S2064-119

1. Short title This Act may be cited as the Helping Tobacco Users Quit Act.

2. Coverage of comprehensive tobacco cessation services in Medicaid Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended— by amending subsection (a)(4)(D) to read as follows: (D) counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State plan (as defined in subsection (bb));; in subsection (b), by inserting (bb)(2), after (aa),; and by striking subsection (bb) and inserting the following: For purposes of this title, the term counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State plan means diagnostic, therapy, and counseling services and pharmacotherapy (including the coverage of prescription and nonprescription tobacco cessation agents approved by the Food and Drug Administration) for the cessation of tobacco use by individuals who use tobacco products or who are being treated for tobacco use that is furnished— by or under the supervision of a physician; or by any other health care professional who— is legally authorized to furnish such services under State law (or the State regulatory mechanism provided by State law) of the State in which the services are furnished; and is authorized to receive payment for other services under this title or is designated by the Secretary for this purpose, Notwithstanding subsection (b), for calendar quarters occurring during the period beginning on the date of the enactment of the Helping Tobacco Users Quit Act and ending 5 years after such date, the Federal medical assistance percentage with respect to amounts expended by a State for medical assistance for counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State plan (as defined in paragraph (1)) shall be equal to 90 percent. Subsections (a)(2) and (b)(2) of section 1916 of the Social Security Act (42 U.S.C. 1396o) are each amended— in subparagraph (B), by striking , and counseling and all that follows through section 1905(bb)(2)(A); in subparagraph (I), by striking or at the end; in subparagraph (J), by striking ; and and inserting ; or; and by adding at the end the following new subparagraph: counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State plan (as defined in section 1905(bb)) and covered outpatient drugs (as defined in subsection (k)(2) of section 1927 and including nonprescription drugs described in subsection (d)(2) of such section) that are prescribed for purposes of promoting tobacco cessation in accordance with the guideline specified in section 1905(bb); and Section 1916A(b)(3)(B) of the Social Security Act (42 U.S.C. 1396o–1(b)(3)(B)) is amended— in clause (iii), by striking , and counseling and pharmacotherapy for cessation of tobacco use by pregnant women (as defined in section 1905(bb)); and by adding at the end the following new clause: Counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State plan (as defined in section 1905(bb)) and covered outpatient drugs (as defined in subsection (k)(2) of section 1927 and including nonprescription drugs described in subsection (d)(2) of such section) that are prescribed for purposes of promoting tobacco cessation in accordance with the guideline specified in section 1905(bb). Section 1927(d)(2)(F) of the Social Security Act (42 U.S.C. 1396r–8(d)(2)(F)) is amended to read as follows: Nonprescription drugs, except, when recommended in accordance with the guideline referred to in section 1905(bb), agents approved by the Food and Drug Administration for purposes of promoting tobacco cessation. Section 1902(a) of the Social Security Act (42 U.S.C. 1396a) is amended— in paragraph (86), by striking at the end and; in paragraph (87), by striking the period at the end and inserting ; and; and by inserting after paragraph (87) the following new paragraph: provide for the State to monitor and promote the use of comprehensive tobacco cessation services under the State plan (including conducting an outreach campaign to increase awareness of the benefits of using such services) among— individuals entitled to medical assistance under the State plan who use tobacco products; and clinicians and others who provide services to individuals entitled to medical assistance under the State plan. Section 1903(a) of the Social Security Act (42 U.S.C. 1396b(a)) is amended— in paragraph (7), by striking the period at the end and inserting ; plus; and by inserting after paragraph (7) the following new paragraph: with respect to the development, implementation, and evaluation of an outreach campaign to— increase awareness of comprehensive tobacco cessation services covered in the State plan among— individuals who are likely to be eligible for medical assistance under the State plan; and clinicians and others who provide services to individuals who are likely to be eligible for medical assistance under the State plan; and increase awareness of the benefits of using comprehensive tobacco cessation services covered in the State plan among— individuals who are likely to be eligible for medical assistance under the State plan; and clinicians and others who provide services to individuals who are likely to be eligible for medical assistance under the State plan about the benefits of using comprehensive tobacco cessation services, Section 1927(d) of the Social Security Act (42 U.S.C. 1396r–8(d)) is amended— in paragraph (1)(A), by striking A State and inserting Subject to paragraph (8), a State; and by adding at the end the following new paragraph: A State plan may not require, as a condition of coverage or payment for a covered outpatient drug, the approval of an agent to promote smoking cessation (including agents approved by the Food and Drug