,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #ebcb  ,,in ,,the ,,house ,,of  
,,representatives  ,november #ba1       
#bjai,mr4 ,fitzpatrick 7for himself1    
,ms4 ,kuster of ,new ,hampshire1 and    
,mrs4 ,murphy of ,florida7 introduced   
the following bill2 which was referred  
to the ,committee on ,energy and        
,commerce  ,a ,,bill  ,to amend titles  
,,xix and ,,xxi of the ,social ,security
 ,act to remove barriers to access to   
residential substance use disorder      
treatment services under ,medicaid and  
the ,children's ,health ,insurance      
,program 7,,chip74  #a4 ,short title    
,this ,act may be cited as the ,road to 
,recovery ,act4  #b4 ,removing barriers 
to access to residential substance use  
disorder treatment services under       
,medicaid and ,,chip  7a7 ,medicaid     
,section #aije of the ,social ,security 
,act 7#db ,u4,s4,c4 #acif;d7 is         
amended--  7#a7 in subsection 7a7-- 7,a7
 by striking and at the end of paragraph
 7#bh72  7,b7 by redesignating paragraph

 7#bi7 as paragraph 7#cj72 and  7,c7 by 
inserting after paragraph 7#bh7 the     
following new paragraph3  7#bi7         
residential substance use disorder      
treatment services 7as defined in       
subsection 7h77#c77;,a772  2  7#b7 in   
the subparagraph 7,b7 following         
paragraph 7#cj71 as so redesignated1 by 
inserting after an institution for      
mental diseases the following3 7other   
than with respect to residential        
substance use disorder treatment        
services1 as defined in subsection      
7h77#c77;,a772 and  7#c7 in subsection  
7h71 by adding at the end the following 
new paragraph3  7#c7 7,a7 ,for purposes 
of subsection 7a7 and section           
#baaj7;b77#b77;,a71 the term residential
 substance use disorder treatment       
services means1 with respect to an      
individual1 inpatient services in a     
residential substance use disorder      
treatment facility 7as defined in       
subparagraph 7,b77 if--  7i7 the        
individual is under #fe years of age2   

and  7ii7 the individual's continued    
need for such services is reviewed and  
reaffirmed periodically 7on a frequency1
 specified by the ,state that is not    
less often than every #fj days7 based on
 criteria approved by the ,secretary or 
established or endorsed by the ,state's 
single ,state agency identified in      
section #aicb7;b77#a77;,a77ii7 of the   
,public ,health ,service ,act4  7,b7 ,in
 this paragraph1 the term residential   
substance use disorder treatment        
facility means a facility that-- 7i7 is 
primarily engaged in furnishing         
inpatient services in the treatment of  
substance use disorders2 and  7ii7 is   
accredited as an inpatient nonhospital  
facility1 inpatient nonhospital         
detoxification facility1 or residential 
facility1 by a national accrediting     
organization recognized by the          
,secretary for this purpose and is      
accredited or licensed by a ,state      
accrediting or licensing agency for     
substance use disorder treatment4  4    

7b7 ,,chip ,section #baaj7;b77#b77;,a7  
of the ,social ,security ,act 7#db      
,u4,s4,c4 #acig;jj7b77#b77;,a77 is      
amended by inserting after an           
institution for mental diseases the     
following3 7other than with respect to  
residential substance use disorder      
treatment services1 as defined in       
section #aije7;h77#c77;,a774  7c7       
,effective date2 construction  7#a7     
,effective date ,the amendments made by 
this section shall apply to items and   
services furnished on or after ,july #a1
 #bjbj4  7#b7 ,construction ,nothing in 
this section shall be construed as      
affecting the availability of ,federal  
financial participation for medical     
assistance under title ,,xix of the     
,social ,security ,act 7or for child    
health assistance under title ,,xxi of  
such ,act7 for inpatient services       
furnished1 before the amendments made by
 this section are implemented1 in an    
inpatient nonhospital facility1         
inpatient nonhospital detoxification    

facility1 or residential facility1 that 
is primarily engaged in furnishing      
inpatient services in the treatment of  
substance use disorder services4