,i  #aac? ,,congress  #b;d ,session  ,h4
 ,r4 #eacf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #ag1 #bjad ,ms4 
,fudge 7= h]self1 ,mr4 ,ryan ( ,ohio1   
,mr4 ,cumm+s1 ,ms4 ,lee ( ,cali=nia1    
,ms4 ,norton1 ,mr4 ,ri*mond1 ,mr4 ,ha/+s
 ( ,florida1 & ,ms4 ,cl>ke ( ,new ,york7
 introduc$ ! foll[+ bill2 :i* 0 ref]r$  
to ! ,committee on ,en]gy & ,comm]ce  ,a
 ,,bill  ,to direct ! ,secret>y ( ,heal?
 & ,human ,s]vices to e/abli% a         
demon/ration project "u ! ,m$icaid      
program "u title ,,xix ( ! ,social      
,security ,act "u :i* paym5t may be made
 to ,/ates = exp5ditures = m$ical       
assi/ance ) respect to sub/ance use     
disord] treatm5t s]vices1 & = o!r       
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,break+ ,addiction ,act (  
#bjad4  #b4 ,m$icaid community-bas$     
inpati5t sub/ance use disord] treatm5t  
demon/ration project  7a7 ,au?ority ,!  
,secret>y ( ,heal? & ,human ,s]vices    
%all e/abli% a #e-ye> demon/ration      
project 79 ?is section ref]r$ to z !    

demon/ration project7 "u :i* paym5t may 
be made to ea* p>ticipat+ ,/ate 7z      
describ$ 9 subsection 7b771 = any m$ical
 assi/ance provid$ ) respect to a       
qualifi$ individual 9 a community-bas$  
in/itution = m5tal diseases :o is be+   
treat$ 9 su* in/itution = a sub/ance use
 condition4  7b7 ,p>ticipat+ ,/ates     
7#a7 ,eligibility ,a ,/ate is eligible  
to p>ticipate 9 ! demon/ration project  
"u ?is section if ! ,/ate plan ( ! ,/ate
 provides = paym5t "u ! plan =          
community-bas$ inpati5t sub/ance use    
disord] treatm5t s]vices furni%$ to     
qualifi$ individuals4  7#b7 ,application
 ,a ,/ate seek+ to p>ticipate 9 !       
demon/ration project "u ?is section %all
 submit to ! ,secret>y an application1  
at su* "t1 9 su* =m1 & t conta9s su*    
in=mation1 provisions1 & assurances1 z !
 ,secret>y may require4  7#c7 ,selection
 ,! ,secret>y %all select1 on a         
competitive basis1 f among ! ,/ates t   
submit an application "u p>agraph 7#a7  
to ! satisfaction ( ! ,secret>y1 !      

,/ates t w be p>ticipat+ 9 !            
demon/ration project4 ,9 select+ su*    
p>ticipat+ ,/ates1 ! ,secret>y %all seek
 to a*ieve an equitable geographic      
di/ribution4  7c7 ,waiv] au?ority  7#a7 
,9 g5]al ,! ,secret>y %all waive !      
limitation on paym5t = c>e & s]vices    
impos$ by ! subdivision 7,b7 t foll[s   
p>agraph 7#bi7 ( section #aije7;a7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7a77 7relat+ to a limitation on  
paym5ts = c>e or s]vices = any          
individual :o is "u #fe ye>s ( age & :o 
is a pati5t 9 an in/itution = m5tal     
diseases7 ) respect to paym5t = ! m$ical
 assi/ance describ$ 9 subsection 7a74   
7#b7 ,limit$ o!r waiv] au?ority ,!      
,secret>y may waive o!r requirem5ts (   
titles ,,xi & ,,xix ( ! ,social         
,security ,act 7includ+ ! requirem5ts ( 
sections #aijb7;a77#a7 7relat+ to       
/atewid5ess7 7#db ,u4,s4,c4             
#acif;a7a77#a77 & #aijb7;a77#aj77;,b7   
7relat+ to comp>ability7 7#db ,u4,s4,c4 
#acif;a7a77#aj77;,b77 ( su* ,act7 only  

