,,ii  #aae? ,,congress  #a/ ,session    
,s4 #aceg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #ad1 #bjag,ms4   
,baldw9 7= h]self1 ,mr4 ,portman1 ,ms4  
,/ab5[1 & ,mr4 ,blunt7 introduc$ !      
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xix ( ! ,social        
,security ,act to provide a /&>d        
def9ition ( !rapeutic family c>e s]vices
 9 ,m$icaid4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,family-,bas$ ,c>e      
,s]vices ,act4  #b4 ,inclusion (        
!rapeutic family c>e z m$ical assi/ance 
7a7 ,9 g5]al ,section #aije ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is am5d$-- 7#a7 9 subsection 7a7--  7,a7
 9 p>agraph 7#bh71 by /rik+ & at ! end2 
7,b7 by r$esignat+ p>agraph 7#bi7 z     
p>agraph 7#cj72 &  7,c7 by ins]t+ aft]  
p>agraph 7#bh7 ! foll[+ new p>agraph3   
7#bi7 !rapeutic family c>e s]vices 7to !
 ext5t all[$ & z def9$ 9 subsection     
7ee772 &  2 &  7#b7 by add+ at ! end !  
foll[+ new subsection3  7ee7 7#a7 ,=    

purposes ( subsection 7a77#bi71 subject 
to ! succe$+ p>agraphs ( ?is subsection1
 ! t]m !rapeutic family c>e s]vices     
means s]vices provid$ = *ildr5 :o h n   
atta9$ age #ba1 & :o1 z a result ( m5tal
 illness1 o!r emotional or behavioral   
disord]s1 m$ically fragile conditions1  
or developm5tal disabilities1 ne$ !     
level ( c>e provid$ 9 an in/itution     
7includ+ a psy*iatric resid5tial        
treatm5t facility7 or nurs+ facility !  
co/ ( :i* c\ld be reimburs$ "u ! ,/ate  
plan b :o c be c>$ = or ma9ta9$ 9 a     
community placem5t1 ?r\gh a qualifi$    
!rapeutic family c>e program describ$ 9 
p>agraph 7#b74  7#b7 ,a qualifi$        
!rapeutic family c>e program describ$ 9 
?is p>agraph is a program t-- 7,a7 n    
lat] ?an #c ye>s aft] ! date ( enactm5t 
( ?is subsection1 is lic5s$ by ! ,/ate &
 accr$it$ by ! ,jo9t ,commission on     
,accr$itation ( ,heal?c>e               
,organizations1 ! ,commission on        
,accr$itation ( ,rehabilitation         
,facilities1 ! ,c\ncil on ,accr$itation1

 or by any o!r indep5d5t1 n-=-pr(it     
accr$it+ organization approv$ by !      
,secret>y2  7,b7 provides /ructur$ daily
 activities1 includ+ ! developm5t1      
improvem5t1 monitor+1 & re9=cem5t (     
age-appropriate social1 communication & 
behavioral skills1 trauma-in=m$ &       
g5d]-responsive s]vices1 crisis         
int]v5tion & crisis support s]vices1    
m$ication monitor+1 c\nsel+1 & case     
managem5t1 & may furni% o!r int5sive    
community s]vices2 &  7,c7 provides     
biological p>5ts1 relative & k9%ip      
c>egiv]s1 adoptive p>5ts1 fo/] p>5ts &1 
z appropriate1 o!r memb]s ( su* p>5ts or
 c>egiv]s homes ) specializ$ tra9+ &    
consultation 9 ! managem5t ( *ildr5 )   
m5tal illness1 o!r emotional or         
behavioral disord]s1 m$ically fragile   
conditions1 developm5tal disabilities1 !
 impact ( trauma on *ild & c>egiv]1     
includ+ trauma f sub/ance abuse by a    
*ild or c>egiv]1 & specific additional  
tra9+ on ! ne$s ( ea* *ild provid$ su*  
s]vices4  7#c7 ,9 mak+ cov]age          

det]m9ations 9 accordance ) p>agraph    
7#a71 a ,/ate may employ m$ical         
necessity crit]ia t are simil> to !     
m$ical necessity crit]ia appli$ to      
cov]age det]m9ations = o!r s]vices &    
supports "u ?is title4  7#d7 ,= purposes
 ( subsection 7a77#bi7 & ?is subsection1
 !rapeutic family c>e s]vices %all n    
include reimbursem5t = any tra9+ ref]r$ 
to 9 p>agraph 7#b77;,c74  4  7b7        
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply to m$ical     
assi/ance furni%$ 9 cal5d> qu>t]s beg9n+
 on or aft] ! date ( enactm5t ( ?is     
,act4  7c7 ,,gao /udy & report ,n lat]  
?an #a ye> aft] ! date ( enactm5t ( ?is 
,act1 ! ,comptroll] ,g5]al ( ! ,unit$   
,/ates %all conduct a /udy & submit a   
report to ,congress evaluat+ ,/ate ef=ts
 to ensure fo/] p>5ts & o!r c>egiv]s :o 
are eligible = tra9+ describ$ 9 p>agraph
 7#b77;,c7 ( section #aije7;ee7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7ee77 7z add$ by subsection      
7a77#b77 ?r\gh a qualifi$ !rapeutic     

family c>e program describ$ 9 su*       
section & = :i* ,f$]al paym5ts are      
available "u "p ,e ( title ,,iv ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#fgj et seq47 are provid$ ) su* tra9+ z 
is necess>y & appropriate to meet !     
individual ne$s ( *ildr5 plac$ 9 _! c>e1
 consi/5t ) ! requirem5ts ( sections    
#dga7;a77#bd7 & #dgg7;b77#c77;,d7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#fga7;a77#bd71 #fgg7;b77#c77;,d774 ,!   
report %all include an analysis (1 &    
recomm5dations to improve1 ,/ate review1
 approval & ov]sight ( all su* tra9+    
7:e!r provid$ directly by ! ,/ate or "u 
contract ) a public or private ag5cy    
responsible = f9d+1 plac+1 or monitor+ !
 placem5t ( *ildr5 9 fo/] family homes74