Administration) or tobacco cessation. Notwithstanding any other provision of law, for purposes of section 1108 of the Social Security Act (42 U.S.C. 1308), with respect to any additional amount paid to a territory as a result of the application of section 1905(bb)(2) of the Social Security Act (42 U.S.C. 1396d(bb)(2))— the limitation on payments to territories under subsections (f) and (g) of such section 1108 shall not apply to such additional amounts; and such additional amounts shall be disregarded in applying such subsections. The amendments made by this section shall take effect on the first day of the first fiscal year that begins on or after the date of enactment of this Act. (bb)Counseling and pharmacotherapy for cessation of tobacco use(1)In generalFor purposes of this title, the term counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State plan means diagnostic, therapy, and counseling services and pharmacotherapy (including the coverage of prescription and nonprescription tobacco cessation agents approved by the Food and Drug Administration) for the cessation of tobacco use by individuals who use tobacco products or who are being treated for tobacco use that is furnished—(A)by or under the supervision of a physician; or(B)by any other health care professional who—(i)is legally authorized to furnish such services under State law (or the State regulatory mechanism provided by State law) of the State in which the services are furnished; and(ii)is authorized to receive payment for other services under this title or is designated by the Secretary for this purpose, which is recommended in the guideline entitled, Treating Tobacco Use and Dependence: 2008 Update: A Clinical Practice Guideline published by the Public Health Service in May 2008 (or any subsequent modification of such guideline) or is recommended for the cessation of tobacco use by the U.S. Preventive Services Task Force or any additional intervention approved by the Food and Drug Administration as safe and effective in helping smokers quit.(2)Temporary enhanced FMAP for coverage of tobacco cessation servicesNotwithstanding subsection (b), for calendar quarters occurring during the period beginning on the date of the enactment of the Helping Tobacco Users Quit Act and ending 5 years after such date, the Federal medical assistance percentage with respect to amounts expended by a State for medical assistance for counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State plan (as defined in paragraph (1)) shall be equal to 90 percent.. (K)counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State plan (as defined in section 1905(bb)) and covered outpatient drugs (as defined in subsection (k)(2) of section 1927 and including nonprescription drugs described in subsection (d)(2) of such section) that are prescribed for purposes of promoting tobacco cessation in accordance with the guideline specified in section 1905(bb); and. (xv)Counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State plan (as defined in section 1905(bb)) and covered outpatient drugs (as defined in subsection (k)(2) of section 1927 and including nonprescription drugs described in subsection (d)(2) of such section) that are prescribed for purposes of promoting tobacco cessation in accordance with the guideline specified in section 1905(bb).. (F)Nonprescription drugs, except, when recommended in accordance with the guideline referred to in section 1905(bb), agents approved by the Food and Drug Administration for purposes of promoting tobacco cessation.. (88)provide for the State to monitor and promote the use of comprehensive tobacco cessation services under the State plan (including conducting an outreach campaign to increase awareness of the benefits of using such services) among—(A)individuals entitled to medical assistance under the State plan who use tobacco products; and(B)clinicians and others who provide services to individuals entitled to medical assistance under the State plan.. (8)with respect to the development, implementation, and evaluation of an outreach campaign to—(A)increase awareness of comprehensive tobacco cessation services covered in the State plan among—(i)individuals who are likely to be eligible for medical assistance under the State plan; and(ii)clinicians and others who provide services to individuals who are likely to be eligible for medical assistance under the State plan; and(B)increase awareness of the benefits of using comprehensive tobacco cessation services covered in the State plan among—(i)individuals who are likely to be eligible for medical assistance under the State plan; and(ii)clinicians and others who provide services to individuals who are likely to be eligible for medical assistance under the State plan about the benefits of using comprehensive tobacco cessation services,for calendar quarters occurring during the period beginning on the date of the enactment of this paragraph and ending on 5 years after the date of enactment of this paragraph, an amount equal to 90 percent of the sums expended during each quarter which are attributable to such development, implementation, and evaluation, and for calendar quarters succeeding such period, an amount equal to Federal medical assistance percentage determined under section 1905(b) of the sums expended during each quarter which are so attributable.. (8)No prior authorization programs for tobacco cessation drugsA State plan may not require, as a condition of coverage or payment for a covered outpatient drug, the approval of an agent to promote smoking cessation (including agents approved by the Food and Drug Administration) or tobacco cessation..

