,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #eghi  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ae1 #bjah,mr4   
,fo/] 7= himself & ,mr4 ,gu?rie7        
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 = ,m$icaid   
cov]age protections = pregnant &        
po/-p>tum wom5 :ile receiv+ inpati5t    
treatm5t = a sub/ance use disord]1 & =  
o!r purposes4  #a4 ,m$icaid cov]age     
protection = pregnant & po/-p>tum wom5  
:ile receiv+ inpati5t treatm5t = a      
sub/ance use disord]2 ,/ate option =    
cov]age ( room & bo>d = c]at9 infants ) 
neonatal ab/95ce syndrome  7a7 ,m$icaid 
cov]age = pregnant & po/-,p>tum wom5    
:ile receiv+ inpati5t treatm5t = a      
sub/ance use disord]  7#a7 ,9 g5]al     
,section #aije7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acif;d7a77 is     
am5d$ by add+ at ! end ! foll[+ new     
s5t5ce3 ,9 ! case ( a woman :o is       
eligible = m$ical assi/ance on ! basis (

 be+ pregnant 7includ+ ?r\gh ! end ( !  
mon? 9 :i* ! #fj-;day p]iod beg9n+ on ! 
la/ day ( h] pregnancy ends7 7or is     
eligible = m$ical assi/ance on ano!r    
basis & is pregnant or 0 pregnant dur+ !
 previ\s "o-ye> p]iod 79 ?is s5t5ce1 su*
 a woman %all be ref]r$ to z an o!r     
pa?way eligible pregnant woman771 :o is 
a pati5t 9 an in/itution = m5tal        
diseases = purposes ( receiv+ treatm5t =
 a sub/ance use disord]1 & :o 0 enroll$ 
= m$ical assi/ance "u ! ,/ate plan      
imm$iately be=e becom+ a pati5t 9 an    
in/itution = m5tal diseases or :o       
becomes eligible to enroll = su* m$ical 
assi/ance :ile su* a pati5t1 ! exclusion
 specifi$ 9 ! subdivision 7,b7 foll[+   
p>agraph 7#bi7 ( ! fir/ s5t5ce %all n be
 con/ru$ z prohibit+ ,f$]al f9ancial    
p>ticipation = m$ical assi/ance = items 
or s]vices t are provid$ to ! woman     
outside ( ! in/itution dur+1 9 ! case ( 
a woman :o is eligible = m$ical         
assi/ance on ! basis ( be+ pregnant1 !  
p]iod ( su* eligibility on su* basis &  

?r\gh ! end ( ! mon? 9 :i* ! "o-ye>     
p]iod beg9n+ on ! la/ day ( h] pregnancy
 ends 7&1 9 ! case ( an o!r pa?way      
eligible pregnant woman1 ! p]iod dur+   
:i* ! woman satisfies ! description (   
be+ su* an o!r pa?way eligible pregnant 
woman1 includ+ ?r\gh ! end ( ! mon? 9   
:i* ! "o-ye> p]iod beg9n+ on ! la/ day (
 h] pregnancy ends7 to ! ext5t su* items
 or s]vices w\ld be treat$ z m$ical     
assi/ance = su* woman dur+ su* p]iod if 
su* woman 7 n a pati5t 9 ! in/itution44 
7#b7 ,effective date  7,a7 ,9 g5]al     
,except z provid$ 9 subp>agraph 7,b71 ! 
am5dm5t made by p>agraph 7#a7 %all take 
effect ) respect to m$ical assi/ance    
provid$ on or aft] ,janu>y #a1 #bjai4   
7,b7 ,exception if ,/ate legislation    
requir$ ,9 ! case ( a ,/ate plan "u     
title ,,xix ( ! ,social ,security ,act  
:i* ! ,secret>y ( ,heal? & ,human       
,s]vices det]m9es requires ,/ate        
legislation 7o!r ?an legislation        
appropriat+ funds7 9 ord] = ! plan to   
meet ! additional requirem5ts impos$ by 

! am5dm5t made by p>agraph 7#a71 ! ,/ate
 plan %all n be reg>d$ z fail+ to comply
 ) ! requirem5ts ( su* title solely on !
 basis ( its failure to meet ^!         
additional requirem5ts be=e ! fir/ day (
 ! fir/ cal5d> qu>t] beg9n+ aft] ! close
 ( ! fir/ regul> session ( ! ,/ate      
legislature t beg9s aft] ! date ( !     
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4  7b7 ,m$icaid ,/ate plan   
option ,to ent] into provid] agreem5ts )
 resid5tial p$iatric recov]y c5t]s      
,section #aijb ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;a7 is am5d$-- 
7#a7 9 subsection 7a7--  7,a7 9 p>agraph
 7#hb71 by /rik+ & at ! end2  7,b7 9    
p>agraph 7#hc71 by /rik+ ! p]iod at !   
end & ins]t+ 2 &2 &  7,c7 by ins]t+ aft]
 p>agraph 7#hc7 ! foll[+ new p>agraph3  
7#hd7 at ! option ( ! ,/ate & 9         
accordance ) p>agraph 7#b7 ( subsection 

