,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #defi  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #ab1 #bjaf   
,ms4 ,matsui 7= h]self & ,mr4 ,lance7   
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d ! ,protect+ ,access to 
,m$ic>e ,act ( #bjad 7,,pama7 to ext5d &
 exp& ! ,m$icaid community m5tal heal?  
s]vices demon/ration program4  #a4 ,%ort
 title ,?is ,act may be cit$ z ! ,ext5d 
,excell5ce 9 ,m5tal ,heal? ,act ( #bjaf4
  #b4 ,ext5sion & expansion ( ,m$icaid  
community m5tal heal? s]vices           
demon/ration program  7a7 ,9 g5]al      
,p>agraph 7#c7 ( section #bbc7;d7 ( !   
,protect+ ,access to ,m$ic>e ,act (     
#bjad 7,public ,law #aac-ic2 #db        
,u4,s4,c4 #acif;a note7 is am5d$ to read
 z foll[s3  7#c7 ,numb] & l5g? (        
demon/ration programs  7,a7 ,9 g5]al    
,except z provid$ 9 subp>agraphs 7,b7 & 
7,c71 n m ?an #h ,/ates %all be select$ 
= #b-ye> demon/ration programs "u ?is   
subsection4  7,b7 ,?ree-ye> ext5sion ,a 

,/ate select$ to p>ticipate 9 !         
demon/ration project "u ?is subsection  
%all1 ^u ! reque/ ( ! ,/ate1 be p]mitt$ 
to cont9ue to p>ticipate 9 !            
demon/ration project = an additional    
#c-ye> p]iod1 if ! ,secret>y makes !    
det]m9ation specifi$ 9 subp>agraph 7,d7 
) respect to ! ,/ate4 ,! ,secret>y %all 
provide ea* su* ,/ate ) notice ( t      
det]m9ation4  7,c7 ,expansion to        
additional ,/ates  7i7 ,9 g5]al ,!      
,secret>y may exp& ! numb] ( eligible   
,/ates p>ticipat+ 9 ! demon/ration      
project1 if1 ) respect to any su* ,/ate1
 ! ,secret>y makes ! det]m9ation        
specifi$ 9 subp>agraph 7,d74 ,! p]iod ( 
! p>ticipation ( any su* eligible ,/ate 
9 ! demon/ration project %all end on    
,decemb] #ca1 #bjbb1 reg>dless ( ! date 
on :i* ! ,/ate beg9s p>ticipat+ 9 !     
demon/ration project4  7ii7             
,notification ,! ,secret>y %all provide 
ea* ,/ate t applies to be add$ to !     
demon/ration project "u ?is subsection )
 notice ( ! det]m9ation "u subp>agraph  

7,d7 & ! /&>ds us$ to make su*          
det]m9ation4  7,d7 ,det]m9ation ,!      
det]m9ation specifi$ 9 ?is subp>agraph  
is t ! ,secret>y det]m9es t1 9 ! case ( 
a reque/ "u subp>agraph 7,b7 or an      
expansion ( ! demon/ration project "u   
subp>agraph 7,c7--  7i7 ! cont9u$       
p>ticipation ( a ,/ate 9 ! demon/ration 
project "u ?is subsection or an         
expansion ( ! project to any additional 
,/ate 7z applicable7 w measurably       
improve access to1 & p>ticipation 91    
s]vices describ$ 9 subsection           
7a77#b77;,d7 by individuals eligible =  
m$ical assi/ance "u ! ,/ate ,m$icaid    
program2 &  7ii7 any su* ,/ate is 9 full
 compliance ) ! report+ requirem5ts "u  
p>agraph 7#g7 & any quality report+     
requirem5ts e/abli%$ by ! ,secret>y4  4 
7b7 ,cl>ification conc]n+ cov]age (     
cl9ical visits ,section #bbc7;b7 ( !    
,protect+ ,access to ,m$ic>e ,act (     
#bjad is am5d$ by add+ at ! end ! foll[+
 new p>agraph3  7#c7 ,s]vices includ$ 9 
cl9ical visits ,= purposes ( implem5t+ !

 guidance "u p>agraph 7#a71 a cl9ical   
visit %all include-- 7,a7 behavioral    
heal? s]vices provid$ on-site2  7,b7    
s]vices au?oriz$ "u subsection          
7a77#b77;,d7 furni%$ outside ! cl9ic 9 a
 community sett+1 includ+ a homeless    
%elt]1 p5al facility1 or o!r community  
sett+ 7z id5tifi$ by ! ,secret>y72 &    
7,c7 teleheal? s]vices4  4