3. Coverage of comprehensive tobacco cessation services in CHIP Section 2103(c)(2) of the Social Security Act (42 U.S.C. 1397cc(c)(2)) is amended by adding at the end the following new subparagraph: Counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State child health plan. Section 2110(c) of the Social Security Act (42 U.S.C. 1397jj(c)) is amended by adding at the end the following new paragraph: The term counseling and pharmacotherapy for cessation of tobacco use means diagnostic, therapy, and counseling services and pharmacotherapy (including the coverage of prescription and nonprescription tobacco cessation agents approved by the Food and Drug Administration) for the cessation of tobacco use by individuals who use tobacco products or who are being treated for tobacco use that are furnished— by or under the supervision of a physician; or by any other health care professional who— is legally authorized to furnish such services under State law (or the State regulatory mechanism provided by State law) of the State in which the services are furnished; and is authorized to receive payment for other services under this title or is designated by the Secretary for this purpose Section 2103(e) of the Social Security Act (42 U.S.C. 1397cc(e)) is amended by adding at the end the following new paragraph: The State child health plan may not impose deductibles, coinsurance, or other cost sharing with respect to benefits for counseling and pharmacotherapy for cessation of tobacco use (as defined in section 2110(c)(10)) and prescription drugs that are covered under a State child health plan that are prescribed for purposes of promoting tobacco cessation in accordance with the guideline specified in section 2110(c)(10)(B). Section 2103 of the Social Security Act (42 U.S.C. 1397cc) is amended by adding at the end the following new subsection: The State child health plan may exclude or otherwise restrict nonprescription drugs, except, in the case of— pregnant women when recommended in accordance with the guideline specified in section 2110(c)(10)(B), agents approved by the Food and Drug Administration for purposes of promoting tobacco cessation; and individuals who are eligible under the State child health plan when recommended in accordance with the Guideline referred to in section 2110(c)(10)(B), agents approved by the Food and Drug Administration for purposes of promoting tobacco cessation. Section 2102 of the Social Security Act (42 U.S.C. 1397bb) is amended by adding at the end the following new subsection: A State child health plan shall include a description of the procedures to be used by the State to monitor and promote the use of comprehensive tobacco cessation services under the State plan (including conducting an outreach campaign to increase awareness of the benefits of using such services) among— individuals entitled to medical assistance under the State child health plan who use tobacco products; and clinicians and others who provide services to individuals entitled to medical assistance under the State child health plan. Section 2105(a) of the Social Security Act (42 U.S.C. 1397ee(a)) is amended by adding at the end the following new paragraph: In addition to the payments made under paragraph (1) for calendar quarters occurring during the period beginning on the date of the enactment of this paragraph and ending on 5 years after the date of enactment of this paragraph, the Secretary shall pay— an amount equal to 90 percent of the sums expended during each quarter which are attributable to the cost of furnishing counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State child health plan (net of any payments made to the State under paragraph (1) with respect to such counseling and pharmacotherapy); plus an amount equal to 90 percent of the sums expended during each quarter which are attributable to the development, implementation, and evaluation of an outreach campaign to— increase awareness of comprehensive tobacco cessation services covered in the State child health plan among— individuals who are likely to be eligible for medical assistance under the State child health plan; and clinicians and others who provide services to individuals who are likely to be eligible for medical assistance under the State child health plan; and increase awareness of the benefits of using comprehensive tobacco cessation services covered in the State child health plan among— individuals who are likely to be eligible for medical assistance under the State child health plan; and clinicians and others who provide services to individuals who are likely to be eligible for medical assistance under the State child health plan about the benefits of using comprehensive tobacco cessation services. Section 2104(m) of the Social Security Act (42 U.S.C. 1397dd(m)) is amended— in paragraph (2)(B), by striking and (12) and inserting (12), and (13); and by adding at the end the following new paragraph: If a State (including the District of Columbia and each commonwealth and territory) receives a payment for a fiscal year under section 2105(a)(5), the allotment determined for the State for such fiscal year shall be increased by the amount of such payment. Section 2103 of the Social Security Act (42 U.S.C. 1397cc), as amended by subsection (c), is further amended— in subsection (c)(2)(A), by inserting (in accordance with subsection (h)) after Coverage of prescription drugs; and by adding at the end the following new subsection: A State child health plan may not require, as a condition of coverage or payment for a prescription drugs, the approval of an agent to promote smoking cessation (including agents approved by the Food and Drug Administration) or tobacco cessation. The amendments made by this section shall take effect on the first day of the first fiscal year that