,,ii #aac? ,,congress #a/ ,session ,s4 #aeag ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,septemb] #ah1 #bjac,mr4 ,:iteh\se introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d ! ,public ,heal? ,s]vices ,act & ! ,social ,security ,act to ext5d heal? in=mation te*nology assi/ance eligibility to behavioral heal?1 m5tal heal?1 & sub/ance abuse pr(essionals & facilities1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,behavioral ,heal? ,in=mation ,te*nology ,act ( #bjac4 #b4 ,ext5sion ( heal? in=mation te*nology assi/ance = behavioral heal? & m5tal heal? & sub/ance abuse ,section #cjjj7c7 ( ! ,public ,heal? ,s]vices ,act 7#db ,u4,s4,c4 #cjj;jj7#c77 is am5d$ by ins]t+ a behavioral or m5tal heal? pr(essional 7z def9$ 9 section #cca7;a77#c77;,e77i771 a sub/ance abuse pr(essional1 a psy*iatric hospital 7z def9$ 9 section #ahfa7;f7 ( ! ,social ,security ,act71 a community m5tal heal? c5t] t meets ! crit]ia specifi$ 9 section #aiac7;c7 7includ+ community m5tal heal? c5t]s t are op]at$ by c\nty behavioral heal? ag5cies71 a resid5tial or outpati5t m5tal heal? or sub/ance abuse treatm5t facility1 be=e & any o!r category4 #c4 ,ext5sion ( eligibility = m$ic>e & m$icaid heal? in=mation te*nology implem5tation assi/ance 7a7 ,paym5t inc5tives = eligible pr(essionals "u ! m$ic>e program ,section #ahdh ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7 is am5d$-- 7#a7 9 subsection 7a77#g7-- 7,a7 9 subp>agraph 7,e71 by add+ at ! end ! foll[+ new clause3 7iv7 ,additional eligible pr(essional ,! t]m additional eligible pr(essional means ei!r ( ! foll[+3 7,i7 ,a cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii774 7,,ii7 ,a cl9ical social work] 7z def9$ 9 section #ahfa7;hh77#a774 2 & 7,b7 by add+ at ! end ! foll[+ new subp>agraph3 7,f7 ,application to additional eligible pr(essionals ,! ,secret>y %all apply ! provisions ( ?is p>agraph ) respect to an additional eligible pr(essional 9 ! same mann] z su* provisions apply to an eligible pr(essional1 except 9 apply+ subp>agraph 7,a7-- 7i7 9 clause 7i71 ! ref]5ce to #bjae %all be deem$ a ref]5ce to #bjai2 7ii7 9 clause 7ii71 ! ref]5ces to #bjae1 #bjaf1 & #bjag %all be deem$ ref]5ces to #bjai1 #bjbj1 & #bjba1 respectively2 & 7iii7 9 clause 7iii71 ! ref]5ce to #bjah %all be deem$ a ref]5ce to #bjbb4 2 & 7#b7 9 subsection 7o7-- 7,a7 9 p>agraph 7#e71 by add+ at ! end ! foll[+ new subp>agraph3 7,d7 ,additional eligible pr(essional ,! t]m additional eligible pr(essional means ei!r ( ! foll[+3 7i7 ,a cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii774 7ii7 ,a cl9ical social work] 7z def9$ 9 section #ahfa7;hh77#a774 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#f7 ,application to additional eligible pr(essionals ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible pr(essional 9 ! same mann] z su* provisions apply to an eligible pr(essional1 except 9 apply+-- 7,a7 p>agraph 7#a77;,a77ii71 ! ref]5ce to #bjaf %all be deem$ a ref]5ce to #bjbj2 7,b7 p>agraph 7#a77;,b77ii71 ! ref]5ces to #bjaa & #bjab %all be deem$ ref]5ces to #bjae & #bjaf1 respectively2 7,c7 p>agraph 7#a77;,b77iii71 ! ref]5ces to #bjac %all be deem$ ref]5ces to #bjag2 7,d7 p>agraph 7#a77;,b77v71 ! ref]5ces to #bjad %all be deem$ ref]5ces to #bjah2 & 7,e7 p>agraph 7#a77;,e71 ! ref]5ce to #bjaa %all be deem$ a ref]5ce to #bjae4 4 7b7 ,eligible hospitals ,section #ahhf ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7 is am5d$-- 7#a7 9 subsection 7b77#c77;,b77ix71 by add+ at ! end ! foll[+ new subclause3 7,v7 ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible hospital 7z def9$ 9 subsection 7n77#f77;,c77 9 ! same mann] z su* provisions apply to an eligible hospital except 9 apply+-- 7aa7 subclause 7,i71 ! ref]5ces to #bjae1 #bjaf1 & #bjag %all be deem$ ref]5ces to #bjai1 #bjbj1 & #bjba1 respectively2 & 7bb7 subclause 7,,iii71 ! ref]5ce to #bjae %all be deem$ a ref]5ce to #bjai4 2 & 7#b7 9 subsection 7n7-- 7,a7 9 p>agraph 7#f71 by add+ at ! end ! foll[+ new subp>agraph3 7,c7 ,additional eligible hospital ,! t]m additional eligible hospital means an inpati5t hospital t is a psy*iatric hospital 7z def9$ 9 section #ahfa7;f774 2 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,application to additional eligible hospitals ,! ,secret>y %all apply ! provisions ( ?is subsection ) respect to an additional eligible hospital 9 ! same mann] z su* provisions apply to an eligible hospital1 except 9 apply+-- 7,a7 p>agraph 7#b77;,e77ii71 ! ref]5ces to #bjac & #bjae %all be deem$ ref]5ces to #bjag & #bjai1 respectively2 & 7,b7 p>agraph 7#b77;,g77i71 ! ref]5ce to #bjaa %all be deem$ a ref]5ce to #bjae4 4 7c7 ,m$icaid provid]s ,section #aijc7t7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7t77 is am5d$-- 7#a7 9 p>agraph 7#b77;,b7-- 7,a7 9 clause 7i71 by /rik+ 1 or & ins]t+ a semicolon2 7,b7 9 clause 7ii71 by /rik+ ! p]iod at ! end & ins]t+ 2 or2 & 7,c7 by add+ at ! end ! foll[+ new clause3 7iii7 an additional ,m$icaid provid]4 2 7#b7 9 p>agraph 7#c7-- 7,a7 9 subp>agraph 7,b71 by ins]t+ aft] & bel[ clause 7v7 ! foll[+ new s5t5ce3 ,su* t]m includes an additional eligible pr(essional42 & 7,b7 by add+ at ! end ! foll[+ new subp>agraphs3 7,g7 ,! t]m additional eligible pr(essional means-- 7i7 a cl9ical psy*ologi/ provid+ qualifi$ psy*ologi/ s]vices 7z def9$ 9 section #ahfa7;ii771 if su* cl9ical psy*ologi/ is practic+ 9 an outpati5t sett+ t-- 7,i7 is l$ by a cl9ical psy*ologi/2 & 7,,ii7 is n o!rwise receiv+ paym5t "u p>agraph 7#a7 z a ,m$icaid provid] describ$ 9 p>agraph 7#b77;,b72 & 7ii7 a cl9ical social work] 7z def9$ 9 section #ahfa7;hh77#a771 if su* cl9ical social work] is practic+ 9 an outpati5t cl9ic t-- 7,i7 is l$ by a cl9ical social work]2 & 7,,ii7 is n o!rwise receiv+ paym5t "u p>agraph 7#a7 z a ,m$icaid provid] describ$ 9 p>agraph 7#b77;,b74 7,h7 ,! t]m additional ,m$icaid provid] means-- 7i7 a public hospital t is pr9cipally a psy*iatric hospital 7z def9$ 9 section #ahfa7;f772 7ii7 a private hospital t is pr9cipally a psy*iatric hospital 7z def9$ 9 section #ahfa7;f77 & t has at lea/ #aj p]c5t ( its pati5t volume 7z e/imat$ 9 accordance ) a me?odology e/abli%$ by ! ,secret>y7 attributable to individuals :o are receiv+ m$ical assi/ance "u ?is title2 7iii7 