Title: Medicaid Substance Use Disorder Treatment via Telehealth Act
Policy area: Health

Summary:
Medicaid Substance Use Disorder Treatment via Telehealth Act
This bill requires the Centers for Medicare & Medicaid Services to develop guidance for states on how to obtain federal reimbursement under Medicaid for substance use disorder telehealth services, including services provided in school-based health centers.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6778 Introduced in House (IH)]

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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 Lujan 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 reimbursement for furnishing 
services and treatment for substance use disorders under Medicaid using 
                          telehealth services.

    Be it enacted by the Senate and House of Representatives 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''.

SEC. 2. GUIDANCE TO STATES REGARDING FEDERAL REIMBURSEMENT FOR 
              FURNISHING SERVICES AND TREATMENT FOR SUBSTANCE USE 
              DISORDERS UNDER MEDICAID USING TELEHEALTH 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, counseling, medication management, and 
        medication adherence 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.
                    (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 substance use disorders using the 
        hub and spoke model, through contracts with managed care 
        entities, through administrative claiming for disease 
        management 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 individuals 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 ``telehealth services'' 
        includes remote patient monitoring and other key modalities 
        such as live video or synchronous telehealth, store-and-forward 
        or asynchronous telehealth, mobile health, telephonic 
        consultation, and electronic consult including provider-to-
        provider e-consults.
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