begins on or after the date of enactment of this Act. (D)Counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State child health plan.. (10)Counseling and pharmacotherapy for cessation of tobacco useThe term counseling and pharmacotherapy for cessation of tobacco use means diagnostic, therapy, and counseling services and pharmacotherapy (including the coverage of prescription and nonprescription tobacco cessation agents approved by the Food and Drug Administration) for the cessation of tobacco use by individuals who use tobacco products or who are being treated for tobacco use that are furnished—(A)by or under the supervision of a physician; or (B) by any other health care professional who— (i) is legally authorized to furnish such services under State law (or the State regulatory mechanism provided by State law) of the State in which the services are furnished; and (ii) is authorized to receive payment for other services under this title or is designated by the Secretary for this purpose which is recommended in the guideline entitled, Treating Tobacco Use and Dependence: 2008 Update: A Clinical Practice Guideline published by the Public Health Service in May 2008 (or any subsequent modification of such guideline) or is recommended for the cessation of tobacco use by the U.S. Preventive Services Task Force or any additional intervention approved by the Food and Drug Administration as safe and effective in helping smokers quit. . (5)No cost sharing on benefits for counseling and pharmacotherapy for cessation of tobacco useThe State child health plan may not impose deductibles, coinsurance, or other cost sharing with respect to benefits for counseling and pharmacotherapy for cessation of tobacco use (as defined in section 2110(c)(10)) and prescription drugs that are covered under a State child health plan that are prescribed for purposes of promoting tobacco cessation in accordance with the guideline specified in section 2110(c)(10)(B).. (g)Exception from optional restriction under CHIP prescription drug coverageThe State child health plan may exclude or otherwise restrict nonprescription drugs, except, in the case of—(1)pregnant women when recommended in accordance with the guideline specified in section 2110(c)(10)(B), agents approved by the Food and Drug Administration for purposes of promoting tobacco cessation; and(2)individuals who are eligible under the State child health plan when recommended in accordance with the Guideline referred to in section 2110(c)(10)(B), agents approved by the Food and Drug Administration for purposes of promoting tobacco cessation.. (e)State monitoring and promoting of comprehensive tobacco cessation services under CHIPA State child health plan shall include a description of the procedures to be used by the State to monitor and promote the use of comprehensive tobacco cessation services under the State plan (including conducting an outreach campaign to increase awareness of the benefits of using such services) among—(1)individuals entitled to medical assistance under the State child health plan who use tobacco products; and(2)clinicians and others who provide services to individuals entitled to medical assistance under the State child health plan.. (5)Federal reimbursement for CHIP coverage of comprehensive tobacco cessation services and outreach campaignIn addition to the payments made under paragraph (1) for calendar quarters occurring during the period beginning on the date of the enactment of this paragraph and ending on 5 years after the date of enactment of this paragraph, the Secretary shall pay—(A)an amount equal to 90 percent of the sums expended during each quarter which are attributable to the cost of furnishing counseling and pharmacotherapy for cessation of tobacco use by individuals who are eligible under the State child health plan (net of any payments made to the State under paragraph (1) with respect to such counseling and pharmacotherapy); plus(B)an amount equal to 90 percent of the sums expended during each quarter which are attributable to the development, implementation, and evaluation of an outreach campaign to—(i)increase awareness of comprehensive tobacco cessation services covered in the State child health plan among—(I)individuals who are likely to be eligible for medical assistance under the State child health plan; and(II)clinicians and others who provide services to individuals who are likely to be eligible for medical assistance under the State child health plan; and(ii)increase awareness of the benefits of using comprehensive tobacco cessation services covered in the State child health plan among—(I)individuals who are likely to be eligible for medical assistance under the State child health plan; and(II)clinicians and others who provide services to individuals who are likely to be eligible for medical assistance under the State child health plan about the benefits of using comprehensive tobacco cessation services.. (13)Adjusting allotments to account for Federal payments for CHIP coverage of comprehensive tobacco cessation services and outreach campaignIf a State (including the District of Columbia and each commonwealth and territory) receives a payment for a fiscal year under section 2105(a)(5), the allotment determined for the State for such fiscal year shall be increased by the amount of such payment.. (h)No prior authorization programs for tobacco cessation drugsA State child health plan may not require, as a condition of coverage or payment for a prescription drugs, the approval of an agent to promote smoking cessation (including agents approved by the Food and Drug Administration) or tobacco cessation..

4. Rule of construction None of the amendments made by this Act shall be construed to limit coverage of any counseling or pharmacotherapy for individuals under 18 years of age.