I 
115TH CONGRESS 
2D SESSION 
H. R. 6778 
To require the Secretary of Health and Human Services to provide guidance 
to States regarding Federal reimbursement for furnishing services and 
treatment for substance use disorders under Medicaid using telehealth 
services. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 12, 2018 
Mr. BEN RAY LUJA´N of New Mexico introduced the following bill; which was 
referred to the Committee on Energy and Commerce 
A BILL 
To require the Secretary of Health and Human Services 
to provide guidance to States regarding Federal reim-
bursement for furnishing services and treatment for sub-
stance use disorders under Medicaid using telehealth 
services. 
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 ‘‘Medicaid Substance 
Use Disorder Treatment via Telehealth Act’’. 
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SEC. 2. GUIDANCE TO STATES REGARDING FEDERAL REIM-
BURSEMENT 
FOR 
FURNISHING 
SERVICES 
AND TREATMENT FOR SUBSTANCE USE DIS-
ORDERS 
UNDER 
MEDICAID 
USING 
TELE-
HEALTH SERVICES, INCLUDING IN SCHOOL- 
BASED HEALTH CENTERS. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Secretary of Health and 
Human Services, acting through the Administrator of the 
Centers for Medicare & Medicaid Services, shall issue 
guidance to States on the following: 
(1) State options for Federal reimbursement of 
expenditures under Medicaid for furnishing services 
and treatment for substance use disorders, including 
assessment, medication-assisted treatment, coun-
seling, medication management, and medication ad-
herence with prescribed medication regimes, using 
telehealth services. Such guidance shall also include 
guidance on furnishing services and treatments that 
address the needs of high-risk individuals, including 
at least the following groups: 
(A) American Indians and Alaska Natives. 
(B) Adults under the age of 40. 
(C) Individuals with a history of nonfatal 
overdose. 
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(D) Individuals with a co-occurring serious 
mental illness and substance use disorder. 
(2) State options for Federal reimbursement of 
expenditures under Medicaid for education directed 
to providers serving Medicaid beneficiaries with sub-
stance use disorders using the hub and spoke model, 
through contracts with managed care entities, 
through administrative claiming for disease manage-
ment activities, and under Delivery System Reform 
Incentive Payment (‘‘DSRIP’’) programs. 
(3) State options for Federal reimbursement of 
expenditures under Medicaid for furnishing services 
and treatment for substance use disorders for indi-
viduals enrolled in Medicaid in a school-based health 
center using telehealth services. 
(b) DEFINITIONS.—In this Act: 
(1) SCHOOL-BASED
HEALTH
CENTER.—The 
term ‘‘school-based health center’’ has the meaning 
given that term in section 2110(c)(9) of the Social 
Security Act (42 U.S.C. 1397jj(c)(9)). 
(2) TELEHEALTH SERVICES.—The term ‘‘tele-
health services’’ includes remote patient monitoring 
and other key modalities such as live video or syn-
chronous telehealth, store-and-forward or asyn-
chronous telehealth, mobile health, telephonic con-
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sultation, and electronic consult including provider- 
to-provider e-consults. 
Æ 
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