,,ii  #aad? ,,congress  #a/ ,session    
,s4 #dbi  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #aj1 #bjae,ms4
 ,baldw9 7= h]self1 ,mr4 ,portman1 ,ms4 
,/ab5[1 ,mr4 ,casey1 & ,mr4 ,br[n7      
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 ! ,family-,bas$ 
,fo/] ,c>e ,s]vices ,act4  #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$esignat+
 p>agraph 7#bi7 z p>agraph 7#cj72 &     
7,c7 by ins]t+ aft] p>agraph 7#bh7 !    
foll[+ new p>agraph3  7#bi7 !rapeutic   
fo/] c>e s]vices 7to ! ext5t all[$ & z  
def9$ 9 subsection 7ee772 &  2 &  7#b7  
by add+ at ! end ! foll[+ new           

subsection3  7ee7 7#a7 ,= purposes (    
subsection 7a77#bi71 subject to !       
succe$+ p>agraphs ( ?is subsection1 !   
t]m !rapeutic fo/] c>e s]vices means    
s]vices provid$ = *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 a qualifi$    
!rapeutic fo/] c>e program describ$ 9   
p>agraph 7#b74  7#b7 ,a qualifi$        
!rapeutic fo/] c>e program describ$ 9   
?is p>agraph is a program t-- 7,a7 n    
lat] ?an #c ye>s aft] ! date ( enactm5t 
( ?is subsection1 is lic5s$ by ! ,/ate &
 accr$it$ by ! ,jo9t ,commission on     
,accr$itation ( ,heal?c>e               
,organizations1 ! ,commission on        
,accr$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 provides /ructur$ daily
 activities1 includ+ ! developm5t1      
improvem5t1 monitor+1 & re9=cem5t (     
age-appropriate social1 communication & 
behavioral skills1 trauma-in=m$ &       
g5d]-responsive s]vices1 crisis         
int]v5tion & crisis support s]vices1    
m$ication monitor+1 c\nsel+1 & case     
managem5t1 & may furni% o!r int5sive    
community s]vices2 &  7,c7 provides     
biological p>5ts1 k9%ip c>egiv]s1 & fo/]
 c>e p>5ts ) specializ$ tra9+ &         
consultation 9 ! managem5t ( *ildr5 )   
m5tal illness1 o!r emotional or         
behavioral disord]s1 m$ically fragile   
conditions1 developm5tal disabilities1 !
 impact ( trauma on *ild & c>egiv]1 &   
specific additional tra9+ on ! ne$s (   
ea* *ild provid$ su* s]vices4  7#c7 ,9  
mak+ cov]age det]m9ations 9 accordance )
 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#d7 ,= purposes
 ( subsection 7a77#bi7 & ?is subsection1
 !rapeutic fo/] c>e s]vices %all n      
include reimbursem5t = any tra9+ ref]r$ 
to 9 p>agraph 7#b77;,c74  4  7b7        
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply to m$ical     
assi/ance furni%$ 9 cal5d> qu>t]s beg9n+
 on or aft] ! date ( enactm5t ( ?is     
,act4