,i #aaeth ,,congress #b;d ,session ,h4 ,r4 #eghi ,,in ,,the ,,house ,,of ,,representatives ,may #ae1 #bjah,mr4 ,foster 7for himself and ,mr4 ,guthrie7 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 ,medicaid coverage protections for pregnant and post-partum women while receiving inpatient treatment for a substance use disorder1 and for other purposes4 #a4 ,medicaid coverage protection for pregnant and post-partum women while receiving inpatient treatment for a substance use disorder2 ,state option for coverage of room and board for ceratin infants with neonatal abstinence syndrome 7a7 ,medicaid coverage for pregnant and post-,partum women while receiving inpatient treatment for a substance use disorder 7#a7 ,in general ,section #aije7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 is amended by adding at the end the following new sentence3 ,in the case of a woman who is eligible for medical assistance on the basis of being pregnant 7including through the end of the month in which the #fj-;day period beginning on the last day of her pregnancy ends7 7or is eligible for medical assistance on another basis and is pregnant or was pregnant during the previous one-year period 7in this sentence1 such a woman shall be referred to as an other pathway eligible pregnant woman771 who is a patient in an institution for mental diseases for purposes of receiving treatment for a substance use disorder1 and who was enrolled for medical assistance under the ,state plan immediately before becoming a patient in an institution for mental diseases or who becomes eligible to enroll for such medical assistance while such a patient1 the exclusion specified in the subdivision 7,b7 following paragraph 7#bi7 of the first sentence shall not be construed as prohibiting ,federal financial participation for medical assistance for items or services that are provided to the woman outside of the institution during1 in the case of a woman who is eligible for medical assistance on the basis of being pregnant1 the period of such eligibility on such basis and through the end of the month in which the one-year period beginning on the last day of her pregnancy ends 7and1 in the case of an other pathway eligible pregnant woman1 the period during which the woman satisfies the description of being such an other pathway eligible pregnant woman1 including through the end of the month in which the one-year period beginning on the last day of her pregnancy ends7 to the extent such items or services would be treated as medical assistance for such woman during such period if such woman were not a patient in the institution44 7#b7 ,effective date 7,a7 ,in general ,except as provided in subparagraph 7,b71 the amendment made by paragraph 7#a7 shall take effect with respect to medical assistance provided on or after ,january #a1 #bjai4 7,b7 ,exception if ,state legislation required ,in the case of a ,state plan under title ,,xix of the ,social ,security ,act which the ,secretary of ,health and ,human ,services determines requires ,state legislation 7other than legislation appropriating funds7 in order for the plan to meet the additional requirements imposed by the amendment made by paragraph 7#a71 the ,state plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements 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 the enactment of this ,act4 ,for purposes of the previous sentence1 in the case of a ,state that has a #b-year legislative session1 each year of such session shall be deemed to be a separate regular session of the ,state legislature4 7b7 ,medicaid ,state plan option ,to enter into provider agreements with residential pediatric recovery centers ,section #aijb of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is amended-- 7#a7 in subsection 7a7-- 7,a7 in paragraph 7#hb71 by striking and at the end2 7,b7 in paragraph 7#hc71 by striking the period at the end and inserting 2 and2 and 7,c7 by inserting after paragraph 7#hc7 the following new paragraph3 7#hd7 at the option of the ,state and in accordance with paragraph 7#b7 of subsection 7nn71 beginning ,january #a1 #bjai1 for making medical assistance available on an inpatient or outpatient basis at a residential pediatric recovery center 7as defined in paragraph 7#a7 of such subsection7 for infants who are under #a year of age with neonatal abstinence syndrome4 2 and 7#b7 by adding at the end the following new subsection3 7nn7 ,residential pediatric recovery center 7#a7 ,definition ,for purposes of subsection 7a77#hd71 the term residential pediatric recovery center means a center or facility that-- 7,a7 provides comprehensive treatment to infants who are under #a year of age with a diagnosis of neonatal abstinence syndrome1 which includes at least access to early and periodic screening1 diagnostic and treatment2 physician and nursing services2 supportive counseling2 comprehensive evaluation and assessment and service planning by ,state licensed counselors or social workers2 targeted case management services by ,state licensed or educated professionals2 education and supportive counseling and case management of family members of such infants2 room and board costs for such infants2 and facilitation of arrangements within such facilities whereby such infants reside with their mother when applicable2 and 7,b7 provides treatment services in accordance with guidelines issued by the ,american ,academy of ,pediatrics and ,american ,college of ,obstetricians and ,gynecologists relating to maternal care and infant care with respect to neonatal abstinence syndrome4 7#b7 ,clarification ,nothing in subsection 7a77#hd7 shall be construed as including as medical assistance room and board services for any individual other than an infant described in such subsection4 4 7c7 ,guidance ,not later than one year after the date of the enactment of this ,act1 the ,secretary of ,health and ,human ,services shall issue guidance to improve care for infants with neonatal abstinence syndrome and their mothers4 ,such guidance shall include-- 7#a7 the types of services1 including post-discharge services and parenting supports1 for mothers and fathers of babies with neonatal abstinence syndrome that ,states may cover under the ,medicaid program under title ,,xix of the ,social ,security ,act2 7#b7 best practices from ,states with respect to innovative or evidenced-based payment models that focus on prevention1 screening1 treatment1 plans of safe care1 and post-discharge services for mothers and fathers with substance use disorders and babies with neonatal abstinence syndrome that improve care and clinical outcomes2 7#c7 recommendations for ,states on available financing options under the ,medicaid program under title ,,xix of such ,act and under the ,children's ,health ,insurance ,program under title ,,xxi of such ,act for ,children's ,health ,insurance ,program ,health ,services ,initiative funds for home visiting services for parents with substance use disorders and infants with neonatal abstinence syndrome2 and 7#d7 guidance and technical assistance to ,state ,medicaid agencies regarding additional flexibilities and incentives related to screening1 prevention1 and post-discharge services1 including parenting supports1 under contracts with ,medicaid managed care organizations4 7d7 ,,gao study ,not later than one year after the date of the enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct a study1 and submit to ,congress a report1 addressing gaps in coverage for pregnant women with substance use disorder under the ,medicaid program under title ,,xix of the ,social ,security ,act1 and gaps in coverage for postpartum women with substance use disorder who had coverage during their pregnancy under the ,medicaid program under such title4