7nn71 beg9n+ ,janu>y #a1 #bjai1 = mak+  
m$ical assi/ance available on an        
inpati5t or outpati5t basis at a        
resid5tial p$iatric recov]y c5t] 7z     
def9$ 9 p>agraph 7#a7 ( su* subsection7 
= infants :o are "u #a ye> ( age )      
neonatal ab/95ce syndrome4  2 &  7#b7 by
 add+ at ! end ! foll[+ new subsection3 
7nn7 ,resid5tial p$iatric recov]y c5t]  
7#a7 ,def9ition ,= purposes ( subsection
 7a77#hd71 ! t]m resid5tial p$iatric    
recov]y c5t] means a c5t] or facility   
t--  7,a7 provides compreh5sive treatm5t
 to infants :o are "u #a ye> ( age ) a  
diagnosis ( neonatal ab/95ce syndrome1  
:i* includes at lea/ access to e>ly &   
p]iodic scre5+1 diagno/ic & treatm5t2   
physician & nurs+ s]vices2 supportive   
c\nsel+2 compreh5sive evaluation &      
assessm5t & s]vice plann+ by ,/ate      
lic5s$ c\nselors or social work]s2      
t>get$ case managem5t s]vices by ,/ate  
lic5s$ or educat$ pr(essionals2         
education & supportive c\nsel+ & case   
managem5t ( family memb]s ( su* infants2

 room & bo>d co/s = su* infants2 &      
facilitation ( arrangem5ts )9 su*       
facilities :]eby su* infants reside ) _!
 "m :5 applicable2 &  7,b7 provides     
treatm5t s]vices 9 accordance )         
guidel9es issu$ by ! ,am]ican ,academy (
 ,p$iatrics & ,am]ican ,college (       
,ob/etricians & ,gynecologi/s relat+ to 
mat]nal c>e & infant c>e ) respect to   
neonatal ab/95ce syndrome4  7#b7        
,cl>ification ,no?+ 9 subsection        
7a77#hd7 %all be con/ru$ z includ+ z    
m$ical assi/ance room & bo>d s]vices =  
any individual o!r ?an an infant        
describ$ 9 su* subsection4  4  7c7      
,guidance ,n lat] ?an "o ye> aft] ! date
 ( ! enactm5t ( ?is ,act1 ! ,secret>y ( 
,heal? & ,human ,s]vices %all issue     
guidance to improve c>e = infants )     
neonatal ab/95ce syndrome & _! mo!rs4   
,su* guidance %all include--  7#a7 !    
types ( s]vices1 includ+ po/-dis*>ge    
s]vices & p>5t+ supports1 = mo!rs &     
fa!rs ( babies ) neonatal ab/95ce       
syndrome t ,/ates may cov] "u ! ,m$icaid

 program "u title ,,xix ( ! ,social     
,security ,act2  7#b7 be/ practices f   
,/ates ) respect to innovative or       
evid5c$-bas$ paym5t models t focus on   
prev5tion1 scre5+1 treatm5t1 plans (    
safe c>e1 & po/-dis*>ge s]vices = mo!rs 
& fa!rs ) sub/ance use disord]s & babies
 ) neonatal ab/95ce syndrome t improve  
c>e & cl9ical outcomes2  7#c7           
recomm5dations = ,/ates on available    
f9anc+ options "u ! ,m$icaid program "u 
title ,,xix ( su* ,act & "u ! ,*ildr5's 
,heal? ,insurance ,program "u title     
,,xxi ( su* ,act = ,*ildr5's ,heal?     
,insurance ,program ,heal? ,s]vices     
,initiative funds = home visit+ s]vices 
= p>5ts ) sub/ance use disord]s &       
infants ) neonatal ab/95ce syndrome2 &  
7#d7 guidance & te*nical assi/ance to   
,/ate ,m$icaid ag5cies reg>d+ additional
 flexibilities & inc5tives relat$ to    
scre5+1 prev5tion1 & po/-dis*>ge        
s]vices1 includ+ p>5t+ supports1 "u     
contracts ) ,m$icaid manag$ c>e         
organizations4  7d7 ,,gao /udy ,n lat]  

?an "o ye> aft] ! date ( ! enactm5t (   
?is ,act1 ! ,comptroll] ,g5]al ( !      
,unit$ ,/ates %all conduct a /udy1 &    
submit to ,congress a report1 address+  
gaps 9 cov]age = pregnant wom5 )        
sub/ance use disord] "u ! ,m$icaid      
program "u title ,,xix ( ! ,social      
,security ,act1 & gaps 9 cov]age =      
po/p>tum wom5 ) sub/ance use disord] :o 
_h cov]age dur+ _! pregnancy "u !       
,m$icaid program "u su* title4