,,ii  #aac? ,,congress  #b;d ,session   
,s4 #aiib  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #d1 #bjad,ms4 
,baldw9 7= h]self & ,mr4 ,portman7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to provide a
 /&>d def9ition ( !rapeutic fo/] c>e    
s]vices 9 ,m$icaid4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,quality ,fo/]
 ,c>e ,s]vices ,act ( #bjad4  #b4       
,inclusion ( !rapeutic fo/] c>e z m$ical
 assi/ance  7a7 ,9 g5]al ,section #aije 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9    
subsection 7a7-- 7,a7 9 p>agraph 7#bh71 
by /rik+ & at ! end2  7,b7 by r$esignat+
 p>agraph 7#bi7 z p>agraph 7#cj72 &     
7,c7 by ins]t+ aft] p>agraph 7#bh7 !    
foll[+ new p>agraph3  7#bi7 !rapeutic   
fo/] c>e s]vices describ$ 9 subsection  
7ee72 &  2 &  7#b7 by add+ at ! end !   
foll[+ new subsection3  7ee7 7#a7 ,=    
purposes ( subsection 7a77#bi71 subject 

to subp>agraph 7,c71 !rapeutic fo/] c>e 
s]vices describ$ 9 ?is subsection are   
s]vices provid$ = *ildr5 :o h n atta9$  
age #ba1 & :o1 z a result ( m5tal       
illness1 o!r emotional or behavioral    
disord]s1 m$ically fragile conditions1  
or developm5tal disabilities1 ne$ !     
level ( c>e provid$ 9 an in/itution     
7includ+ a psy*iatric resid5tial        
treatm5t facility7 or nurs+ facility !  
co/ ( :i* c\ld be reimburs$ "u ! ,/ate  
plan b :o c be c>$ = or ma9ta9$ 9 a     
community placem5t1 ?r\gh !rapeutic fo/]
 c>e programs t-- 7,a7 are lic5s$ by !  
,/ate & accr$it$ by ! ,jo9t ,commission1
 ! ,commission on ,accr$itation (       
,rehabilitation ,facilities1 ! ,c\ncil  
on ,accr$itation1 or by ano!r equival5t 
accr$itation ag5cy 7or ag5cies7 z !     
,secret>y may recognize2  7,b7 provide  
/ructur$ daily activities1 includ+ !    
developm5t1 improvem5t1 monitor+1 &     
re9=c+ ( age-appropriate social1        
communication & behavioral skills1      
trauma-in=m$ & g5d]-responsive s]vices1 

crisis int]v5tion & crisis support      
s]vices1 m$ication monitor+1 c\nsel+1 & 
case managem5t1 & may furni% o!r        
int5sive community s]vices2 &  7,c7     
provide fo/] c>e p>5ts ) specializ$     
tra9+ & consultation 9 ! managem5t (    
*ildr5 ) m5tal illness1 trauma1 o!r     
emotional or behavioral disord]s1       
m$ically fragile conditions1 or         
developm5tal disabilities1 & specific   
additional tra9+ on ! ne$s ( ea* *ild   
provid$ su* s]vices4  7#b7 ,9 mak+      
cov]age det]m9ations "u p>agraph 7#a71 a
 ,/ate may employ m$ical necessity      
crit]ia t are simil> to ! m$ical        
necessity crit]ia appli$ to cov]age     
det]m9ations = o!r s]vices & supports "u
 ?is title4  7#c7 ,! s]vices describ$ 9 
?is subsection d n include ! tra9+      
ref]r$ to 9 p>agraph 7#a77;,c74  4  7b7 
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply to cal5d>     
qu>t]s beg9n+ on or aft] ! date (       
enactm5t ( ?is ,act4