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1 Preliminary Estimate of the Estimated Direct Spending and Revenue Effects of H.R. 6, the SUPPORT for Patients and Communities Act, Rules Committee Print 115-76 as Amended by Rules Committee Print 115-78 1 (June 20, 2018)

handle is hein.congrec/pedsrsup0001 and id is 1 raw text is: Preliminary Estimate Estimated direct spending and revenue effects of H.R. 6, the SUPPORT for Patients and Communities Act, Rules Committee Print 115-76 as Amended by Rules Committee Print 115-78 Millions of dollars, by fiscal year 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 June 20, 2018 2018- 2018- 2023 2028 INCREASES OR DECREASES (-) IN DIRECT SPENDING OUTLAYS TITLE I-MEDICAID PROVISIONS TO ADDRESS THE OPIOID CRISIS 101. At-Risk Youth Medicaid Protection 0 102. Health Insurance for Former Foster Youth 0 103. Demonstration to increase substance use provider capacity under the Medicaid program 0 * 5 5 5 10 10 10 10 10 10 0 0 0 0 * 10 21 33 46 61 13 35 58 67 63 25 75 * 171 9 2 3 3 3 236 256 104. Drug management program for at-risk beneficiaries 0 105. Medicaid drug review and utilization 0 107. Medicaid health homes for opioid-use- disorder Medicaid enrollees 0 5 TITLE II-MEDICARE PROVISIONS TO ADDRESS THE OPIOID CRISIS 201. Authority not to apply certain Medicare telehealth requirements in the case of certain treatment of a substance use disorder or co- occurring mental health disorder 0 202. Encouraging the use of non-opioid analgesics for the management of post-surgical pain 0 203. Requiring a review of current opioid prescriptions for chronic pain and screening for opioid use disorder to be included in the Welcome to Medicare initial preventive physical examination 0 204. Modification of payment for certain outpatient surgical services 0 205. Requiring e-prescribing for coverage of covered part D controlled substances (a) 0 206. Requiring PDPs under Medicare to establish drug management programs for at-risk beneficiaries (a) 0 207. Medicare coverage of certain services furnished by opioid treatment programs (b) 0 TITLE III-OTHER HEALTH PROVISIONS TO ADDRESS THE OPIOID C 303. Allowing for more flexibility with respect to medication-assisted treatment for opioid use disorders (b, c) 0 -1 -1 -1 -1 -2 -2 -2 -2 -2 -4 -13 * 1 1 1 1 1 1 1 1 2 5 58 62 56 52 48 43 38 32 25 323 509 * * * 1 1 1 2 2 2 4 11 0 0 0 10 20 15 25 30 35 45 30 180 1 1 1 1 1 1 1 1 2 5 0 30 30 25 20 3 0 0 0 0 105 108 0 0 -24 -35 -33 -30 -33 -32 -31 -32 -92 -250 0 0 -6 -7 -7 -7 -8 -8 -9 -10 -19 -60 0 0 15 20 25 30 35 40 40 45 RISIS 1 4 7 48 57 55 56 56 56 54 60 250 117 395 Page 1 of 3

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