,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #hehf ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,octob] #ac1 #bjbj,mr4 ,fo/] 7= himself & ,mr4 ,fitzpatrick7 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 ,/ates ) an option to provide m$ical assi/ance to individuals betwe5 ! ages ( #bb & #fd = inpati5t s]vices to treat sub/ance use disord]s at c]ta9 facilities1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,m$icaid ,cov]age = ,addiction ,recov]y ,expansion ,act4 #a4 ,/ate option to provide m$ical assi/ance = resid5tial addiction treatm5t facility s]vices2 modification ( ! ,,imd exclusion 7a7 ,9 g5]al ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$-- 7#a7 9 subsection 7a77#af7-- 7,a7 by /rik+ &1 7,b7 & ins]t+ 1 7,b72 & 7,b7 by ins]t+ 1 & 7,c7 effective ,janu>y #a1 #bjba1 resid5tial addiction treatm5t facility s]vices 7z def9$ 9 subsection 7h77#c77 = individuals ov] #ba ye>s ( age & "u #fe ye>s ( age1 if (f]$ z "p ( a full cont9uum ( evid5ce-bas$ treatm5t s]vices provid$ "u ! ,/ate plan1 includ+ resid5tial1 outpati5t1 & community-bas$ c>e1 = individuals ) sub/ance use disord]s be=e ! semicolon2 & 7#b7 9 subsection 7h7-- 7,a7 9 p>agraph 7#a71 by /rik+ p>agraph 7#af7 ( subsection 7a7 & ins]t+ subsection 7a77#af77;,a72 & 7,b7 by add+ at ! end ! foll[+ new p>agraph3 7#c7 7,a7 ,= purposes ( subsection 7a77#af77;,c71 ! t]m resid5tial addiction treatm5t facility s]vices means1 subject to subp>agraph 7,b71 inpati5t s]vices provid$-- 7i7 to an individual = ! purpose ( treat+ a sub/ance use disord] t are furni%$ to an individual = n m ?an #b consecutive p]iods ( #cj consecutive days1 provid$ t ^u completion ( ! fir/ #cj-;day p]iod1 ! individual is assess$ & det]m9$ to h progress$ ?r\gh ! cl9ical cont9uum ( c>e1 9 accordance ) crit]ia e/abli%$ by ! ,secret>y1 9 consultation ) ! ,am]ican ,society ( ,addiction ,m$ic9e1 & requires cont9u$ m$ically necess>y treatm5t & social support s]vices to promote recov]y1 /able transition to ongo+ treatm5t1 & dis*>ge2 & 7ii7 9 a facility t is accr$it$ = ! treatm5t ( sub/ance use disord]s by ! ,jo9t ,commission on ,accr$itation ( ,heal?c>e ,organizations1 ! ,commission on ,accr$itation ( ,rehabilitation ,facilities1 ! ,c\ncil on ,accr$itation1 or any o!r accr$it+ ag5cy t ! ,secret>y deems appropriate z necess>y to ensure nationwide applicability1 includ+ qualifi$ national organizations & ,/ate-level accr$it+ ag5cies4 7,b7 ,! ,/ate ag5cy responsible = adm9i/]+ ! ,/ate plan "u ?is title %all e/abli% proc$ures to ensure t1 ) respect to any facility provid+ resid5tial addiction treatm5t facility s]vices 9 a fiscal ye>1 ! av]age mon?ly numb] ( b$s us$ by ! facility to provide su* s]vices dur+ su* ye> is n m ?an #dj4 7,c7 ,! provision ( m$ical assi/ance = resid5tial addiction treatm5t facility s]vices to an individual %all n prohibit ,f$]al f9ancial p>ticipation = m$ical assi/ance = items or s]vices t are provid$ to ! individual 9 or away f ! resid5tial addiction treatm5t facility dur+ any #cj-;day p]iod 9 :i* ! individual is receiv+ resid5tial addiction treatm5t facility s]vices4 7,d7 ,a woman :o is eligible = m$ical assi/ance on ! basis ( be+ pregnant & :o is furni%$ resid5tial addiction treatm5t facility s]vices dur+ any #cj-;day p]iod may rema9 eligible =1 & cont9ue to be furni%$ )1 su* s]vices = additional #cj-;day p]iods )\t reg>d to any eligibility limit t w\ld o!rwise apply to ! woman z a result ( h] pregnancy end+1 subject to assessm5t by ! facility & a det]m9ation bas$ on m$ical necessity relat$ to sub/ance use disord] & ! impact ( sub/ance use disord] on bir? outcomes4 4 7b7 ,effective date ,! am5dm5ts made by ?is section %all apply to items & s]vices furni%$ on or aft] ,janu>y #a1 #bjba4 #b4 ,grant