,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #dada  ,,in ,,the ,,house ,,of  
,,representatives  ,august #b1 #bjai,ms4
 ,kuster of ,new ,hampshire 7for herself
 and ,ms4 ,norton7 introduced the       
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
the ,judiciary1 for a period to be      
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xix of the 
,social ,security ,act to provide a     
consistent standard of health care to   
the incarcerated1 and for other         
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,humane             
,correctional ,health ,care ,act4  #b4  
,repeal of ,medicaid inmate exclusion   
7a7 ,in general ,section #aije7;a7 of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #acif;d7a77 is amended1 in the
 matter following paragraph 7#cj71 by   

striking such term does not include--   
and all that follows through patient in 
an institution for mental diseases and  
inserting such term does not include any
 such payments with respect to care or  
services for any individual who is under
 #fe years of age and is a patient in an
 institution for mental diseases4  7b7  
,conforming amendments ,section #aijb of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acif;a7 is amended-- 7#a7 in 
subsection 7a7--  7,a7 by striking      
paragraph 7#hd72  7,b7 by redesignating 
paragraphs 7#he7 and 7#hf7 as paragraphs
 7#hd7 and 7#he71 respectively2  7,c7 in
 paragraph 7#hd71 as redesignated by    
subparagraph 7,b71 by striking 7oo77#a7 
and inserting 7nn77#a72 and  7,d7 in    
paragraph 7#he71 as redesignated by     
subparagraph 7,b71 by striking 7pp7 and 
inserting 7oo72  7#b7 by striking       
subsection 7nn72  7#c7 by redesignating 
subsections 7oo7 and 7pp7 as subsections
 7nn7 and 7oo71 respectively2  7#d7 in  
subsection 7nn71 as redesignated by     

paragraph 7#c71 by striking 7#he7 and   
inserting 7#hd72 and  7#e7 in subsection
 7oo71 as redesignated by paragraph     
7#c71 by striking 7#hf7 and inserting   
7#he74  7c7 ,effective date ,the        
amendments made by this section shall   
apply with respect to medical assistance
 provided on or after ,january #a1      
#bjbj4  #c4 ,report by ,comptroller     
,general ,not later than the date that  
is three years after the date of the    
enactment of this ,act1 and annually    
thereafter for each of the following    
five years1 the ,comptroller ,general of
 the ,united ,states shall submit to    
,congress a report containing the       
following information3  7#a7 ,the       
percentage of inmates that receive      
medical assistance under a ,state plan  
under title ,,xix of the ,social        
,security ,act 7#db ,u4,s4,c4 #acif et  
seq474  7#b7 ,the access of inmates to  
health care services1 including         
specialty care1 and health care         
providers4  7#c7 ,the quality of health 

care services provided to inmates4  7#d7
 ,any impact of coverage under such a   
,state plan on recidivism4  7#e7 ,the   
percentage of inmates who1 upon release1
 are--  7,a7 enrolled under such a      
,state plan2 and  7,b7 connected to a   
primary care provider in their          
community4  7#f7 ,trends in the         
prevalence and incidence of illness and 
injury among inmates4  7#g7 ,any other  
information the ,comptroller ,general   
determines necessary regarding the      
health of inmates4  #d4 ,sense of       
,congress on incarceration and          
community-based health services ,it is  
the sense of ,congress that-- 7#a7 no   
individual in the ,united ,states should
 be incarcerated for the purpose of     
being provided with health care that is 
unavailable to the individual in the    
individual's community2  7#b7 each      
,state and unit of local government     
should establish programs that offer    
community-based health services         
7including mental health and substance  

use disorder services7 commensurate with
 the principle stated in paragraph 7#a72
 and  7#c7 ,federal reimbursement for   
expenditures on medical assistance made 
available through the amendments made by
 this ,act should not supplant an       
investment in community-based services4