING BETWEEN MEDICAID FFS AND MAN-
AGED CARE.—Not later than October 1, 2019, the Sec-
retary of Health and Human Services shall issue guidance 
for State Medicaid programs, with respect to individuals 
who are enrolled under a State plan (or waiver of such 
plan) under title XIX of the Social Security Act and under 
a drug management program, for purposes of providing 
best practices— 
(1) for transitioning, as applicable, such indi-
viduals from fee-for-service Medicaid (and such a 
program operated by the State) to receiving medical 
assistance under such title through a managed care 
entity (as defined in section 1932(a)(1)(B) of the 
Social Security Act) with a contract that with the 
State pursuant to section 1903(m) of such Act (and 
such a program operated by such entity); and 
(2) for transitioning, as applicable, such indi-
viduals from receiving medical assistance under such 
title through a managed care entity (as defined in 
section 1932(a)(1)(B) of the Social Security Act) 
with a contract that with the State pursuant to sec-
tion 1903(m) of such Act (and such a program oper-
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lotter on DSKBCFDHB2PROD with BILLS
ated by such entity) to fee-for-service Medicaid (and 
such a program operated by the State). 
(c) 
GUIDANCE
ON
AT-RISK
POPULATION 
TRANSITIONING TO MEDICARE.— 
(1) IN GENERAL.—Not later than January 1, 
2020, the Secretary of Health and Human Services, 
after consultation with the Federal Coordinated 
Health Care Office established under section 2602 
of the Patient Protection and Affordable Care Act 
(42 U.S.C. 1315b), shall issue guidance for State 
Medicaid programs, with respect to transitioning in-
dividuals, providing for— 
(A) notification to be submitted by the 
State to the Centers for Medicare & Medicaid 
Services and such individuals of the status of 
such individuals as transitioning individuals; 
(B) notification to such individuals about 
enrollment under a prescription drug plan 
under part D of such title or under a MA–PD 
plan under part C of such title; 
(C) best practices for transitioning such in-
dividuals to such a plan; and 
(D) best practices for coordination between 
the qualified drug management program (as de-
scribed in section 1927A(b) of the Social Secu-
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lotter on DSKBCFDHB2PROD with BILLS
rity Act, as added by subsection (a)) carried out 
by the State and a drug management program 
carried out under such a plan pursuant to sec-
tion 1860D–4(c)(5) of the Social Security Act 
(42 U.S.C. 1395w–10(c)(5)). 
(2) TRANSITIONING
INDIVIDUALS.—For pur-
poses of paragraph (1), a transitioning individual is 
an individual who, with respect to a month— 
(A) is enrolled under the State plan (or 
waiver of the State plan) and under the quali-
fied drug management program (as described in 
section 1927A(b) of the Social Security Act, as 
added by subsection (a)) carried out by the 
State; and 
(B) is expected to become eligible for the 
Medicare program under title XVIII of such 
Act during the subsequent 12-month period. 
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Union Calendar No. 561 
115TH CONGRESS 
2D SESSION 
H. R. 5808 
[Report No. 115–726] 
A BILL 
To amend title XIX of the Social Security Act to 
require States to operate drug management pro-
grams for at-risk beneficiaries, and for other pur-
poses. 
JUNE 12, 2018 
Committed to the Committee of the Whole House on the 
State of the Union and ordered to be printed 
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