a community m5tal heal? c5t] meet+ ! crit]ia specifi$ 9 section #aiac7;c7 ( ! ,public ,heal? ,s]vice ,act2 or 7iv7 a resid5tial or outpati5t m5tal heal? or sub/ance abuse treatm5t facility t-- 7,i7 is accr$it$ by ! ,jo9t ,commission on ,accr$itation ( ,heal?c>e ,organizations1 ! ,commission on ,accr$itation ( ,rehabilitation ,facilities1 ! ,c\ncil on ,accr$itation1 or any o!r national accr$it+ ag5cy recogniz$ by ! ,secret>y2 & 7,,ii7 has at lea/ #aj p]c5t ( its pati5t volume 7z e/imat$ 9 accordance ) a me?odology e/abli%$ by ! ,secret>y7 attributable to individuals :o are receiv+ m$ical assi/ance "u ?is title4 2 & 7#c7 by add+ at ! end ! foll[+ new p>agraph3 7#aa7 7,a7 ,! ,secret>y %all apply ! provisions ( ?is subsection & subsection 7a77#c77;,f7 ) respect to an additional eligible pr(essional :o is a ,m$icaid provid] describ$ 9 p>agraph 7#b77;,a7 9 ! same mann] z su* provisions apply to any o!r eligible pr(essional :o is a ,m$icaid provid] describ$ 9 p>agraph 7#b77;,a71 except 9 apply+-- 7i7 p>agraph 7#d77;,a77i71 ! ref]5ce to #bjaf %all be deem$ a ref]5ce to #bjbj2 & 7ii7 p>agraph 7#d77;,a77iii71 ! ref]5ce to #bjba %all be deem$ a ref]5ce to #bjbe4 7,b7 ,! ,secret>y %all apply ! provisions ( ?is subsection & subsection 7a77#c77;,f7 ) respect to an additional ,m$icaid provid] 9 ! same mann] z su* provisions apply to any o!r ,m$icaid provid] describ$ 9 p>agraph 7#b77;,b71 except 9 apply+ p>agraph 7#d77;,d77i71 ! ref]5ce to #bjaf %all be deem$ a ref]5ce to #bjbj4 4 7d7 ,m$ic>e ,advantage organizations ,section #ahec ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#bc7 is am5d$-- 7#a7 9 subsection 7l7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ or additional eligible pr(essionals 7z describ$ 9 p>agraph 7#i77 aft] p>agraph 7#b72 & 7ii7 by ins]t+ & additional eligible pr(essionals be=e "u su* sections2 7,b7 9 p>agraph 7#c77;,b7-- 7i7 9 clause 7i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7ii7 9 clause 7ii7-- 7,i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7,,ii7 9 subclause 7,i71 by ins]t+ or an additional eligible pr(essional1 respectively1 aft] eligible pr(essional2 7,c7 9 p>agraph 7#c77;,c71 by ins]t+ & additional eligible pr(essionals aft] all eligible pr(essionals2 7,d7 9 p>agraph 7#d77;,d71 by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case t a qualify+ ,,ma organization atte/s t n all additional eligible pr(essionals ( ! organization are mean+ful ,,ehr us]s ) respect to an applicable ye>1 ! ,secret>y %all apply ! paym5t adju/m5t "u ?is p>agraph bas$ on ! proportion ( all su* additional eligible pr(essionals ( ! organization t are n mean+ful ,,ehr us]s = su* ye>42 7,e7 9 p>agraph 7#f77;,a71 by ins]t+ &1 z applicable1 ea* additional eligible pr(essional describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 7,f7 9 p>agraph 7#f77;,b71 by ins]t+ &1 z applicable1 ea* additional eligible hospital describ$ 9 p>agraph 7#i7 aft] subsection 7m77#a72 7,g7 9 p>agraph 7#g77;,a71 by ins]t+ &1 z applicable1 additional eligible pr(essionals aft] eligible pr(essionals2 7,h7 9 p>agraph 7#g77;,b71 by ins]t+ &1 