Sec. 6083. Expanding access under the Medicare program to addiction treatment in Federally qualified health centers and rural health clinics
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Section 1834(o) of the Social Security Act ( 42 U.S.C. 1395m(o) ) is amended by adding at the end the following new paragraph: In the case of a Federally qualified health center with respect to which, beginning on or after January 1, 2019, Federally qualified health center services (as defined in section 1861(aa)(3)) are furnished for the treatment of opioid use disorder by a physician or practitioner who meets the requirements described in subparagraph (C), the Secretary shall, subject to availability of funds under subparagraph (D), make a payment (at such time and in such manner as specified by the Secretary) to such Federally qualified health center after receiving and approving an application submitted by such Federally qualified health center under subparagraph (B).
Such a payment shall be in an amount determined by the Secretary, based on an estimate of the average costs of training for purposes of receiving a waiver described in subparagraph (C)(ii). Such a payment may be made only one time with respect to each such physician or practitioner. In order to receive a payment described in subparagraph (A), a Federally qualified health center shall submit to the Secretary an application for such a payment at such time, in such manner, and containing such information as specified by the Secretary.
A Federally qualified health center may apply for such a payment for each physician or practitioner described in subparagraph
(A)furnishing services described in such subparagraph at such center. For purposes of subparagraph (A), the requirements described in this subparagraph, with respect to a physician or practitioner, are the following: The physician or practitioner is employed by or working under contract with a Federally qualified health center described in subparagraph
(A)that submits an application under subparagraph (B). The physician or practitioner first receives a waiver under section 303(g) of the Controlled Substances Act on or after January 1, 2019. For purposes of making payments under this paragraph, there are appropriated, out of amounts in the Treasury not otherwise appropriated, $6,000,000, which shall remain available until expended. . Section 1833 of the Social Security Act ( 42 U.S.C. 1395l ) is amended— by redesignating the subsection
(z)relating to medical review of spinal subluxation services as subsection (aa); and by adding at the end the following new subsection: In the case of a rural health clinic with respect to which, beginning on or after January 1, 2019, rural health clinic services (as defined in section 1861(aa)(1)) are furnished for the treatment of opioid use disorder by a physician or practitioner who meets the requirements described in paragraph (3), the Secretary shall, subject to availability of funds under paragraph (4), make a payment (at such time and in such manner as specified by the Secretary) to such rural health clinic after receiving and approving an application described in paragraph (2). Such payment shall be in an amount determined by the Secretary, based on an estimate of the average costs of training for purposes of receiving a waiver described in paragraph (3)(B). Such payment may be made only one time with respect to each such physician or practitioner. In order to receive a payment described in paragraph (1), a rural health clinic shall submit to the Secretary an application for such a payment at such time, in such manner, and containing such information as specified by the Secretary. A rural health clinic may apply for such a payment for each physician or practitioner described in paragraph
(1)furnishing services described in such paragraph at such clinic. For purposes of paragraph (1), the requirements described in this paragraph, with respect to a physician or practitioner, are the following: The physician or practitioner is employed by or working under contract with a rural health clinic described in paragraph
(1)that submits an application under paragraph (2). The physician or practitioner first receives a waiver under section 303(g) of the Controlled Substances Act on or after January 1, 2019. For purposes of making payments under this subsection, there are appropriated, out of amounts in the Treasury not otherwise appropriated, $2,000,000, which shall remain available until expended. .
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Sec. 6083
Expanding access under the Medicare program to addiction treatment in Federally qualified health centers and rural health clinics
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