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1 Preliminary Estimate of the Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018 1 (June 12, 2018)

handle is hein.congrec/plnetheal0001 and id is 1 raw text is: Preliminary Estimate Senate Finance Committee Opioid Legislation The Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018, via email June 11, 2018 Millions of dollars, by fiscal year. 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 INCREASES OR DECREASES (-) IN DIRECT SPENDING OUTLAYS TITLE I-MEDICARE 101. Medicare opioid safety education 102. Expanding the use of telehealth services for the treatment of opioid use disorder and other substance use disorders (a) 103. Comprehensive screenings for seniors 104. Every prescription conveyed securely 105. Standardizing electronic prior authorization for safe prescribing 106. Strengthening partnerships to prevent opioid abuse (a) 107. Commit to opioid medical prescriber accountability and safety for seniors (a) 108. Fighting the opioid epidemic with sunshine 109. Opioid treatment program demonstration 110. Medicare Improvement Fund TITLE II-MEDICAID 201. Caring recovery for infants and babies 202. Peer support enhancement and evaluation review (a) 203. Medicaid substance use disorder treatment via telehealth (a) 204. Enhancing patient access to non-opioid treatment options (a) 205. Assessing barriers to opioid use disorder treatment (a) 206. Help for moms and babies 207. Securing flexibility to treat substance use disorders 208. MACPAC study and report on MAT utilization controls under State Medicaid programs 209. Opioid addiction treatment programs enhancement (a) 210. Better data sharing to combat the opioid crisis 211. Mandatory reporting with respect to adult behavioral measures 212. Report on housing-related services and supports for individuals with substance use disorders under Medicaid (a) 213. Technical assistance and support for State strategies to provide housing-related supports under Medicaid (a) TITLE Ill-HUMAN SERVICES 301. Supporting family-focused residential treatment (a) 302. Improving recovery and reunifying families 303. Building capacity for family-focused residential treatment (a) Total, Changes in Direct Spending Outlays 0 0 0 0 0 0 0 0 0 0 0 0 0 * * * * * * * * 1 2 2 2 2 1 1 1 1 1 9 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 4 5 5 6 6 6 6 7 17 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * * * * * * * * * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 3 3 2 2 1 0 0 0 12 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 8 -9 -13 38 21 -2 -15 -18 -18 27 -6 Notes: Components may not sum to totals because of rounding. Medicare provisions include interactions with MA payments, the effect on Medicare Part A and B premiums, and TRICARE. (a) This provision would affect spending subject to appropriation but CBO has not yet completed that estimate. * = between -$500,000 and $500,000 MA = Medicare Advantage; MACPAC = Medicaid and CHIP Payment and Access Commission; MAT = Medication -Assisted Treatment; TRICARE = the health plan operated by the Department of Defense. Page I of I June 12, 2018 2019- 2019- 2023 2028

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