,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #ehcg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #ad1 #bjaf,mr4  
,ha/+s 7= himself1 ,mr4 ,huffman1 ,mr4  
,clay1 & ,ms4 ,bass7 introduc$ ! foll[+ 
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d  
title ,,xix ( ! ,social ,security ,act  
to remove ! exclusion f m$ical assi/ance
 "u ! ,m$icaid program ( items & s]vices
 furni%$ 9 an in/itution = m5tal        
diseases 9 ! case ( inpati5t1           
non-hospital sub/ance use disord]       
treatm5t facility s]vices furni%$ =     
noneld]ly adults4  #a4 ,removal (       
,m$icaid ,,imd exclusion = sub/ance use 
disord] treatm5t facility s]vices =     
noneld]ly adults  7a7 ,f9d+s ,congress  
f9ds ! foll[+3 7#a7 ,sub/ance abuse     
exacts a social & economic toll on !    
,unit$ ,/ates1 ) widespread detrim5tal  
effects on ! ,nation's heal?1 safety1 & 
economy4  7#b7 ,! co/s ( sub/ance abuse 
to ! ,nation's heal? c>e sy/em are      
e/imat$ at #ebd billion a ye> ) an      

additional #aha billion ea* ye> 9 public
 heal?1 crime1 & lo/ productivity co/s1 
result+ 9 illicit drug use co/+ our     
c\ntry a total ( #gje billion annually4 
7#c7 ,! human co/s ( drug addiction _c  
be calculat$4 ,e day 9 ! ,unit$ ,/ates1 
#abj p die z a result ( drug ov]dose1 a 
rate t has m ?an d\bl$ f #aiii ?r\gh    
#bjac4 ,among individuals #be to #fd    
ye>s old1 drug ov]dose caus$ m dea?s ?an
 motor vehicle traffic cra%es4  7#d7 ,= 
millions ( ,am]icans sub/ance use       
progresses to ! po9t :]e ef=ts by       
individuals1 _! family & fri5ds1 &      
social networks are n suffici5t to cope 
) ! problem4 ,9 cases ( *ronic          
addiction1 access to treatm5t c be a    
critical & lifesav+ res\rce4  7#e7 ,only
 a fraction ( ^? ,am]icans :o ne$       
treatm5t1 h[ev]1 receive x4 ,an e/imat$ 
#bc4a million ,am]icans ages #ab or old]
 ne$$ treatm5t = sub/ance abuse 9 #bjab2
 h[ev]1 only #b4e million ( !m actually 
receiv$ treatm5t4 ,?is %ortfall is due  
prim>ily to ! limit$ availability (     

sub/ance use disord] s]vices1 p>ticul>ly
 = ^? 9 ne$ ( resid5tial c>e to address 
*ronic addiction4  7#f7 ,! expansion (  
insurance cov]age = sub/ance use disord]
 treatm5t ?r\gh ! ,af=dable ,c>e ,act   
has s]v$ z a p[]ful tool to enable      
individuals to access c>e to address _! 
sub/ance use disord]1 especially = ^? :o
 b5efit f outpati5t s]vices4  7#g7      
,h[ev]1 "u curr5t law1 access to        
community-bas$ resid5tial treatm5t = ^? 
) ! mo/ sev]e conditions is d5i$ to     
,m$icaid b5efici>ies due to an exclusion
 ( cov]age ( s]vices 9 in/itutions (    
m5tal disease 7,,imd7 t b>s reimbursem5t
 = c>e ( pati5ts at facilities ) m ?an  
#af b$s1 result+ 9 inequitable &        
inaccessible c>e = millions ( ,am]icans4
  7#h7 ,elim9at+ ?is ,,imd exclusion w  
all[ ^? :o suff] f sev]e sub/ance use   
disord]s to h equal access to treatm5t1 
to a*ieve /able1 long-t]m recov]y1 & to 
become productive memb]s ( society1 & w 
r$uce ! heal?1 public safety1 & economic
 consequ5ces associat$ ) addiction4  7b7

 ,p]mitt+ m$ical assi/ance at facilities
 provid+ inpati5t1 nonhospital          
resid5tial sub/ance use disord] treatm5t
 = noneld]ly adults ,section #aije7;a7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acif;d7a77 is am5d$1 9 division 7,b7 t
 foll[s p>agraph 7#bi71 by ins]t+ aft]  
in/itution = m5tal diseases ! foll[+3 1 
except t su* limitation ) respect to an 
in/itution = m5tal diseases %all n apply
 to a facility ins(> z x provides       
inpati5t1 nonhospital resid5tial        
sub/ance use disord] treatm5t =         
individuals ov] #ba ye>s ( age4  7c7    
,effective date ,! am5dm5t made by      
subsection 7b7 %all apply to items &    
s]vices furni%$ on or aft] ,janu>y #a1  
#bjag4