,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #bbci  ,,in ,,the ,,house ,,of  
,,representatives  ,april #bh1 #bjag,ms4
 ,fudge 7for herself1 ,mr4 ,ryan of     
,ohio1 ,ms4 ,kaptur1 and ,mrs4 ,beatty7 
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to amend     
title ,,xix of the ,social ,security    
,act to provide for a ,state ,medicaid  
option to provide coverage of           
community-based inpatient substance use 
disorder treatment for nonelderly       
adults1 to remove such services from the
 ,medicaid exclusion from medical       
assistance of items and services for    
patients in an institution for mental   
diseases1 and for other purposes4  #a4  
,short title ,this ,act may be cited as 
the ,breaking ,addiction ,act of #bjag4 
#b4 ,state option to provide medical    
assistance for community-based inpatient
 substance use disorder treatment       
services to nonelderly adults  7a7 ,in  
general ,section #aije of the ,social   

,security ,act 7#db ,u4,s4,c4 #acif;d7  
is amended--  7#a7 in subsection        
7a77#af7--  7,a7 by striking 1 and1 7,b7
 and inserting 1 7,b72 and  7,b7 by     
inserting before the semicolon at the   
end the following3 1 and 7,c7           
community-based inpatient substance use 
disorder treatment services for         
individuals over #ba years of age and   
under #fe years of age2 and  7#b7 in    
subsection 7h7--  7,a7 in paragraph     
7#a77;,b71 by inserting 7including a    
substance use disorder7 after mental    
health conditions2 and  7,b7 by adding  
at the end the following new paragraph3 
7#c7 ,for purposes of subsection        
7a77#af77;,c71 the term community-based 
inpatient substance use disorder        
treatment services means services       
described in subparagraphs 7,a7 and 7,b7
 of paragraph 7#a7 that are furnished in
 an institution for mental diseases 7as 
defined in section #aije7;i7 of the     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7i77 that has not more than #fj  

beds4  4  7b7 ,report to ,congress ,not 
later than #d years after the date of   
the enactment of this ,act1 the         
,secretary of ,health and ,human        
,services shall submit to ,congress1 and
 make available to the public1 a report 
on the availability of1 and access to1  
community-based inpatient substance use 
disorder treatment services provided    
under ,state ,medicaid plans under title
 ,,xix of the ,social ,security ,act 7or
 waivers of such plans7 7#db ,u4,s4,c4  
#acif et seq47 pursuant to the          
amendments made by subsection 7a74 ,the 
report shall include recommendations    
regarding a permanent and expanded      
waiver of the limitation on payment     
under the subdivision 7,b7 following    
section #aije7;a77#bi7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#acif;d7a77#bi77 to permit all ,states  
to provide such services to all         
individuals eligible to receive medical 
assistance under such ,state ,medicaid  
plans4  7c7 ,effective date ,the        

amendments made by subsection 7a7 shall 
apply to calendar quarters beginning on 
or after the date that is #cj days after
 the date of the enactment of this ,act1
 but in no case shall such amendments   
apply earlier than ,october #a1 #bjag4