,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bibd  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bb1 #bjah
 ,mr4 ,scott 7for himself and ,mr4      
,menendez7 introduced the following     
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to encourage the use of              
family-focused residential treatment    
programs for substance use disorder     
treatment4  #a4 ,short title  ,this ,act
 may be cited as the ,supporting        
,family-,focused ,residential ,treatment
 ,act4  #b4 ,definitions ,in this ,act3 
7#a7 ,family-focused residential        
treatment program ,the term             
family-focused residential treatment    
program means a trauma-informed         
residential program primarily for       
substance use disorder treatment for    
pregnant and postpartum women and       
parents and guardians that allows       
children to reside with such women or   
their parents or guardians during       
treatment to the extent appropriate and 

applicable4  7#b7 ,medicaid program ,the
 term ,medicaid program means the       
program established under title ,,xix of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acif et seq474  7#c7         
,secretary ,the term ,secretary means   
the ,secretary of ,health and ,human    
,services4  7#d7 ,title ,,iv-,e program 
,the term title ,,iv-,e program means   
the program for foster care1 prevention1
 and permanency established under part  
,e of title ,,iv of the ,social         
,security ,act 7#db ,u4,s4,c4 #fgj et   
seq474  #c4 ,guidance on family-focused 
residential treatment programs  7a7 ,in 
general ,not later than #ahj days after 
the date of enactment of this ,act1 the 
,secretary1 in consultation with        
divisions of the ,department of ,health 
and ,human ,services administering      
substance use disorder or child welfare 
programs1 shall develop and issue       
guidance to ,states identifying         
opportunities to support family-focused 
residential treatment programs for the  

provision of substance use disorder     
treatment4 ,before issuing such         
guidance1 the ,secretary shall solicit  
input from representatives of ,states1  
health care providers with expertise in 
addiction medicine1 obstetrics and      
gynecology1 neonatology1 child trauma1  
and child development1 recipients of    
family-focused treatment services1 and  
other relevant stakeholders4  7b7       
,additional requirements ,the guidance  
required under subsection 7a7 shall     
include descriptions of the following3  
7#a7 ,existing opportunities and        
flexibilities under the ,medicaid       
program1 including under waivers        
authorized under section #aaae or #aiae 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acae1 #acifn71 for ,states to
 receive ,federal ,medicaid funding for 
the provision of substance use disorder 
treatment for pregnant and postpartum   
women and parents and guardians and1 to 
the extent applicable1 their children1  
in family-focused residential treatment 

programs4  7#b7 ,how ,states can employ 
and coordinate funding provided under   
the ,medicaid program1 the title ,,iv-,e
 program1 and other programs            
administered by the ,secretary to       
support the provision of treatment and  
services provided by a family-focused   
residential treatment facility such as  
substance use disorder treatment and    
services1 including medication-assisted 
treatment1 family1 group1 and individual
 counseling1 case management1 parenting 
education and skills development1 the   
provision1 assessment1 or coordination  
of care and services for children1      
including necessary assessments and     
appropriate interventions1 non-emergency
 transportation for necessary care      
provided at or away from a program site1
 transitional services and supports for 
families leaving treatment1 and other   
services4  7#c7 ,how ,states can employ 
and coordinate funding provided under   
the ,medicaid program and the title     
,,iv-,e program 7including as amended by

 the ,family ,first ,prevention         
,services ,act enacted under title ,,vii
 of division ,e of ,public ,law         
#aae-abc1 and particularly with respect 
to the authority under subsections      
7a77#b77;,c7 and 7j7 of section #dgb and
 section #dgd7;a77#a7 of the ,social    
,security ,act 7#db ,u4,s4,c4 #fgb1     
#fgd7;a77#a77 7as amended by section    
#ejgab of ,public ,law #aae-abc7 to     
provide foster care maintenance payments
 for a child placed with a parent who is
 receiving treatment in a licensed      
residential family-based treatment      
facility for a substance use disorder7  
to support placing children with their  
parents in family-focused residential   
treatment programs4