,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #bbci  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #bh1 #bjag,ms4 
,fudge 7= h]self1 ,mr4 ,ryan ( ,ohio1   
,ms4 ,kaptur1 & ,mrs4 ,beatty7 introduc$
 ! foll[+ bill2 :i* 0 ref]r$ to !       
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to provide = a ,/ate    
,m$icaid option to provide cov]age (    
community-bas$ inpati5t sub/ance use    
disord] treatm5t = noneld]ly adults1 to 
remove su* s]vices f ! ,m$icaid         
exclusion f m$ical assi/ance ( items &  
s]vices = pati5ts 9 an in/itution =     
m5tal diseases1 & = o!r purposes4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,break+ ,addiction ,act ( #bjag4  #b4   
,/ate option to provide m$ical assi/ance
 = community-bas$ inpati5t sub/ance use 
disord] treatm5t s]vices to noneld]ly   
adults  7a7 ,9 g5]al ,section #aije ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7 is am5d$--  7#a7 9 subsection  
7a77#af7--  7,a7 by /rik+ 1 &1 7,b7 &   

ins]t+ 1 7,b72 &  7,b7 by ins]t+ be=e ! 
semicolon at ! end ! foll[+3 1 & 7,c7   
community-bas$ inpati5t sub/ance use    
disord] treatm5t s]vices = individuals  
ov] #ba ye>s ( age & "u #fe ye>s ( age2 
&  7#b7 9 subsection 7h7--  7,a7 9      
p>agraph 7#a77;,b71 by ins]t+ 7includ+ a
 sub/ance use disord]7 aft] m5tal heal? 
conditions2 &  7,b7 by add+ at ! end !  
foll[+ new p>agraph3  7#c7 ,= purposes (
 subsection 7a77#af77;,c71 ! t]m        
community-bas$ inpati5t sub/ance use    
disord] treatm5t s]vices means s]vices  
describ$ 9 subp>agraphs 7,a7 & 7,b7 (   
p>agraph 7#a7 t are furni%$ 9 an        
in/itution = m5tal diseases 7z def9$ 9  
section #aije7;i7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acif;d7i77 t has n 
m ?an #fj b$s4  4  7b7 ,report to       
,congress ,n lat] ?an #d ye>s aft] !    
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,heal? & ,human ,s]vices    
%all submit to ,congress1 & make        
available to ! public1 a report on !    
availability (1 & access to1            

community-bas$ inpati5t sub/ance use    
disord] treatm5t s]vices provid$ "u     
,/ate ,m$icaid plans "u title ,,xix ( ! 
,social ,security ,act 7or waiv]s ( su* 
plans7 7#db ,u4,s4,c4 #acif et seq47    
pursuant to ! am5dm5ts made by          
subsection 7a74 ,! report %all include  
recomm5dations reg>d+ a p]man5t & exp&$ 
waiv] ( ! limitation on paym5t "u !     
subdivision 7,b7 foll[+ section         
#aije7;a77#bi7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;d7a77#bi77 to 
p]mit all ,/ates to provide su* s]vices 
to all individuals eligible to receive  
m$ical assi/ance "u su* ,/ate ,m$icaid  
plans4  7c7 ,effective date ,! am5dm5ts 
made by subsection 7a7 %all apply to    
cal5d> qu>t]s beg9n+ on or aft] ! date t
 is #cj days aft] ! date ( ! enactm5t ( 
?is ,act1 b 9 no case %all su* am5dm5ts 
apply e>li] ?an ,octob] #a1 #bjag4