[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 2912 Introduced in Senate (IS)]
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115th CONGRESS
2d Session
S. 2912
To require the Secretary of Health and Human Services to publish data
related to the prevalence of substance use disorders in the Medicaid
beneficiary population and the treatment of substance use disorders
under Medicaid, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
May 22, 2018
Mr. Cassidy (for himself, Mr. Menendez, Mr. Grassley, and Mr. Warner)
introduced the following bill; which was read twice and referred to the
Committee on Finance
_______________________________________________________________________
A BILL
To require the Secretary of Health and Human Services to publish data
related to the prevalence of substance use disorders in the Medicaid
beneficiary population and the treatment of substance use disorders
under Medicaid, and for other purposes.
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 ``Opioid Addiction Treatment Programs
Enhancement Act''.
SEC. 2. T-MSIS SUBSTANCE USE DISORDER DATA BOOK.
(a) In General.--Not later than the date that is 12 months after
the date of enactment of this Act, the Secretary of Health and Human
Services (in this section referred to as the ``Secretary'') shall
publish on the public website of the Centers for Medicare & Medicaid
Services a report with comprehensive data on the prevalence of
substance use disorders in the Medicaid beneficiary population and
services provided for the treatment of substance use disorders under
Medicaid.
(b) Content of Report.--The report required under subsection (a)
shall include, at a minimum, the following data for each State
(including, to the extent available, for the District of Columbia,
Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands,
and American Samoa):
(1) The number and percentage of individuals enrolled in
the State Medicaid plan or waiver of such plan in each of the
major enrollment categories (as defined in a public letter from
the Medicaid and CHIP Payment and Access Commission to the
Secretary) who have been diagnosed with a substance use
disorder and whether such individuals are enrolled under the
State Medicaid plan or a waiver of such plan, including the
specific waiver authority under which they are enrolled, to the
extent available.
(2) A list of the substance use disorder treatment services
by each major type of service, such as counseling, medication
assisted treatment, peer support, residential treatment, and
inpatient care, for which beneficiaries in each State received
at least 1 service under the State Medicaid plan or a waiver of
such plan.
(3) The number and percentage of individuals with a
substance use disorder diagnosis enrolled in the State Medicaid
plan or waiver of such plan who received substance use disorder
treatment services under such plan or waiver by each major type
of service under paragraph (2) within each major setting type,
such as outpatient, inpatient, residential, and other home and
community-based settings.
(4) The number of services provided under the State
Medicaid plan or waiver of such plan per individual with a
substance use disorder diagnosis enrolled in such plan or
waiver for each major type of service under paragraph (2).
(5) The number and percentage of individuals enrolled in
the State Medicaid plan or waiver, by major enrollment
category, who received substance use disorder treatment
through--
(A) a medicaid managed care entity (as defined in
section 1932(a)(1)(B) of the Social Security Act (42
U.S.C. 1396u-2(a)(1)(B))), including the number of such
individuals who received such assistance through a
prepaid inpatient health plan or a prepaid ambulatory
health plan;
(B) a fee-for-service payment model; or
(C) an alternative payment model, to the extent
available.
(6) The number and percentage of individuals with a
substance use disorder who receive substance use disorder
treatment services in an outpatient or home and community-based
setting after receiving treatment in an inpatient or
residential setting, and the number of services received by
such individuals in the outpatient or home and community-based
setting.
(c) Annual Updates.--The Secretary shall issue an updated version
of the report required under subsection (a) not later than January 1 of
each calendar year through 2024.
(d) Use of T-MSIS Data.--The report required under subsection (a)
and updates required under subsection (c) shall--
(1) use data and definitions from the Transformed Medicaid
Statistical Information System (``T-MSIS'') data set that is no
more than 12 months old on the date that the report or update
is published; and
(2) as appropriate, include a description with respect to
each State of the quality and completeness of the data and
caveats describing the limitations of the data reported to the
Secretary by the State that is sufficient to communicate the
appropriate uses for the information.
SEC. 3. MAKING T-MSIS DATA ON SUBSTANCE USE DISORDERS AVAILABLE TO
RESEARCHERS.
(a) In General.--The Secretary of Health and Human Services
(referred to in this section as the ``Secretary'') shall publish in the
Federal Register a system of records notice for the data specified in
subsection (b) for the Transformed Medicaid Statistical Information
System, in accordance with section 552a(e)(4) of title 5, United States
Code. The notice shall outline policies that protect the security and
privacy of the data that, at a minimum, meet the security and privacy
policies of SORN 09-70-0541 for the Medicaid Statistical Information
System.
(b) Required Data.--The data covered by the systems of records
notice required under subsection (a) shall be sufficient for
researchers and States to analyze the prevalence of substance use
disorders in the Medicaid beneficiary population and the treatment of
substance use disorders under Medicaid across all States (including the
District of Columbia, Puerto Rico, the Virgin Islands, Guam, the
Northern Mariana Islands, and American Samoa), forms of treatment, and
treatment settings.
(c) Initiation of Data-Sharing Activities.--Not later than January
1, 2019, the Secretary shall initiate the data-sharing activities
outlined in the notice required under subsection (a).
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