H. R. 6—28 
Commission shall make publicly available a report containing the 
results of the study conducted under subsection (a). 
SEC. 1015. OPIOID ADDICTION TREATMENT PROGRAMS ENHANCE-
MENT. 
(a) T–MSIS SUBSTANCE USE DISORDER DATA BOOK.— 
(1) IN GENERAL.—Not later than the date that is 12 months 
after the date of enactment of this Act, the Secretary of Health 
and Human Services (in this section referred to as the ‘‘Sec-
retary’’) shall publish on the public website of the Centers 
for Medicare & Medicaid Services a report with comprehensive 
data on the prevalence of substance use disorders in the Med-
icaid beneficiary population and services provided for the treat-
ment of substance use disorders under Medicaid. 
(2) CONTENT OF REPORT.—The report required under para-
graph (1) shall include, at a minimum, the following data 
for each State (including, to the extent available, for the District 
of Columbia, Puerto Rico, the United States Virgin Islands, 
Guam, the Northern Mariana Islands, and American Samoa): 
(A) The number and percentage of individuals enrolled 
in the State Medicaid plan or waiver of such plan in each 
of the major enrollment categories (as defined in a public 
letter from the Medicaid and CHIP Payment and Access 
Commission to the Secretary) who have been diagnosed 
with a substance use disorder and whether such individuals 
are enrolled under the State Medicaid plan or a waiver 
of such plan, including the specific waiver authority under 
which they are enrolled, to the extent available. 
(B) A list of the substance use disorder treatment 
services by each major type of service, such as counseling, 
medication-assisted treatment, peer support, residential 
treatment, and inpatient care, for which beneficiaries in 
each State received at least 1 service under the State 
Medicaid plan or a waiver of such plan. 
(C) The number and percentage of individuals with 
a substance use disorder diagnosis enrolled in the State 
Medicaid plan or waiver of such plan who received sub-
stance use disorder treatment services under such plan 
or waiver by each major type of service under subparagraph 
(B) within each major setting type, such as outpatient, 
inpatient, residential, and other home-based and commu-
nity-based settings. 
(D) The number of services provided under the State 
Medicaid plan or waiver of such plan per individual with 
a substance use disorder diagnosis enrolled in such plan 
or waiver for each major type of service under subpara-
graph (B). 
(E) The number and percentage of individuals enrolled 
in the State Medicaid plan or waiver, by major enrollment 
category, who received substance use disorder treatment 
through— 
(i) a medicaid managed care entity (as defined 
in section 1932(a)(1)(B) of the Social Security Act (42 
U.S.C. 1396u–2(a)(1)(B))), including the number of such 
individuals who received such assistance through a 
prepaid inpatient health plan or a prepaid ambulatory 
health plan;
H. R. 6—29 
(ii) a fee-for-service payment model; or 
(iii) an alternative payment model, to the extent 
available. 
(F) The number and percentage of individuals with 
a substance use disorder who receive substance use dis-
order treatment services in an outpatient or home-based 
and community-based setting after receiving treatment in 
an inpatient or residential setting, and the number of serv-
ices received by such individuals in the outpatient or home- 
based and community-based setting. 
(3) ANNUAL
UPDATES.—The Secretary shall issue an 
updated version of the report required under paragraph (1) 
not later than January 1 of each calendar year through 2024. 
(4) USE OF T–MSIS DATA.—The report required under para-
graph (1) and updates required under paragraph (3) shall— 
(A) use data and definitions from the Transformed 
Medicaid Statistical Information System (‘‘T–MSIS’’) data 
set that is no more than 12 months old on the date that 
the report or update is published; and 
(B) as appropriate, include a description with respect 
to each State of the quality and completeness of the data 
and caveats describing the limitations of the data reported 
to the Secretary by the State that is sufficient to commu-
nicate the appropriate uses for the information. 
(b) MAKING T–MSIS DATA
ON SUBSTANCE USE DISORDERS 
AVAILABLE TO RESEARCHERS.— 
(1) IN GENERAL.—The Secretary shall publish in the Federal 
Register a system of records notice for the data specified in 
paragraph (2) for the Transformed Medicaid Statistical 
Information System, in accordance with section 552a(e)(4) of 
title 5, United States Code. The notice shall outline policies 
that protect the security and privacy of the data that, at a 
minimum, meet the security and privacy policies of SORN 
09–70–0541 for the Medicaid Statistical Information System. 
(2) REQUIRED DATA.—The data covered by the systems of 
records notice required under paragraph (1) shall be sufficient 
for researchers and States to analyze the prevalence of sub-
stance use disorders in the Medicaid beneficiary population 
and the treatment of substance use disorders under Medicaid 
across all States (including the District of Columbia, Puerto 
Rico, the United States Virgin Islands, Guam, the Northern 
Mariana Islands, and American Samoa), forms of treatment, 
and treatment settings. 
(3) INITIATION OF DATA-SHARING ACTIVITIES.—Not later than 
January 1, 2019, the Secretary shall initiate the data-sharing 
activities outlined in the notice required under paragraph (1). 
SEC. 1016. BETTER DATA SHARING TO COMBAT THE OPIOID CRISIS. 
(a) IN GENERAL.—Section 1903(m) of the Social Security Act 
(42 U.S.C. 1396b(m)), as amended by section 1013, is further 
amended by adding at the end the following new paragraph: 
‘‘(8)(A) The State agency administering the State plan under 
this title may have reasonable access, as determined by the State, 
to 1 or more prescription drug monitoring program databases 
administered or accessed by the State to the extent the State 
agency is permitted to access such databases under State law.
