,,ii  #aad? ,,congress  #b;d ,session   
,s4 #bedb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #aa1          
#bjaf,mrs4 ,capito 7= h]self & ,mr4 ,k+7
 introduc$ ! foll[+ bill2 :i* 0 read    
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to provide =       
alt]native & updat$ c]tification        
requirem5ts = p>ticipation "u ,m$icaid  
,/ate plans "u title ,,xix ( ! ,social  
,security ,act 9 ! case ( c]ta9         
facilities treat+ infants "u "o ye> (   
age ) neonatal ab/95ce syndrome1 & = o!r
 purposes4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,cradle ,act4  #b4      
,f9d+s ,congress f9ds z foll[s3  7#a7   
,neonatal ab/95ce syndrome 7ref]r$ to 9 
?is section z ,,nas7 is a gr\p (        
conditions a newborn c h if ! newborn 0 
expos$ to drugs1 includ+ opioids :ile 9 
! womb be=e bir?4  7#b7 ,accord+ to a   
report ( ! ,gov]nm5t ,acc\ntability     
,(fice 7ref]r$ to 9 ?is section z !     
,,gao report7 symptoms ( ,,nas include  
irritability1 l\d cry+1 /iffness1       

sweat+1 vomit+1 di>rhea1 poor fe$+1     
seizures1 & respiratory di/ress4  7#c7  
,accord+ to ! ,,gao report1 x is        
recomm5d$ t newborns ) ,,nas receive a  
?or\gh evaluation & specializ$ &        
innovative treatm5t1 :5 w>rant$4  7#d7  
,accord+ to ! ,,gao report1 !re is a    
program gap ( available treatm5t        
programs = bo? pregnant wom5 & newborns 
) ,,nas4  7#e7 ,accord+ to ! ,,gao      
report1 newborns ) ,,nas /ay$ 9 !       
hospital on av]age #af days ) an av]age 
hospital bill ( #ec1jjj4  7#f7 ,accord+ 
to ,,gao reports1 ,,nas has m ?an       
quadrupl$ 9 ! pa/ decade1 increas+ f    
#a4b p] #a1jjj hospital bir?s p] ye> 9  
#bjjj to #e4h p] #a1jjj hospital bir?s  
p] ye> 9 #bjab2 & "s regional /udies h  
report$ mu* high] incid5ces4  7#g7      
,address+ ! treatm5t ( infants diagnos$ 
) ,,nas w take innovative1 specializ$1 &
 collaborative ef=ts4  #c4 ,guidel9es = 
c]tification = p>ticipation "u ,m$icaid 
,/ate plans ( c]ta9 facilities treat+   
infants "u "o ye> ( age ) neonatal      

ab/95ce syndrome  7a7 ,9 g5]al ,n lat]  
?an six mon?s aft] ! date ( ! enactm5t (
 ?is ,act1 ! ,secret>y ( ,heal? & ,human
 ,s]vices %all e/abli% guidel9es1 9     
accordance ) subsection 7b71 = ,/ate    
ag5cies & recogniz$ national li/+ or    
accr$it+ bodies to foll[ = purposes (   
c]tify+ a resid5tial p$iatric recov]y   
c5t] z qualify+ = a provid] agreem5t =  
p>ticipation "u a ,/ate plan "u !       
,m$icaid program "u title ,,xix ( !     
,social ,security ,act4 ,not)/&+ any o!r
 provision ( law1 a resid5tial p$iatric 
recov]y c5t] may satisfy ! requirem5ts  
set =? 9 su* guidel9es1 9 lieu ( any    
comp>able requirem5ts o!rwise applicable
 to su* a c5t] = purposes ( c]tification
 = p>ticipation "u su* a ,/ate plan4    
7b7 ,guidel9es describ$ ,! guidel9es    
e/abli%$ "u subsection 7a7 %all-- 7#a7  
provide = physical environm5t           
requirem5ts & o!r necess>y requirem5ts  
specifically applicable to treat+       
individuals :o are "u "o ye> ( age ) !  
diagnosis ( neonatal ab/95ce syndrome   

)\t any o!r significant m$ical risk     
factors2 &  7#b7 take into acc\nt t     
c]ta9 physical environm5t requirem5ts1 &
 any o!r requirem5ts1 ne$$ = c5t]s or   
facilities treat+ adults may n be       
necess>y = c5t]s or facilities treat+   
individuals describ$ 9 p>agraph 7#a74   
7c7 ,resid5tial p$iatric recov]y c5t] ,=
 purposes ( ?is ,act1 ! t]m resid5tial  
p$iatric recov]y c5t] means a c5t] or   
facility t furni%es items & s]vices to  
infants :o are "u "o ye> ( age ) !      
diagnosis ( neonatal ab/95ce syndrome   
)\t any o!r significant m$ical risk     
factors & mo!rs ( su* infants4  #d4     
,/ate law lic5sure ( c]ta9 facilities   
satisfies c]tification requirem5ts      
,not)/&+ any o!r provision ( law1 9 !   
case ( a ,/ate t recognizes & lic5ses   
resid5tial p$iatric recov]y c5t]s 7z    
def9$ 9 section #c7;c771 su* a c5t] t is
 lic5s$1 9 accordance ) su* ,/ate law1  
%all be treat$ z satisfy+ any comp>able 
requirem5ts o!rwise applicable to su* a 
c5t] = purposes ( c]tification =        

p>ticipation "u ! ,/ate plan "u !       
,m$icaid program "u title ,,xix ( !     
,social ,security ,act4  #e4 ,s5se (    
,congress ,x is ! s5se ( ,congress t    
resid5tial p$iatric recov]y c5t]s 7z    
def9$ 9 section #c7;c77 %\ld (f] c\nsel+
 & o!r s]vices to mo!rs 7& o!r          
appropriate family memb]s & c>etak]s7 ( 
infants receiv+ treatm5t at su* c5t]s4  
,su* s]vices may include ! foll[+3  7#a7
 ,c\nsel+ or ref]rals = s]vices4  7#b7  
,activities to enc\rage "m-infant bond+4
  7#c7 ,tra9+ on c>+ = su* infants4     
7#d7 ,activities to enc\rage transp>5cy 
( relevant ,/ate m&atory report+        
requirem5ts4