#aae? ,,congress  #b;d ,session  ,h4 ,r4
 #caib  ,,an ,,act  ,to am5d title ,,xxi
 ( ! ,social ,security ,act to ensure   
access to m5tal heal? s]vices = *ildr5  
"u ! ,*ildr5's ,heal? ,insurance        
,program1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,,*ip   
,m5tal ,heal? ,p>ity ,act4  #b4 ,ensur+ 
access to m5tal heal? & sub/ance use    
disord] s]vices = *ildr5 & pregnant wom5
 "u ! ,*ildr5's ,heal? ,insurance       
,program  7a7 ,9 g5]al ,section         
#bajc7;c77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acig;cc7c77#a77 is     
am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,e7 ,m5tal heal? &       
sub/ance use disord] s]vices 7z def9$ 9 
p>agraph 7#e774  4  7b7 ,m5tal heal? &  
sub/ance use disord] s]vices  7#a7 ,9   
g5]al ,section #bajc7;c7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acig;cc7c77 is am5d$--  7,a7 by        
r$esignat+ p>agraphs 7#e71 7#f71 7#g71 &
 7#h7 z p>agraphs 7#f71 7#g71 7#h71 &   
7#i71 respectively2 &  7,b7 by ins]t+   

aft] p>agraph 7#d7 ! foll[+ new         
p>agraph3  7#e7 ,m5tal heal? & sub/ance 
use disord] s]vices ,reg>dless ( ! type 
( cov]age elect$ by a ,/ate "u          
subsection 7a71 *ild heal? assi/ance    
provid$ "u su* cov]age = t>get$         
l[-income *ildr5 &1 9 ! case t ! ,/ate  
elects to provide pregnancy-relat$      
assi/ance "u su* cov]age pursuant to    
section #baab1 su* pregnancy-relat$     
assi/ance = t>get$ l[-income wom5 7z    
def9$ 9 section #baab7;d77 %all-- 7,a7  
include cov]age ( m5tal heal? s]vices   
7includ+ behavioral heal? treatm5t7     
necess>y to prev5t1 diagnose1 & treat a 
broad range ( m5tal heal? symptoms &    
disord]s1 includ+ sub/ance use disord]s2
 &  7,b7 be deliv]$ 9 a culturally &    
l+ui/ically appropriate mann]4  4  7#b7 
,con=m+ am5dm5ts  7,a7 ,section         
#bajc7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acig;cc7a77 is am5d$1 9 
! matt] be=e p>agraph 7#a71 by /rik+    
p>agraphs 7#e71 7#f71 & 7#g7 & ins]t+   
p>agraphs 7#e71 7#f71 7#g71 & 7#h74     

7,b7 ,section #baaj7;a7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acig;jj7a77 is am5d$-- 7i7 9 p>agraph  
7#ah71 by /rik+ sub/ance abuse ea* place
 x appe>s & ins]t+ sub/ance use2 &  7ii7
 9 p>agraph 7#ai71 by /rik+ sub/ance    
abuse & ins]t+ sub/ance use4  7,c7      
,section #baaj7;b77#e77;,a77i7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acig;jj7b77#e77;,a77i77 is am5d$ by    
/rik+ subsection 7c77#e7 & ins]t+       
subsection 7c77#f74  7c7 ,assur+ access 
to c>e ,section #bajb7;a77#g77;,b7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acig;bb7c77#b77 is am5d$ by /rik+      
section #bajc7;c77#e7 & ins]t+ p>agraphs
 7#e7 & 7#f7 ( section #bajc7;c74  7d7  
,m5tal heal? s]vices p>ity ,subp>agraph 
7,a7 ( p>agraph 7#g7 ( section #bajc7;c7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acig;cc7c77 7z r$esignat$ by 
subsection 7b77#a77 is am5d$ to read z  
foll[s3  7,a7 ,9 g5]al ,a ,/ate *ild    
heal? plan %all ensure t ! f9ancial     
requirem5ts & treatm5t limitations      

applicable to m5tal heal? & sub/ance use
 disord] s]vices 7z describ$ 9 p>agraph 
7#e77 provid$ "u su* plan comply ) !    
requirem5ts ( section #bgbf7;a7 ( !     
,public ,heal? ,s]vice ,act 9 ! same    
mann] z su* requirem5ts or limitations  
apply to a gr\p heal? plan "u su*       
section4  4  7e7 ,effective date  7#a7  
,9 g5]al ,subject to p>agraph 7#b71 !   
am5dm5ts made by ?is section %all take  
effect ) respect to *ild heal? assi/ance
 provid$ on or aft] ! date t is #a ye>  
aft] ! date ( ! enactm5t ( ?is ,act4    
7#b7 ,exception = ,/ate legislation ,9 !
 case ( a ,/ate *ild heal? plan "u title
 ,,xxi ( ! ,social ,security ,act 7or a 
waiv] ( su* plan71 :i* ! ,secret>y (    
,heal? & ,human ,s]vices det]m9es       
requires ,/ate legislation 9 ord] = !   
respective plan 7or waiv]7 to meet any  
requirem5t impos$ by ! am5dm5ts made by 
?is section1 ! respective plan 7or      
waiv]7 %all n be reg>d$ z fail+ to      
comply ) ! requirem5ts ( su* title      
solely on ! basis ( its failure to meet 

su* an additional requirem5t be=e ! fir/
 day ( ! fir/ cal5d> qu>t] beg9n+ aft] !
 close ( ! fir/ regul> session ( ! ,/ate
 legislature t beg9s aft] ! date (      
enactm5t ( ?is section4 ,= purposes ( ! 
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 ! session %all be consid]$ to be a     
sep>ate regul> session ( ! ,/ate        
legislature4  ,pass$ ! ,h\se (          
,repres5tatives ,june #ai1 #bjah4;,cl]k4