erwise applicable under parts B and D of 
title XVIII (including as such parts are ap-
plied under part C of such title) for the 
following items and services that are other-
wise covered under such parts: 
‘‘(I) Drugs and biologicals pre-
scribed or furnished to treat opioid 
use disorders or reverse overdose. 
‘‘(II) Behavioral health services 
furnished for the treatment of opioid 
use disorders. 
‘‘(III) Recovery support services 
to maintain a healthy lifestyle fol-
lowing opioid misuse treatment, such 
as peer counseling and transportation. 
‘‘(ii) SELECTION OF SITES.—The CMI 
shall select 15 States in which to conduct 
the model under this subparagraph. A 
State shall meet each of the following cri-
teria in order to be selected under the pre-
ceding sentence: 
‘‘(I) The State has a high pro-
portion of Medicare beneficiaries. 
‘‘(II) The State has a high rate 
of overdose deaths due to opioids. 
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‘‘(III) The State has a significant 
percentage of rural areas. 
‘‘(iii) TERMINATION
AND
MODIFICA-
TION
PROVISION
NOT
APPLICABLE
FOR 
FIRST FIVE YEARS OF THE MODEL.—The 
provisions of paragraph (3)(B) shall apply 
to the model under this subparagraph be-
ginning on the date that is five years after 
such model is implemented, but shall not 
apply to such model prior to such date.’’. 
SEC. 3. COVERAGE OF OPIOID TREATMENTS. 
Title XXVII of the Public Health Service Act is 
amended by inserting after section 2719A (42 U.S.C. 
300gg–19a) the following: 
‘‘SEC. 2720. COVERAGE OF OPIOID TREATMENTS. 
‘‘A group health plan and a health insurance issuer 
offering group or individual health insurance coverage 
shall, at a minimum, provide coverage for and shall not 
impose any cost-sharing requirements for— 
‘‘(1) prescription drugs for the treatment of 
opioid use disorders or to reverse overdose; 
‘‘(2) behavioral health services for the treat-
ment of opioid use disorders; or 
‘‘(3) recovery support services that are provided 
in conjunction with medication-assisted treatment 
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for an opioid use disorder, such as peer counseling 
and transportation, to support the enrollee in main-
taining a healthy lifestyle following opioid misuse 
treatment.’’. 
SEC. 4. ENHANCED FEDERAL MATCH FOR MEDICATION-AS-
SISTED TREATMENT AND RECOVERY SUP-
PORT SERVICES UNDER MEDICAID. 
(a) IN GENERAL.—Section 1905(b) of the Social Se-
curity Act (42 U.S.C. 1396d(b)) is amended by adding 
at the end the following: ‘‘Notwithstanding the first sen-
tence of this subsection, the Federal medical assistance 
percentage shall be 90 percent with respect to amounts 
expended during the period described in subsection (a)(29) 
by a State that is one of the 50 States or the District 
of Columbia as medical assistance for medication-assisted 
treatment (as defined in subsection (ee)(1)).’’. 
(b) STATE OPTION TO PROVIDE RECOVERY SUP-
PORT SERVICES
AS PART
OF MEDICATION-ASSISTED 
TREATMENT.—Section 1905(ee)(1) of the Social Security 
Act (42 U.S.C. 1396d(ee)(1)) is amended— 
(1) in subparagraph (A), by striking ‘‘; and’’ 
and inserting a semicolon; 
(2) in subparagraph (B), by striking the period 
at the end and inserting ‘‘; and’’; and 
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(3) by adding at the end the following new sub-
paragraph: 
‘‘(C) at the option of a State, includes re-
covery support services, such as peer counseling 
and transportation, that are provided to an in-
dividual in conjunction with the provision of 
such drugs and biological products to support 
the individual in maintaining a healthy lifestyle 
following opioid misuse treatment.’’. 
Æ 
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