,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #bccg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #c1 #bjag,mr4    
,loebsack 7= himself1 ,mr4 ,tonko1 ,mr4 
,engel1 ,mrs4 ,napolitano1 & ,mr4 ,b5   
,ray ,lujn ( ,new ,mexico7 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$icaid option to enhance adm9i/rative 
mat*+ funds to support /atewide         
behavioral heal? access program         
activities = *ildr5 "u #ba ye>s ( age1 &
 = o!r purposes4  #a4 ,cov]age (        
/atewide behavioral heal? access program
 activities = *ildr5 "u age #ba  7a7    
,*ild behavioral heal? access program   
activities = *ildr5 "u age #ba ,title   
,,xix ( ! ,social ,security ,act is     
am5d$ by add+ at ! end ! foll[+ new     
section3  #aidg4 ,cov]age ( /atewide    
behavioral heal? access program         
activities = *ildr5 "u age #ba  7a7 ,9  
g5]al ,not)/&+ section                  

#aijb7;a77#aj77;,b7 7relat+ to          
comp>ability7 & any o!r provision ( ?is 
title = :i* ! ,secret>y det]m9es x is   
necess>y to waive 9 ord] to implem5t ?is
 section1 beg9n+ ,janu>y #a1 #bjag1 a   
,/ate1 at its option z a ,/ate plan     
am5dm5t1 may provide = m$ical assi/ance 
"u ?is title = *ild behavioral heal?    
access program activities4  7b7         
,def9itions ,9 ?is section3 7#a7 ,*ild  
behavioral heal? access adm9i/rative    
program activities ,! t]m *ild          
behavioral heal? access adm9i/rative    
program activities means adm9i/rative   
activities t are c>ri$ out ) respect to 
a *ild behavioral heal? access          
adm9i/rative program4  7#b7 ,*ild       
behavioral heal? access adm9i/rative    
program ,! t]m *ild behavioral heal?    
access adm9i/rative program means a     
program t1 ) respect to behavioral heal?
 s]vices furni%$ to individuals "u #ba  
ye>s ( age-- 7,a7 designs1 develops1 &  
implem5ts an organiz$ /atewide or       
regional network ( m5tal heal?          

pr(essionals t may include *ild &       
adolesc5t psy*iatri/s1 psy*ologi/s1     
social work]s1 psy*iatric nurses1 nurse 
practition]s1 & sub/ance abuse c\nselors
 to exp& ! capacity ( p$iatric prim>y   
c>e provid]s to deliv] family-c5t]$     
behavioral heal? c>e2  7,b7 conducts an 
assessm5t ( critical *ild behavioral    
heal? consultation ne$s among p$iatric  
prim>y c>e provid]s & _! pref]r$        
me*anisms = receiv+ consultation & tra9+
 & te*nical assi/ance2  7,c7 develops an
 onl9e database & communication         
me*anisms1 includ+ teleheal?1 to        
facilitate consultation support to      
p$iatric prim>y c>e provid]s1 to track  
ref]rals = behavioral evaluation made by
 su* provid]s1 & to facilitate foll[-up 
visits to su* provid]s2  7,d7 conducts  
tra9+ & provides te*nical assi/ance to  
p$iatric prim>y c>e provid]s to support 
! prev5tion1 e>ly id5tification1        
diagnosis1 treatm5t1 & ref]ral ( *ildr5 
) m5tal or behavioral heal? conditions2 
7,e7 in=ms & assi/s p$iatric provid]s 9 

access+ *ild & adolesc5t psy*iatry or   
behavioral heal? consultations1 ref]ral 
= behavioral evaluation & treatm5t1 & 9 
s*$ul+ & conduct+ tra9+ & te*nical      
assi/ance2  7,f7 in=ms *ildr5 eligible  
to receive m$ical assi/ance "u ?is title
 & _! families ab\t ! availability ( !  
assi/ance available ?r\gh ! program2    
7,g7 e/abli%es me*anisms = measur+ &    
monitor+ increas$ access to *ild &      
adolesc5t behavioral heal? activities by
 p$iatric prim>y c>e provid]s & exp&$   
capacity ( p$iatric prim>y c>e provid]s 
to id5tify1 treat1 & ref] *ildr5 ) m5tal
 or behavioral heal? problems2 &  7,h7  
e/abli%es me*anisms = coord9ation ) o!r 
,/ate m5tal or behavioral heal? res\rces
 = *ildr5 & adolesc5ts4  7#c7 ,p$iatric 
prim>y c>e provid] ,! t]m p$iatric      
prim>y c>e provid] includes a provid] :o
 is a g5]al practition]1 family m$ic9e  
physician1 int]nal m$ic9e physician1 or 
p$iatrician4  4  7b7 ,enhanc$ ,,fmap    
,section #aijc7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acif;b7a77 is     

am5d$-- 7#a7 by r$esignat+ p>agraph 7#g7
 z p>agraph 7#h72 &  7#b7 by ins]t+ aft]
 p>agraph 7#f7 ! foll[+ new p>agraph3   
7#g7 = ea* cal5d> qu>t] dur+--  7,a7    
#bjah1 an am\nt equal to #ajj p]c5t1    
7,b7 #bjai1 an am\nt equal to #ij p]c5t1
  7,c7 #bjbj1 an am\nt equal to #hj     
p]c5t1  7,d7 #bjba1 an am\nt equal to   
#gj p]c5t1 &  7,e7 #bjbb & ea* ye>      
!reaft]1 an am\nt equal to #fj p]c5t1  (
 s mu* ( ! sums exp5d$ by ! ,/ate plan z
 are attributable to provid+ *ild       
behavioral heal? access adm9i/rative    
program activities 7z def9$ 9 section   
#aidg72 plus  4  7c7 ,effective date ,! 
am5dm5ts made 9 ?is section %all apply  
to items & s]vices furni%$ on or aft] ! 
date t is #ij days aft] ! date ( !      
enactm5t ( ?is ,act4