Medicaid Substance Use Disorder Treatment via Telehealth Act

Bill: 115-hr-6778
Sponsor: full_name: Rep. Lujan, Ben Ray [D-NM-3]
Introduced: 2018-09-12
Policy area: Health
Subjects: Alaska Natives and Hawaiians

Child health

Drug therapy

Drug, alcohol, tobacco use

Educational facilities and institutions

Elementary and secondary education

Health care coverage and access

Health facilities and institutions

Health technology, devices, supplies

Indian social and development programs

Medicaid

Mental health

Minority health
Latest action: action_date: 2018-09-12
text: Referred to the House Committee on Energy and Commerce.

Summaries:
action_date: 2018-09-12
action_desc: Introduced in House
text: <p><b>Medicaid Substance Use Disorder Treatment via Telehealth Act</b></p> <p>This bill requires the Centers for Medicare &amp; 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. </p>

tv_txt: I 115th CONGRESS 2d Session H. R. 6778 IN THE HOUSE OF REPRESENTATIVES September 12, 2018 Mr. Ben Ray Luján 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.

1. Short title This Act may be cited as the Medicaid Substance Use Disorder Treatment via Telehealth Act . 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.