,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bhib  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bb1      
#bjah,mr4 ,cardin 7for himself and ,mr4 
,isakson7 introduced the following bill2
 which was read twice and referred to   
the ,committee on ,finance  ,a ,,bill   
,to require the ,comptroller ,general of
 the ,united ,states to submit a report 
to ,congress on the provision of peer   
support services under the ,medicaid    
program4  #a4 ,short title ,this ,act   
may be cited as the ,peer ,support      
,enhancement and ,evaluation ,review    
,act4  #b4 ,,gao report on peer support 
services under ,medicaid  7a7 ,in       
general ,not later than #b years after  
the date of the enactment of this ,act1 
the ,comptroller ,general of the ,united
 ,states shall submit to the ,committee 
on ,energy and ,commerce of the ,house  
of ,representatives1 the ,committee on  
,finance of the ,senate1 and the        
,committee on ,health1 ,education1      
,labor1 and ,pensions of the ,senate a  

report on the provision of peer support 
services under the ,medicaid program4   
7b7 ,content of report  7#a7 ,in general
 ,the report required under subsection  
7a7 shall include the following         
information3 7,a7 ,information on ,state
 coverage of peer support services under
 ,medicaid1 including-- 7i7 the         
mechanisms through which ,states may    
provide such coverage1 including through
 existing statutory authority or through
 waivers2  7ii7 the populations to which
 ,states have provided such coverage2   
7iii7 the payment models1 including any 
alternative payment models1 used by     
,states to pay providers of such        
services2 and  7iv7 where available1    
information on ,federal and ,state      
spending under ,medicaid for peer       
support services4  7,b7 ,information on 
selected ,state experiences in providing
 medical assistance for peer support    
services under ,state ,medicaid plans   
and whether ,states measure the effects 
of providing such assistance with       

respect to-- 7i7 improving access to    
behavioral health services2  7ii7       
improving early detection1 and          
preventing worsening1 of behavioral     
health disorders2  7iii7 reducing       
chronic and comorbid conditions2 and    
7iv7 reducing overall health costs4     
7#b7 ,recommendations ,the report       
required under subsection 7a7 shall     
include recommendations1 including      
recommendations for such legislative and
 administrative actions related to      
improving services1 including peer      
support services1 and access to peer    
support services under ,medicaid as the 
,comptroller ,general of the ,united    
,states determines appropriate4