H. R. 6—30 
‘‘(B) Such State agency may facilitate reasonable access, as 
determined by the State, to 1 or more prescription drug monitoring 
program databases administered or accessed by the State, to same 
extent that the State agency is permitted under State law to access 
such databases, for— 
‘‘(i) any provider enrolled under the State plan to provide 
services to Medicaid beneficiaries; and 
‘‘(ii) any managed care entity (as defined under section 
1932(a)(1)(B)) that has a contract with the State under this 
subsection or under section 1905(t)(3). 
‘‘(C) Such State agency may share information in such data-
bases, to the same extent that the State agency is permitted under 
State law to share information in such databases, with— 
‘‘(i) any provider enrolled under the State plan to provide 
services to Medicaid beneficiaries; and 
‘‘(ii) any managed care entity (as defined under section 
1932(a)(1)(B)) that has a contract with the State under this 
subsection or under section 1905(t)(3).’’. 
(b) SECURITY AND PRIVACY.—All applicable State and Federal 
security and privacy protections and laws shall apply to any State 
agency, individual, or entity accessing 1 or more prescription drug 
monitoring program databases or obtaining information in such 
databases in accordance with section 1903(m)(8) of the Social Secu-
rity Act (as added by subsection (a)). 
(c) EFFECTIVE DATE.—The amendment made by subsection (a) 
shall take effect on the date of enactment of this Act. 
SEC. 1017. REPORT ON INNOVATIVE STATE INITIATIVES AND STRATE-
GIES TO PROVIDE HOUSING-RELATED SERVICES AND 
SUPPORTS TO INDIVIDUALS STRUGGLING WITH SUB-
STANCE USE DISORDERS UNDER MEDICAID. 
(a) IN GENERAL.—Not later than 1 year after the date of enact-
ment of this Act, the Secretary of Health and Human Services 
shall issue a report to Congress describing innovative State initia-
tives and strategies for providing housing-related services and sup-
ports under a State Medicaid program to individuals with substance 
use disorders who are experiencing or at risk of experiencing 
homelessness. 
(b) CONTENT OF REPORT.—The report required under subsection 
(a) shall describe the following: 
(1) Existing methods and innovative strategies developed 
and adopted by State Medicaid programs that have achieved 
positive outcomes in increasing housing stability among Med-
icaid beneficiaries with substance use disorders who are experi-
encing or at risk of experiencing homelessness, including Med-
icaid beneficiaries with substance use disorders who are— 
(A) receiving treatment for substance use disorders 
in inpatient, residential, outpatient, or home-based and 
community-based settings; 
(B) transitioning between substance use disorder treat-
ment settings; or 
(C) living in supportive housing or another model of 
affordable housing. 
(2) Strategies employed by Medicaid managed care 
organizations, primary care case managers, hospitals, account-
able care organizations, and other care coordination providers
H. R. 6—31 
to deliver housing-related services and supports and to coordi-
nate services provided under State Medicaid programs across 
different treatment settings. 
(3) Innovative strategies and lessons learned by States 
with Medicaid waivers approved under section 1115 or 1915 
of the Social Security Act (42 U.S.C. 1315, 1396n), including— 
(A) challenges experienced by States in designing, 
securing, and implementing such waivers or plan amend-
ments; 
(B) how States developed partnerships with other 
organizations such as behavioral health agencies, State 
housing agencies, housing providers, health care services 
agencies and providers, community-based organizations, 
and health insurance plans to implement waivers or State 
plan amendments; and 
(C) how and whether States plan to provide Medicaid 
coverage for housing-related services and supports in the 
future, including by covering such services and supports 
under State Medicaid plans or waivers. 
(4) Existing opportunities for States to provide housing- 
related services and supports through a Medicaid waiver under 
sections 1115 or 1915 of the Social Security Act (42 U.S.C. 
1315, 1396n) or through a State Medicaid plan amendment, 
such as the Assistance in Community Integration Service pilot 
program, which promotes supportive housing and other 
housing-related supports under Medicaid for individuals with 
substance use disorders and for which Maryland has a waiver 
approved under such section 1115 to conduct the program. 
(5) Innovative strategies and partnerships developed and 
implemented by State Medicaid programs or other entities to 
identify and enroll eligible individuals with substance use dis-
orders who are experiencing or at risk of experiencing homeless-
ness in State Medicaid programs. 
SEC. 1018. TECHNICAL ASSISTANCE AND SUPPORT FOR INNOVATIVE 
STATE STRATEGIES TO PROVIDE HOUSING-RELATED SUP-
PORTS UNDER MEDICAID. 
(a) IN GENERAL.—The Secretary of Health and Human Services 
shall provide technical assistance and support to States regarding 
the development and expansion of innovative State strategies 
(including through State Medicaid demonstration projects) to pro-
vide housing-related supports and services and care coordination 
services under Medicaid to individuals with substance use disorders. 
(b) REPORT.—Not later than 180 days after the date of enact-
ment of this Act, the Secretary shall issue a report to Congress 
detailing a plan of action to carry out the requirements of subsection 
(a). 
TITLE II—MEDICARE PROVISIONS TO 
ADDRESS THE OPIOID CRISIS 
SEC. 2001. EXPANDING THE USE OF TELEHEALTH SERVICES FOR THE 
TREATMENT OF OPIOID USE DISORDER AND OTHER SUB-
STANCE USE DISORDERS. 
(a) IN GENERAL.—Section 1834(m) of the Social Security Act 
(42 U.S.C. 1395m(m)) is amended—