,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #aibj  ,,in ,,the ,,house ,,of  
,,representatives  ,march #bg1 #bjai,mr4
 ,kennedy 7for himself1 ,mr4 ,lujn1 ,mr4
 ,tonko1 ,mr4 ,crdenas1 and ,ms4        
,matsui7 introduced the following bill2 
which was referred to the ,committee on 
,energy and ,commerce  ,a ,,bill  ,to   
amend title ,,xix of the ,social        
,security ,act to provide a higher      
,federal matching rate for increased    
expenditures under ,medicaid for mental 
and behavioral health services1 and for 
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,medicaid ,bump
 ,act4  #b4 ,higher ,,fmap for increased
 expenditures under ,medicaid for mental
 and behavioral health services  7a7 ,in
 general ,section #aijc7;a77#e7 of the  
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7a77#e77 is amended--  7#a7 by   
striking an amount equal and inserting  
7,a7 an amount equal2 and  7#b7 by      
adding at the end the following3  and   
7,b7 an amount equal to #ij percent of  

the amounts by which-- 7i7 the sum of   
the amounts expended which are          
attributable to the offering1 arranging1
 and furnishing 7directly or on a       
contract basis7 under the ,state plan of
 mental and behavioral health services  
7including those related to substance   
use7 for such quarter1 exceeds  7ii7 the
 sum of the amounts expended which are  
attributable to the offering1 arranging1
 and furnishing 7directly or on a       
contract basis7 under the ,state plan of
 such services for the corresponding    
quarter in the four-quarter period      
ending on ,march #ca1 #bjai1 plus  4    
7b7 ,effective ,date ,the amendments    
made by this section shall apply with   
respect to calendar quarters beginning  
on or after ,january #a of the year     
beginning after one year after the date 
of the enactment of this ,act4  #c4     
,,macpac report regarding mental and    
behavioral health services ,section     
#aijj7;b77#f7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #acif7;b77#f77 is   

amended by adding at the end the        
following new subparagraph3  7,c7       
,annual reports regarding mental and    
behavioral health services  7i7 ,in     
general ,for each year 7beginning with  
the first year of enactment71 ,,macpac  
shall submit to ,congress a report on   
mental and behavioral health services   
under this title in each ,state selected
 under clause 7iii7 for such year4 ,such
 report shall include information on the
 following under this title for each    
such ,state3  7,i7 ,payment rates for   
such services4  7,,ii7 ,the rationale   
for deriving such payment rates4        
7,,iii7 ,utilization of such services4  
7ii7 ,availability of ,,dhhs information
 ,the ,secretary shall periodically     
provide to ,,macpac such information on 
mental and behavioral health services   
furnished to individuals receiving      
benefits under this title as ,,macpac   
may request for purposes of preparing a 
report required under this subparagraph4
  7iii7 ,selection of ,states  7,i7 ,in 

general ,for each year 7beginning with  
the first year beginning after the date 
of the enactment of this subparagraph71 
,,macpac shall select1 subject to       
subclause 7,,ii71 for purposes of the   
report required under clause 7i7 for    
such year not fewer than five ,states   
that1 to the greatest extent possible1  
vary with respect to geography1         
demography1 and the manner in which     
mental and behavioral health services   
are furnished under this title4  7,,ii7 
,ensuring eventual selection of all     
,states ,a ,state that has been selected
 for a year may not be selected for a   
subsequent year unless all other ,states
 have been selected during the period   
beginning with such year and ending with
 such subsequent year4  4