#aaeth ,,congress  #b;d ,session  ,h4   
,r4 #ehjj  ,,an ,,act  ,to require the  
,medicaid and ,,chip ,payment and       
,access ,commission to conduct an       
exploratory study and report on         
requirements applicable to and practices
 of institutions for mental diseases    
under the ,medicaid program4  #a4 ,short
 title ,this ,act may be cited as the   
,medicaid ,institutes for ,mental       
,disease ,are ,decisive in ,delivering  
,inpatient ,treatment for ,individuals  
but ,opportunities for ,needed ,access  
are ,limited without ,information       
,needed about ,facility ,obligations    
,act or the ,medicaid ,,imd ,,additional
 ,,info ,act4  #b4 ,,macpac exploratory 
study and report on institutions for    
mental diseases requirements and        
practices under ,medicaid  7a7 ,in      
general ,not later than ,january #a1    
#bjbj1 the ,medicaid and ,,chip ,payment
 and ,access ,commission established    
under section #aijj of the ,social      
,security ,act 7#db ,u4,s4,c4 #acif7    

shall conduct an exploratory study1     
using data from a representative sample 
of ,states1 and submit to ,congress a   
report on at least the following        
information1 with respect to services   
furnished to individuals enrolled under 
,state plans under the ,medicaid program
 under title ,,xix of such ,act 7#db    
,u4,s4,c4 #acif et seq47 7or waivers of 
such plans7 who are patients in         
institutions for mental diseases and for
 which payment is made through          
fee-for-service or managed care         
arrangements under such ,state plans 7or
 waivers73  7#a7 ,a description of such 
institutions for mental diseases in each
 such ,state1 including at a minimum--  
7,a7 the number of such institutions in 
the ,state2  7,b7 the facility type of  
such institutions in the ,state2 and    
7,c7 any coverage limitations under each
 such ,state plan 7or waiver7 on scope1 
duration1 or frequency of such services4
  7#b7 ,with respect to each such       
institution for mental diseases in each 

such ,state1 a description of-- 7,a7    
such services provided at such          
institution2  7,b7 the process1         
including any timeframe1 used by such   
institution to clinically assess and    
reassess such individuals2 and  7,c7 the
 discharge process used by such         
institution1 including any care         
continuum of relevant services or       
facilities provided or used in such     
process4  7#c7 ,a description of-- 7,a7 
any ,federal waiver that each such      
,state has for such institutions and the
 ,federal statutory authority for such  
waiver2 and  7,b7 any other ,medicaid   
funding sources used by each such ,state
 for funding such institutions1 such as 
supplemental payments4  7#d7 ,a summary 
of ,state requirements 7such as         
certification1 licensure1 and           
accreditation7 applied by each such     
,state to such institutions in order for
 such institutions to receive payment   
under the ,state plan 7or waiver7 and   
how each such ,state determines if such 

requirements have been met4  7#e7 ,a    
summary of ,state standards 7such as    
quality standards1 clinical standards1  
and facility standards7 that such       
institutions must meet to receive       
payment under such ,state plans 7or     
waivers7 and how each such ,state       
determines if such standards have been  
met4  7#f7 ,recommendations for actions 
by ,congress and the ,centers for       
,medicare  ,medicaid ,services4 such as 
how ,state ,medicaid programs may       
improve care and improve standards and  
including a recommendation for how the  
,centers for ,medicare  ,medicaid       
,services can improve data collection   
from such programs to address any gaps  
in information4  7b7 ,stakeholder input 
,in carrying out subsection 7a71 the    
,medicaid and ,,chip ,payment and       
,access ,commission shall seek input    
from ,state ,medicaid directors and     
stakeholders1 including at a minimum the
 ,substance ,abuse and ,mental ,health  
,services ,administration1 ,centers for 

,medicare  ,medicaid ,services1 ,state  
,medicaid officials1 ,state mental      
health authorities1 ,medicaid           
beneficiary advocates1 health care      
providers1 and ,medicaid managed care   
organizations4  7c7 ,definitions ,in    
this section3  7#a7 ,representative     
sample of ,states ,the term             
representative sample of ,states means a
 non-probability sample in which at     
least two ,states are selected based on 
the knowledge and professional judgment 
of the selector4  7#b7 ,state ,the term 
,state means each of the #ej ,states1   
the ,district of ,columbia1 and any     
commonwealth or territory of the ,united
 ,states4  7#c7 ,institution for mental 
diseases ,the term institution for      
mental diseases has the meaning given   
such term in section #dce4ajji of title 
#db1 ,code of ,federal ,regulations1 or 
any successor regulation4  ,passed the  
,house of ,representatives ,june #ab1   
#bjah4;,clerk4