to ! ext5t necess>y to c>ry out !       
demon/ration project "u ?is section4    
7d7 ,evaluation & report to congress    
7#a7 ,evaluation ,! ,secret>y %all      
conduct an evaluation ( ! impact !      
demon/ration project c>ri$ out "u ?is   
section has on ! function+ ( ! heal? &  
sub/ance use disord] sy/em & individuals
 enroll$ 9 ,/ate plans "u ! ,m$icaid    
program "u title ,,xix ( ! ,social      
,security ,act4 ,! evaluation %all      
include ea* ( ! foll[+3  7,a7 ,an       
assessm5t ( ! access su* individuals h  
to sub/ance use disord] treatm5t s]vices
 "u ! demon/ration project c>ri$ out "u 
?is section1 & ) respect to su* s]vices1
 ! av]age l5g?s ( inpati5t /ays &       
em]g5cy room visits4  7,b7 ,an assessm5t
 ( ! dis*>ge plann+ by ! heal? c>e      
provid]s furni%+ su* s]vices4  7,c7 ,an 
assessm5t ( ! impact ( ! demon/ration   
project on ! co/s ( ! full range ( heal?
 c>e items & s]vices1 includ+ inpati5t1 
em]g5cy & ambulatory c>e1 div]sions f   
inpati5t & em]g5cy c>e1 & readmissions  

to in/itutions = m5tal diseases4  7,d7  
,an analysis ( ! p]c5tage ( individuals 
enroll$ 9 su* plans :o are admitt$ to   
community-bas$ in/itutions = m5tal      
diseases z a result ( ! demon/ration    
project z comp>$ to ^? admitt$ to su*   
in/itutions ?r\gh o!r means4  7#b7      
,report ,n lat] ?an ,decemb] #ca1 #bjbj1
 ! ,secret>y %all submit to ,congress & 
make available to ! public a report t   
conta9s--  7,a7 ! f9d+s ( ! evaluation  
"u p>agraph 7#a72 &  7,b7 !             
recomm5dations ( ! ,secret>y reg>d+     
:e!r--  7i7 ! limitation ref]r$ to 9    
subsection 7c77#a7 is a b>ri] to c>e t  
ne$s to be review$ by ,congress2 &  7ii7
 ! demon/ration project c>ri$ out "u ?is
 section %\ld be cont9u$ aft] ,decemb]  
#ca1 #bjbj1 & exp&$ on a national basis4
  7e7 ,fund+  7#a7 ,appropriation ,out (
 any funds 9 ! ,treasury n o!rwise      
appropriat$1 !re is appropriat$ to c>ry 
out ?is section1 #cjj1jjj1jjj = fiscal  
ye> #bjae4  7#b7 #aj-ye> availability   
,funds appropriat$ "u p>agraph 7#a7 %all

 rema9 available = obligation ?r\gh     
,decemb] #ca1 #bjbd4  7#c7 ,funds       
allocat$ to ,/ates ,funds %all be       
allocat$ to p>ticipat+ ,/ates on ! basis
 ( crit]ia1 includ+ a ,/ate's           
application & ! availability ( funds1 z 
det]m9$ by ! ,secret>y4  7#d7 ,paym5t to
 ,/ates ,= ea* cal5d> qu>t] beg9n+ on or
 aft] ,octob] #a1 #bjad1 ! ,secret>y    
%all pay to ea* p>ticipat+ ,/ate1 f !   
allocation made to ! ,/ate "u p>agraph  
7#c71 an am\nt equal to ! ,f$]al m$ical 
assi/ance p]c5tage ( ! am\nt exp5d$ dur+
 su* qu>t] = ! m$ical assi/ance describ$
 9 subsection 7a74  7#e7 ,limitation on 
paym5ts ,9 no case may--  7,a7 !        
aggregate am\nt ( paym5ts made by !     
,secret>y to p>ticipat+ ,/ates "u ?is   
section exce$ #cjj1jjj1jjj2 or  7,b7    
paym5ts be made by ! ,secret>y to       
p>ticipat+ ,/ates "u ?is section aft]   
,decemb] #ca1 #bjbd4  7f7 ,def9itions ,9
 ?is section3  7#a7 ,f$]al m$ical       
assi/ance p]c5tage ,! t]m ,f$]al m$ical 
assi/ance p]c5tage has ! mean+ giv5 su* 

t]m 9 section #aije7;b7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acif;d7b774  7#b7 ,in/itution = m5tal  
diseases ,! t]m in/itution = m5tal      
diseases has ! mean+ giv5 su* t]m 9     
section #aije7;i7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acif;d7i774  7#c7  
,m$ical assi/ance ,! t]m m$ical         
assi/ance has ! mean+ giv5 su* t]m 9    
section #aije7;a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acif;d7a774  7#d7  
,qualifi$ individual ,! t]m qualifi$    
individual means an individual :o1      
because ( ! individual's sub/ance use   
condition1 requires sub/ance use disord]
 treatm5t & :o--  7,a7 is ov] #ba ye>s (
 age & "u #fe ye>s ( age2 &  7,b7 is    
eligible = m$ical assi/ance "u ! ,/ate  
plan "u ! ,m$icaid program "u title     
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq474  7#e7 ,/ate ,!
 t]m ,/ate has ! mean+ giv5 su* t]m =   
purposes ( title ,,xix ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #acif et  
seq474