1. Short title This Act may be cited as the Rural Development of Opioid Capacity Services Act or the Rural DOCS Act . 2. Demonstration project to increase substance use provider capacity under the Medicaid program Section 1903 of the Social Security Act ( 42 U.S.C. 1396b ) is amended by adding at the end the following new subsection: (aa) Demonstration project To increase substance use provider capacity (1) In general Beginning January 1, 2019, the Secretary shall conduct a 5-year demonstration project under which the Secretary shall provide to an eligible State (as defined in paragraph (2)(A)) payments, in accordance with paragraph (3), with respect to expenditures by such eligible State for incentives, training, and technical assistance for providers under the State plan (or a waiver of such plan) to expand substance use treatment and recovery services for individuals enrolled under such State plan (or waiver), including each of the following activities: (A) Activities that support the development of an assessment of the behavioral health treatment needs of the State to determine the extent to which providers are needed (including the types of such providers and geographic area of need) to improve the network of providers that treat substance use disorders under the State plan (or waiver), including: (i) An estimate of the number of individuals enrolled under the State plan (or a waiver of such plan) who have a substance use disorder. (ii) Information on the capacity of providers to provide substance use disorder services to individuals enrolled under the State plan (or waiver), including information on providers who provide such services. (iii) Information on the gap in substance use disorder treatment under the State plan (or waiver) based on the information described in clauses (i) and (ii). (iv) Projections regarding the extent to which participating under the demonstration project would increase the number of providers offering substance use disorder services under the State plan (or waiver) during the