,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #bgeg  ,,in ,,the ,,house ,,of  
,,representatives  ,july #ai1 #bjac ,ms4
 ,eddie ,bernice ,johnson of ,texas 7for
 herself1 ,mr4 ,rangel1 ,mr4 ,ellison1  
,ms4 ,norton1 ,mr4 ,holt1 ,mrs4 ,negrete
 ,mc,leod1 ,mr4 ,farr1 and ,ms4 ,lee of 
,california7 introduced the following   
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend title ,,xix of the    
,social ,security ,act to remove the    
exclusion from medical assistance under 
the ,medicaid ,program of items and     
services for patients in an institution 
for mental diseases4  #a4 ,removal of   
,medicaid exclusion from medical        
assistance of items and services        
furnished to patients in an institution 
for mental diseases  7a7 ,in general    
,the first sentence of section #aije7;a7
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acif;d7a77 is amended1 in the
 matter following paragraph 7#bi7--     
7#a7 by striking such term does not     

include-- and 7,a7 any and inserting    
such term does not include any2  7#b7 by
 striking 2 or and inserting a period2  
and  7#c7 by striking subparagraph 7,b74
  7b7 ,conforming amendments ,to permit 
medical assistance for ,,imd patients   
under #fe years of age ,the following   
provisions of such ,act are each amended
 by striking #fe years of age or older  
and #fe years of age or over each place 
it appears3  7#a7 ,paragraphs 7#bj7 and 
7#ba7 of section #aijb7;a7 7#db         
,u4,s4,c4 #acif;b7a774  7#b7 ,section   
#aije7;a77#ad7 7#db ,u4,s4,c4           
#acif;d7a77#ad774  7#c7 ,section        
#aiai7;d77#g77;,b77i77,i7 7#db ,u4,s4,c4
 #acifr7d77#g77;,b77i77,i774  7c7       
,effective date ,the amendments made by 
this section shall take effect on       
,october #a1 #bjac1 and shall apply to  
items and services furnished on or after
 such date4