,,ii #aafth ,,congress #ast ,session ,s4 #ahhj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #ah1 #bjai ,ms4 ,baldwin 7for herself1 ,mr4 ,portman1 ,mr4 ,blunt1 and ,ms4 ,stabenow7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to support the provision of treatment family care services1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,treatment ,family ,care ,services ,act4 #b4 ,supporting the provision of treatment family care services 7a7 ,definitions ,in this section3 7#a7 ,indian tribe ,the term ,indian tribe has the meaning given that term in section #d of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afjc74 7#b7 ,medicaid program ,the term ,medicaid program means the program for grants to ,states for medical assistance programs established under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 7#c7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7#d7 ,state ,the term ,state has the meaning given that term in section #aaja of the ,social ,security ,act 7#db ,u4,s4,c4 #acja7 for purposes of titles ,,iv and ,,xix of such ,act 7#db ,u4,s4,c4 #fja et seq41 #acif et seq474 7#e7 ,title ,,iv-,e program ,the term title ,,iv-,e program means the program for foster care1 prevention1 and permanency established under part ,e of title ,,iv of the ,social ,security ,act 7#db ,u4,s4,c4 #fgj et seq474 7#f7 ,treatment family care services ,the term treatment family care services means structured daily services and interventions provided in a home-based setting for children who have not attained age #ba1 and who1 as a result of mental illness1 other emotional or behavioral disorders1 medically fragile conditions1 or developmental disabilities1 need the level of care provided in a psychiatric residential treatment or congregate care facility the cost of which could be reimbursed under the ,state ,medicaid program or the title ,,iv-,e program but who can receive services in a family-based setting4 7b7 ,guidance on treatment family care services 7#a7 ,in general ,not later than #ahj days after the date of enactment of this ,act1 the ,secretary1 in consultation with the ,administrator of the ,centers for ,medicare ,medicaid ,services and the ,assistant ,secretary of the ,administration for ,children and ,families1 shall develop and issue guidance to ,states and ,indian tribes identifying opportunities to fund treatment family care services4 7#b7 ,additional requirements ,the guidance required under paragraph 7#a7 shall include descriptions of the following3 7,a7 ,existing opportunities and flexibilities under the ,medicaid program1 including under waivers authorized under section #aaae or #aiae of the ,social ,security ,act 7#db ,u4,s4,c4 #acae1 #acifn71 for ,states to receive ,federal funding under that program for the provision of treatment family care services1 including services addressing the development1 improvement1 monitoring1 and reinforcing of age-appropriate social1 communication and behavioral skills1 trauma-informed and gender-responsive services1 crisis intervention and crisis support services1 medication monitoring1 counseling1 and case management1 and other intensive community services identified by the ,secretary4 7,b7 ,funding opportunities and flexibilities under the title ,,iv-,e program1 including for specialized training and consultation for biological parents1 relative and kinship caregivers1 adoptive parents1 and foster parents1 administrative costs related to in-home prevention services to candidates for foster care and their parents or kin caregivers1 and reunification services for youth returning from foster care1 as well as other services identified by the ,secretary4 7,c7 ,how ,states can employ and coordinate funding provided under the ,medicaid program1 the title ,,iv-,e program1 and other programs administered by the ,secretary to support the provision of treatment family care services4 7c7 ,best practices for establishing programs ,to provide treatment family care services 7#a7 ,in general ,not later than #b years after the date of enactment of this ,act1 the ,secretary1 in consultation with the ,administrator of the ,centers for ,medicare ,medicaid ,services and the ,assistant ,secretary of the ,administration for ,children and ,families1 shall develop and issue guidance to ,states identifying best practices for establishing programs to provide treatment family care services4 7#b7 ,collaboration required ,before issuing guidance on best practices1 the ,secretary shall solicit input from representatives of ,states and ,indian tribes1 health care providers with expertise in child trauma and child development1 children with mental illness1 or other emotional or behavioral disorders1 recipients of treatment family care services1 foster and kinship care families1 and other relevant experts and stakeholders4 7#c7 ,additional requirements ,the guidance required under paragraph 7#a7 shall include the following3 7,a7 ,best practices for the organization and provision of treatment family care services and supports4 7,b7 ,identification of services and supports included in successful programs that treatment family care services4 7,c7 ,descriptions of ,state standards for licensing and accrediting programs that provide treatment family care services to ensure providers are appropriately licensed and trained to provide high-quality treatment family care services1 including best practices concerning ,state requirements for such licensure and accreditation by recognized national independent1 not-for-profit entities that accredit health care organizations or by any other independent1 not-for-profit accrediting organizations approved by the ,state4 7d7 ,,gao study and report ,not later than #a year after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall conduct a study and submit a report to ,congress evaluating ,state efforts to ensure foster parents and other caregivers who are eligible for training for which ,federal payments are available under the title ,,iv-,e program are provided with necessary and appropriate training to meet the individual needs of foster children placed in their care1 consistent with the requirements of sections #dga7;a77#bd7 and #dgg7;b77#c77;,d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #fga7;a77#bd71 #fgg7;b77#c77;,d771 including an analysis of1 and recommendations to improve1 ,state review1 approval and oversight of all such training 7whether provided directly by the ,state or under contract with a public or private agency responsible for finding1 placing1 or monitoring the placement of children in foster family homes74