,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #aibj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #bg1 #bjai,mr4   
,k5n$y 7= himself1 ,mr4 ,lujn1 ,mr4     
,tonko1 ,mr4 ,crd5as1 & ,ms4 ,matsui7   
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to provide a high]      
,f$]al mat*+ rate = increas$ exp5ditures
 "u ,m$icaid = m5tal & behavioral heal? 
s]vices1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,m$icaid
 ,bump ,act4  #b4 ,high] ,,fmap =       
increas$ exp5ditures "u ,m$icaid = m5tal
 & behavioral heal? s]vices  7a7 ,9     
g5]al ,section #aijc7;a77#e7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acif;b7a77#e77 is am5d$--  7#a7 by     
/rik+ an am\nt equal & ins]t+ 7,a7 an   
am\nt equal2 &  7#b7 by add+ at ! end ! 
foll[+3  & 7,b7 an am\nt equal to #ij   
p]c5t ( ! am\nts by :i*-- 7i7 ! sum ( ! 
am\nts exp5d$ :i* are attributable to ! 
(f]+1 arrang+1 & furni%+ 7directly or on

 a contract basis7 "u ! ,/ate plan (    
m5tal & behavioral heal? s]vices        
7includ+ ^? relat$ to sub/ance use7 =   
su* qu>t]1 exce$s  7ii7 ! sum ( ! am\nts
 exp5d$ :i* are attributable to ! (f]+1 
arrang+1 & furni%+ 7directly or on a    
contract basis7 "u ! ,/ate plan ( su*   
s]vices = ! correspond+ qu>t] 9 !       
f\r-qu>t] p]iod end+ on ,m>* #ca1 #bjai1
 plus  4  7b7 ,effective ,date ,!       
am5dm5ts made by ?is section %all apply 
) respect to cal5d> qu>t]s beg9n+ on or 
aft] ,janu>y #a ( ! ye> beg9n+ aft] "o  
ye> aft] ! date ( ! enactm5t ( ?is ,act4
  #c4 ,,macpac report reg>d+ m5tal &    
behavioral heal? s]vices ,section       
#aijj7;b77#f7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif7;b77#f77 is am5d$ 
by add+ at ! end ! foll[+ new           
subp>agraph3  7,c7 ,annual reports      
reg>d+ m5tal & behavioral heal? s]vices 
7i7 ,9 g5]al ,= ea* ye> 7beg9n+ ) ! fir/
 ye> ( enactm5t71 ,,macpac %all submit  
to ,congress a report on m5tal &        
behavioral heal? s]vices "u ?is title 9 

ea* ,/ate select$ "u clause 7iii7 = su* 
ye>4 ,su* report %all include in=mation 
on ! foll[+ "u ?is title = ea* su*      
,/ate3  7,i7 ,paym5t rates = su*        
s]vices4  7,,ii7 ,! rationale = d]iv+   
su* paym5t rates4  7,,iii7 ,utilization 
( su* s]vices4  7ii7 ,availability (    
,,dhhs in=mation ,! ,secret>y %all      
p]iodically provide to ,,macpac su*     
in=mation on m5tal & behavioral heal?   
s]vices furni%$ to individuals receiv+  
b5efits "u ?is title z ,,macpac may     
reque/ = purposes ( prep>+ a report     
requir$ "u ?is subp>agraph4  7iii7      
,selection ( ,/ates  7,i7 ,9 g5]al ,=   
ea* ye> 7beg9n+ ) ! fir/ ye> beg9n+ aft]
 ! date ( ! enactm5t ( ?is subp>agraph71
 ,,macpac %all select1 subject to       
subclause 7,,ii71 = purposes ( ! report 
requir$ "u clause 7i7 = su* ye> n few]  
?an five ,/ates t1 to ! greate/ ext5t   
possible1 v>y ) respect to geography1   
demography1 & ! mann] 9 :i* m5tal &     
behavioral heal? s]vices are furni%$ "u 
?is title4  7,,ii7 ,ensur+ ev5tual      

selection ( all ,/ates ,a ,/ate t has   
be5 select$ = a ye> may n be select$ = a
 subsequ5t ye> unless all o!r ,/ates h  
be5 select$ dur+ ! p]iod beg9n+ ) su*   
ye> & end+ ) su* subsequ5t ye>4  4