program to exp& y\? addiction treatm5t facilities "u ,m$icaid & ,,*ip 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,! ,secret>y %all e/abli% a program "u :i* ! ,secret>y %all aw>d grants to ,/ates = ! purpose ( exp&+ ! infra/ructure & treatm5t capabilities1 includ+ augm5t+ equipm5t & b$ capacity1 ( eligible y\? addiction treatm5t facilities t provide addiction treatm5t s]vices to ,m$icaid or ,,*ip b5efici>ies :o h n atta9$ ! age ( #ba & are 9 communities ) high numb]s ( m$ically und]s]v$ populations ( at-risk y\?4 7#b7 ,use ( funds ,grant funds aw>d$ "u ?is section may be us$ to exp& ! infra/ructure & treatm5t capabilities ( an exi/+ facility 7includ+ ?r\gh con/ruction7 b %all n be us$ = ! con/ruction ( any new facility or = ! provision ( m$ical assi/ance or *ild heal? assi/ance "u ,m$icaid or ,,*ip4 7#c7 ,timetable = implem5tation2 duration 7,a7 ,implem5tation ,n lat] ?an #a ye> aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all aw>d grants "u ! grant program4 7,b7 ,duration ,! ,secret>y %all aw>d grants "u ! grant program = a p]iod n to exce$ #e ye>s4 7b7 ,application ,a ,/ate seek+ to p>ticipate 9 ! grant program %all submit to ! ,secret>y1 at su* "t & 9 su* mann] z ! ,secret>y %all require1 an application t includes-- 7#a7 detail$ in=mation on ! types ( additional infra/ructure & treatm5t capacity ( eligible y\? addiction treatm5t facilities t ! ,/ate proposes to fund "u ! grant program2 7#b7 a description ( ! communities 9 :i* ! eligible y\? addiction treatm5t facilities fund$ "u ! grant program op]ate2 7#c7 an assurance t ! eligible y\? addiction treatm5t facilities t ! ,/ate proposes to fund "u ! grant program %all give priority to provid+ addiction treatm5t s]vices to ,m$icaid or ,,*ip b5efici>ies :o h n atta9$ ! age ( #ba & are 9 communities ) high numb]s ( m$ically und]s]v$ populations ( at-risk y\?2 & 7#d7 su* additional in=mation & assurances z ! ,secret>y %all require4 7c7 ,rural areas ,n less ?an #ae p]c5t ( ! am\nt ( a grant aw>d$ to a ,/ate "u ?is section %all be us$ = mak+ paym5ts to eligible y\? addiction treatm5t facilities t are locat$ 9 rural areas or t t>get ! provision ( addiction treatm5t s]vices to ,m$icaid or ,,*ip b5efici>ies :o h n atta9$ ! age ( #ba & reside 9 rural areas4 7d7 ,def9itions ,= purposes ( ?is section3 7#a7 ,addiction treatm5t s]vices ,! t]m addiction treatm5t s]vices means s]vices provid$ to an individual = ! purpose ( treat+ a sub/ance use disord]4 7#b7 ,,*ip ,! t]m ,,*ip means ! ,/ate *ildr5's heal? insurance program e/abli%$ "u title ,,xxi ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acig;aa et seq474 7#c7 ,eligible y\? addiction treatm5t facility ,! t]m eligible y\? addiction treatm5t facility means a facility t is a p>ticipat+ provid] "u ! ,/ate ,m$icaid or ,,*ip programs = purposes ( provid+ m$ical assi/ance or *ild heal? assi/ance to ,m$icaid or ,,*ip b5efici>ies = y\? addiction treatm5t s]vices on an inpati5t or outpati5t basis 7or bo?74 7#d7 ,m$icaid ,! t]m ,m$icaid means ! m$ical assi/ance program e/abli%$ "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#e7 ,m$icaid or ,,*ip b5efici>y ,! t]m ,m$icaid or ,,*ip b5efici>y means an individual :o is enroll$ 9 ! ,/ate ,m$icaid plan1 ! ,/ate *ild heal? plan "u ,,*ip1 or "u a waiv] ( ei!r su* plan4 7#f7 ,m$ically und]s]v$ populations ,! t]m m$ically und]s]v$ populations has ! mean+ giv5 t t]m 9 section #ccj7;b77#c7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bed;b7b77#c774 7#g7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,heal? & ,human ,s]vices4 7e7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ #ej1jjj1jjj to c>ry out ! provisions ( ?is section4 ,funds appropriat$ "u ?is subsection %all rema9 available until exp5d$4