,i #aafth ,,congress #b;d ,session ,h4 ,r4 #hehf ,,in ,,the ,,house ,,of ,,representatives ,october #ac1 #bjbj,mr4 ,foster 7for himself and ,mr4 ,fitzpatrick7 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 ,states with an option to provide medical assistance to individuals between the ages of #bb and #fd for inpatient services to treat substance use disorders at certain facilities1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,medicaid ,coverage for ,addiction ,recovery ,expansion ,act4 #a4 ,state option to provide medical assistance for residential addiction treatment facility services2 modification of the ,,imd exclusion 7a7 ,in general ,section #aije of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is amended-- 7#a7 in subsection 7a77#af7-- 7,a7 by striking and1 7,b7 and inserting 1 7,b72 and 7,b7 by inserting 1 and 7,c7 effective ,january #a1 #bjba1 residential addiction treatment facility services 7as defined in subsection 7h77#c77 for individuals over #ba years of age and under #fe years of age1 if offered as part of a full continuum of evidence-based treatment services provided under the ,state plan1 including residential1 outpatient1 and community-based care1 for individuals with substance use disorders before the semicolon2 and 7#b7 in subsection 7h7-- 7,a7 in paragraph 7#a71 by striking paragraph 7#af7 of subsection 7a7 and inserting subsection 7a77#af77;,a72 and 7,b7 by adding at the end the following new paragraph3 7#c7 7,a7 ,for purposes of subsection 7a77#af77;,c71 the term residential addiction treatment facility services means1 subject to subparagraph 7,b71 inpatient services provided-- 7i7 to an individual for the purpose of treating a substance use disorder that are furnished to an individual for not more than #b consecutive periods of #cj consecutive days1 provided that upon completion of the first #cj-;day period1 the individual is assessed and determined to have progressed through the clinical continuum of care1 in accordance with criteria established by the ,secretary1 in consultation with the ,american ,society of ,addiction ,medicine1 and requires continued medically necessary treatment and social support services to promote recovery1 stable transition to ongoing treatment1 and discharge2 and 7ii7 in a facility that is accredited for the treatment of substance use disorders by the ,joint ,commission on ,accreditation of ,healthcare ,organizations1 the ,commission on ,accreditation of ,rehabilitation ,facilities1 the ,council on ,accreditation1 or any other accrediting agency that the ,secretary deems appropriate as necessary to ensure nationwide applicability1 including qualified national organizations and ,state-level accrediting agencies4 7,b7 ,the ,state agency responsible for administering the ,state plan under this title shall establish procedures to ensure that1 with respect to any facility providing residential addiction treatment facility services in a fiscal year1 the average monthly number of beds used by the facility to provide such services during such year is not more than #dj4 7,c7 ,the provision of medical assistance for residential addiction treatment facility services to an individual shall not prohibit ,federal financial participation for medical assistance for items or services that are provided to the individual in or away from the residential addiction treatment facility during any #cj-;day period in which the individual is receiving residential addiction treatment facility services4 7,d7 ,a woman who is eligible for medical assistance on the basis of being pregnant and who is furnished residential addiction treatment facility services during any #cj-;day period may remain eligible for1 and continue to be furnished with1 such services for additional #cj-;day periods without regard to any eligibility limit that would otherwise apply to the woman as a result of her pregnancy ending1 subject to assessment by the facility and a determination based on medical necessity related to substance use disorder and the impact of substance use disorder on birth outcomes4 4 7b7 ,effective date ,the amendments made by this section shall apply to items and services furnished on or after ,january #a1 #bjba4 #b4 ,grant program to expand youth addiction treatment facilities under ,medicaid and ,,chip 7a7 ,establishment 7#a7 ,in general ,the ,secretary shall establish a program under which the ,secretary shall award grants to ,states for the purpose of expanding the infrastructure and treatment capabilities1 including augmenting equipment and bed capacity1 of eligible youth addiction treatment facilities that provide addiction treatment services to ,medicaid or ,,chip beneficiaries who have not attained the age of #ba and are in communities with high numbers of medically underserved populations of at-risk youth4 7#b7 ,use of funds ,grant funds awarded under this section may be used to expand the infrastructure and treatment capabilities of an existing facility 7including through construction7 but shall not be used for the construction of any new facility or for the provision of medical assistance or child health assistance under ,medicaid or ,,chip4 7#c7 ,timetable for implementation2 duration 7,a7 ,implementation ,not later than #a year after the date of the enactment of this ,act1 the ,secretary shall award grants under the grant program4 7,b7 ,duration ,the ,secretary shall award grants under the grant program for a period not to exceed #e years4 7b7 ,application ,a ,state seeking to participate in the grant program shall submit to the ,secretary1 at such time and in such manner as the ,secretary shall require1 an application that includes-- 7#a7 detailed information on the types of additional infrastructure and treatment capacity of eligible youth addiction treatment facilities that the ,state proposes to fund under the grant program2 7#b7 a description of the communities in which the eligible youth addiction treatment facilities funded under the grant program operate2 7#c7 an assurance that the eligible youth addiction treatment facilities that the ,state proposes to fund under the grant program shall give priority to providing addiction treatment services to ,medicaid or ,,chip beneficiaries who have not attained the age of #ba and are in communities with high numbers of medically underserved populations of at-risk youth2 and 7#d7 such additional information and assurances as the ,secretary shall require4 7c7 ,rural areas ,not less than #ae percent of the amount of a grant awarded to a ,state under this section shall be used for making payments to eligible youth addiction treatment facilities that are located in rural areas or that target the provision of addiction treatment services to ,medicaid or ,,chip beneficiaries who have not attained the age of #ba and reside in rural areas4 7d7 ,definitions ,for purposes of this section3 7#a7 ,addiction treatment services ,the term addiction treatment services means services provided to an individual for the purpose of treating a substance use disorder4 7#b7 ,,chip ,the term ,,chip means the ,state children's health insurance program established under title ,,xxi of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;aa et seq474 7#c7 ,eligible youth addiction treatment facility ,the term eligible youth addiction treatment facility means a facility that is a participating provider under the ,state ,medicaid or ,,chip programs for purposes of providing medical assistance or child health assistance to ,medicaid or ,,chip beneficiaries for youth addiction treatment services on an inpatient or outpatient basis 7or both74 7#d7 ,medicaid ,the term ,medicaid means the medical assistance program established under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#e7 ,medicaid or ,,chip beneficiary ,the term ,medicaid or ,,chip beneficiary means an individual who is enrolled in the ,state ,medicaid plan1 the ,state child health plan under ,,chip1 or under a waiver of either such plan4 7#f7 ,medically underserved populations ,the term medically underserved populations has the meaning given that term in section #ccj7;b77#c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;b7b77#c774 7#g7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7e7 ,authorization of appropriations ,there are authorized to be appropriated #ej1jjj1jjj to carry out the provisions of this section4 ,funds appropriated under this subsection shall remain available until expended4