#aaeth ,,congress  #b;d ,session  ,h4   
,r4 #caib  ,,an ,,act  ,to amend title  
,,xxi of the ,social ,security ,act to  
ensure access to mental health services 
for children under the ,children's      
,health ,insurance ,program1 and for    
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,,chip ,mental 
,health ,parity ,act4  #b4 ,ensuring    
access to mental health and substance   
use disorder services for children and  
pregnant women under the ,children's    
,health ,insurance ,program  7a7 ,in    
general ,section #bajc7;c77#a7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#acig;cc7c77#a77 is amended by adding at
 the end the following new subparagraph3
  7,e7 ,mental health and substance use 
disorder services 7as defined in        
paragraph 7#e774  4  7b7 ,mental health 
and substance use disorder services     
7#a7 ,in general ,section #bajc7;c7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acig;cc7c77 is amended--     
7,a7 by redesignating paragraphs 7#e71  

7#f71 7#g71 and 7#h7 as paragraphs 7#f71
 7#g71 7#h71 and 7#i71 respectively2 and
  7,b7 by inserting after paragraph 7#d7
 the following new paragraph3  7#e7     
,mental health and substance use        
disorder services ,regardless of the    
type of coverage elected by a ,state    
under subsection 7a71 child health      
assistance provided under such coverage 
for targeted low-income children and1 in
 the case that the ,state elects to     
provide pregnancy-related assistance    
under such coverage pursuant to section 
#baab1 such pregnancy-related assistance
 for targeted low-income women 7as      
defined in section #baab7;d77 shall--   
7,a7 include coverage of mental health  
services 7including behavioral health   
treatment7 necessary to prevent1        
diagnose1 and treat a broad range of    
mental health symptoms and disorders1   
including substance use disorders2 and  
7,b7 be delivered in a culturally and   
linguistically appropriate manner4  4   
7#b7 ,conforming amendments  7,a7       

,section #bajc7;a7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acig;cc7a77 is amended1 in the matter  
before paragraph 7#a71 by striking      
paragraphs 7#e71 7#f71 and 7#g7 and     
inserting paragraphs 7#e71 7#f71 7#g71  
and 7#h74  7,b7 ,section #baaj7;a7 of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #acig;jj7a77 is amended-- 7i7 
in paragraph 7#ah71 by striking         
substance abuse each place it appears   
and inserting substance use2 and  7ii7  
in paragraph 7#ai71 by striking         
substance abuse and inserting substance 
use4  7,c7 ,section                     
#baaj7;b77#e77;,a77i7 of the ,social    
,security ,act 7#db ,u4,s4,c4           
#acig;jj7b77#e77;,a77i77 is amended by  
striking subsection 7c77#e7 and         
inserting subsection 7c77#f74  7c7      
,assuring access to care ,section       
#bajb7;a77#g77;,b7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acig;bb7c77#b77 is amended by striking 
section #bajc7;c77#e7 and inserting     

paragraphs 7#e7 and 7#f7 of section     
#bajc7;c74  7d7 ,mental health services 
parity ,subparagraph 7,a7 of paragraph  
7#g7 of section #bajc7;c7 of the ,social
 ,security ,act 7#db ,u4,s4,c4          
#acig;cc7c77 7as redesignated by        
subsection 7b77#a77 is amended to read  
as follows3  7,a7 ,in general ,a ,state 
child health plan shall ensure that the 
financial requirements and treatment    
limitations applicable to mental health 
and substance use disorder services 7as 
described in paragraph 7#e77 provided   
under such plan comply with the         
requirements of section #bgbf7;a7 of the
 ,public ,health ,service ,act in the   
same manner as such requirements or     
limitations apply to a group health plan
 under such section4  4  7e7 ,effective 
date  7#a7 ,in general ,subject to      
paragraph 7#b71 the amendments made by  
this section shall take effect with     
respect to child health assistance      
provided on or after the date that is #a
 year after the date of the enactment of

 this ,act4  7#b7 ,exception for ,state 
legislation ,in the case of a ,state    
child health plan under title ,,xxi of  
the ,social ,security ,act 7or a waiver 
of such plan71 which the ,secretary of  
,health and ,human ,services determines 
requires ,state legislation in order for
 the respective plan 7or waiver7 to meet
 any requirement imposed by the         
amendments made by this section1 the    
respective plan 7or waiver7 shall not be
 regarded as failing to comply with the 
requirements of such title solely on the
 basis of its failure to meet such an   
additional requirement before the first 
day of the first calendar quarter       
beginning after the close of the first  
regular session of the ,state           
legislature that begins after the date  
of enactment of this section4 ,for      
purposes of the previous sentence1 in   
the case of a ,state that has a #b-year 
legislative session1 each year of the   
session shall be considered to be a     
separate regular session of the ,state  

legislature4  ,passed the ,house of     
,representatives ,june #ai1             
#bjah4;,clerk4