z applicable1 additional eligible pr(essionals aft] eligible pr(essionals2 7,i7 9 p>agraph 7#h77;,b71 by ins]t+ & additional eligible pr(essionals describ$ 9 p>agraph 7#i7 aft] p>agraph 7#b72 & 7,j7 by add+ at ! end ! foll[+ new p>agraph3 7#i7 ,additional eligible pr(essional describ$ ,) respect to a qualify+ ,,ma organization1 an additional eligible pr(essional describ$ 9 ?is p>agraph is an additional eligible pr(essional 7z def9$ = purposes ( section #ahdh7o77 :o-- 7,a7 7i7 is employ$ by ! organization2 or 7ii7 7,i7 is employ$ by1 or is a p>tn] (1 an entity t ?r\gh contract ) ! organization furni%es at lea/ #hj p]c5t ( ! entity's ,m$ic>e pati5t c>e s]vices to enrollees ( su* organization2 & 7,,ii7 furni%es at lea/ #hj p]c5t ( ! pr(essional s]vices ( ! additional eligible pr(essional cov]$ "u ?is title to enrollees ( ! organization2 & 7,b7 furni%es1 on av]age1 at lea/ #bj h\rs p] week ( pati5t c>e s]vices4 2 & 7#b7 9 subsection 7m7-- 7,a7 9 p>agraph 7#a7-- 7i7 by ins]t+ or additional eligible hospitals 7z describ$ 9 p>agraph 7#g77 aft] p>agraph 7#b72 & 7ii7 by ins]t+ & additional eligible hospitals be=e "u su* sections2 7,b7 9 p>agraph 7#c77;,a77i71 by ins]t+ or additional eligible hospital aft] eligible hospital2 7,c7 9 p>agraph 7#c77;,a77ii71 by ins]t+ or an additional eligible hospital aft] eligible hospital 9 ea* place x occurs2 7,d7 9 p>agraph 7#c77;,b7-- 7i7 9 clause 7i71 by ins]t+ or an additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7ii7 9 clause 7ii7-- 7,i7 9 ! matt] prec$+ subclause 7,i71 by ins]t+ or an additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7,,ii7 9 subclause 7,i71 by ins]t+ or an additional eligible hospital1 respectively1 aft] eligible hospital2 7,e7 9 p>agraph 7#d77;,a71 by ins]t+ or "o or m additional eligible hospitals 7z def9$ 9 section #ahhf7n771 z appropriate1 aft] section #ahhf7n77#f77;,a772 7,f7 9 p>agraph 7#d77;,d71 by add+ at ! end ! foll[+ new s5t5ce3 ,9 ! case t a qualify+ ,,ma organization atte/s t n all additional eligible hospitals ( ! organization are mean+ful ,,ehr us]s ) respect to an applicable p]iod1 ! ,secret>y %all apply ! paym5t adju/m5t "u ?is p>agraph bas$ on ! me?odology specifi$ by ! ,secret>y1 tak+ into acc\nt ! proportion ( su* additional eligible hospitals1 or dis*>ges f su* hospitals1 t are n mean+ful ,,ehr us]s = su* p]iod42 7,g7 9 p>agraph 7#e77;,a71 by ins]t+ &1 z applicable1 ea* additional eligible hospital describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 7,h7 9 p>agraph 7#e77;,b71 by ins]t+ & additional eligible hospitals1 z applicable1 aft] eligible hospitals2 7,i7 9 p>agraph 7#f77;,b71 by ins]t+ & additional eligible hospitals describ$ 9 p>agraph 7#g7 aft] p>agraph 7#b72 & 7,j7 by add+ at ! end ! foll[+ new p>agraph3 7#g7 ,additional eligible hospital describ$ ,) respect to a qualify+ ,,ma organization1 an additional eligible hospital describ$ 9 ?is p>agraph is an additional eligible hospital 7z def9$ 9 section #ahhf7n77#f77;,c77 t is "u common corporate gov]nance ) su* organization & s]ves individuals enroll$ "u an ,,ma plan (f]$ by su* organization4 4