,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #ehjj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ae1 #bjah,mr4   
,upton 7= himself & ,mrs4 ,mimi ,walt]s 
( ,cali=nia7 introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to require !     
,m$icaid & ,,*ip ,paym5t & ,access      
,commission to conduct an exploratory   
/udy & report on requirem5ts applicable 
to & practices ( in/itutions = m5tal    
diseases "u ! ,m$icaid program4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,m$icaid ,in/itutes = ,m5tal ,disease   
,are ,decisive 9 ,deliv]+ ,inpati5t     
,treatm5t = ,individuals b              
,opportunities = ,ne$$ ,access are      
,limit$ )\t ,in=mation ,ne$$ ab\t       
,facility ,obligations ,act or !        
,m$icaid ,,imd ,,additional ,,info ,act4
  #b4 ,,macpac exploratory /udy & report
 on in/itutions = m5tal diseases        
requirem5ts & practices "u ,m$icaid  7a7
 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjbj1
 ! ,m$icaid & ,,*ip ,paym5t & ,access   

,commission e/abli%$ "u section #aijj ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acif7 %all conduct an exploratory /udy1
 us+ data f a repres5tative sample (    
,/ates1 & submit to ,congress a report  
on at lea/ ! foll[+ in=mation1 ) respect
 to s]vices furni%$ to individuals      
enroll$ "u ,/ate plans "u ! ,m$icaid    
program "u title ,,xix ( su* ,act 7#db  
,u4,s4,c4 #acif et seq47 7or waiv]s (   
su* plans7 :o are pati5ts 9 in/itutions 
= m5tal diseases & = :i* paym5t is made 
?r\gh fee-=-s]vice or manag$ c>e        
arrangem5ts "u su* ,/ate plans 7or      
waiv]s73  7#a7 ,a description ( su*     
in/itutions = m5tal diseases 9 ea* su*  
,/ate1 includ+ at a m9imum-- 7,a7 !     
numb] ( su* in/itutions 9 ! ,/ate2  7,b7
 ! facility type ( su* in/itutions 9 !  
,/ate2 &  7,c7 any cov]age limitations  
"u ea* su* ,/ate plan 7or waiv]7 on     
scope1 duration1 or frequ5cy ( su*      
s]vices4  7#b7 ,) respect to ea* su*    
in/itution = m5tal diseases 9 ea* su*   
,/ate1 a description (-- 7,a7 su*       

s]vices provid$ at su* in/itution2  7,b7
 ! process1 includ+ any timeframe1 us$  
by su* in/itution to cl9ically assess & 
reassess su* individuals2 &  7,c7 !     
dis*>ge process us$ by su* in/itution1  
includ+ any c>e cont9uum ( relevant     
s]vices or facilities provid$ or us$ 9  
su* process4  7#c7 ,a description (--   
7,a7 any ,f$]al waiv] t ea* su* ,/ate   
has = su* in/itutions & ! ,f$]al        
/atutory au?ority = su* waiv]2 &  7,b7  
any o!r ,m$icaid fund+ s\rces us$ by ea*
 su* ,/ate = fund+ su* in/itutions1 su* 
z supplem5tal paym5ts4  7#d7 ,a summ>y (
 ,/ate requirem5ts 7su* z c]tification1 
lic5sure1 & accr$itation7 appli$ by ea* 
su* ,/ate to su* in/itutions 9 ord] =   
su* in/itutions to receive paym5t "u !  
,/ate plan 7or waiv]7 & h[ ea* su* ,/ate
 det]m9es if su* requirem5ts h be5 met4 
7#e7 ,a summ>y ( ,/ate /&>ds 7su* z     
quality /&>ds1 cl9ical /&>ds1 & facility
 /&>ds7 t su* in/itutions mu/ meet to   
receive paym5t "u su* ,/ate plans 7or   
waiv]s7 & h[ ea* su* ,/ate det]m9es if  

su* /&>ds h be5 met4  7#f7              
,recomm5dations = actions by ,congress &
 ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices4 
su* z h[ ,/ate ,m$icaid programs may    
improve c>e & improve /&>ds & includ+ a 
recomm5dation = h[ ! ,c5t]s = ,m$ic>e   
,m$icaid ,s]vices c improve data        
collection f su* programs to address any
 gaps 9 in=mation4  7b7 ,/akehold] input
 ,9 c>ry+ out subsection 7a71 ! ,m$icaid
 & ,,*ip ,paym5t & ,access ,commission  
%all seek input f ,/ate ,m$icaid        
directors & /akehold]s1 includ+ at a    
m9imum ! ,sub/ance ,abuse & ,m5tal      
,heal? ,s]vices ,adm9i/ration1 ,c5t]s = 
,m$ic>e  ,m$icaid ,s]vices1 ,/ate       
,m$icaid (ficials1 ,/ate m5tal heal?    
au?orities1 ,m$icaid b5efici>y          
advocates1 heal? c>e provid]s1 &        
,m$icaid manag$ c>e organizations4  7c7 
,def9itions ,9 ?is section3 7#a7        
,repres5tative sample ( ,/ates ,! t]m   
repres5tative sample ( ,/ates means a   
non-probability sample 9 :i* at lea/ two
 ,/ates are select$ bas$ on ! k &       

pr(essional judgm5t ( ! selector4  7#b7 
,/ate ,! t]m ,/ate means ea* ( ! #ej    
,/ates1 ! ,di/rict ( ,columbia1 & any   
commonweal? or t]ritory ( ! ,unit$      
,/ates4  7#c7 ,in/itution = m5tal       
diseases ,! t]m in/itution = m5tal      
diseases has ! mean+ giv5 su* t]m 9     
section #dce4ajji ( title #db1 ,code (  
,f$]al ,regulations1 or any successor   
regulation4