Title: Medicare Beneficiary Opioid Addiction Treatment Act
Policy area: Health

Summary:
Medicare Beneficiary Opioid Addiction Treatment Act
This bill provides for Medicare coverage and payment of methadone (a medication used to treat opioid-use disorder).

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 2704 Introduced in Senate (IS)]

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115th CONGRESS
  2d Session
                                S. 2704

To amend title XVIII of the Social Security Act to provide for coverage 
                  of methadone under Medicare part B.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             April 18, 2018

Mr. Casey (for himself and Mr. Portman) introduced the following bill; 
     which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to provide for coverage 
                  of methadone under Medicare part B.

    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 ``Medicare Beneficiary Opioid 
Addiction Treatment Act''.

SEC. 2. COVERAGE OF METHADONE UNDER MEDICARE PART B.

    (a) Coverage.--Section 1861(s)(2) of the Social Security Act (42 
U.S.C. 1395x(s)(2)) is amended--
            (1) by striking ``and'' at the end of subparagraph (FF);
            (2) by adding ``and'' at the end of subparagraph (GG); and
            (3) by inserting after subparagraph (GG) the following new 
        subparagraph:
                    ``(HH) methadone, if furnished or dispensed 
                (including by prescription) on or after January 1, 
                2019, to an individual for the purpose of maintenance 
                or detoxification treatment by a physician or other 
                practitioner who has in effect a registration or waiver 
                under section 303(g) of the Controlled Substances Act 
                (21 U.S.C. 823(g)) to dispense methadone for such 
                purpose;''.
    (b) Payment.--
            (1) In connection with physician and supplier service.--
        Section 1842(o)(1) of the Social Security Act (42 U.S.C. 
        1395u(o)(1)) is amended by adding at the end the following new 
        subparagraph:
                    ``(H) In the case of methadone (as described in 
                section 1861(s)(2)(HH)), the amount provided under 
                section 1847A for such drug.''.
            (2) Covered opd service.--Section 1833(t)(1)(B)(iii) of the 
        Social Security Act (42 U.S.C. 1395l(t)(1)(B)(iii)) is amended 
        by inserting ``and methadone described in paragraph (2)(HH) of 
        such section'' after ``section 1861(s)''.
    (c) Budget Neutrality.--The Secretary of Health and Human Services 
shall implement the amendments made by this section in a manner such 
that--
            (1) estimated expenditures under the physician fee schedule 
        under section 1848 of the Social Security Act (42 U.S.C. 1395w-
        4) with application of such amendments are equal to estimated 
        expenditures under such schedule without application of such 
        amendments; and
            (2) estimated expenditures under the prospective payment 
        system under section 1833(t) of the Social Security Act (42 
        U.S.C. 1395l(t)) with application of such amendments are equal 
        to estimated expenditures under such system without application 
        of such amendments.
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