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]
[H.R. 4097 Introduced in House (IH)]

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115th CONGRESS
  1st Session
                                H. R. 4097

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


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 23, 2017

   Mr. Neal introduced the following bill; which was referred to the 
 Committee on Energy and Commerce, and in addition to the Committee on 
   Ways and Means, for a period to be subsequently determined by the 
  Speaker, in each case for consideration of such provisions as fall 
           within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 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, 
                2018, 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 such 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 made by 
        this section are equal to estimated expenditures under such 
        system without application of such amendments.
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