,,ii #aaf? ,,congress #a/ ,session ,s4 #bhf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,janu>y #ca1 #bjai,mr4 ,b>rasso 7= himself & ,ms4 ,/ab5[7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to provide = ! cov]age ( m>riage & family !rapi/ s]vices & m5tal heal? c\nselor s]vices "u "p ,b ( ! ,m$ic>e program1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,m5tal ,heal? ,access ,improvem5t ,act ( #bjai4 #b4 ,cov]age ( m>riage & family !rapi/ s]vices & m5tal heal? c\nselor s]vices "u "p ,b ( ! ,m$ic>e program 7a7 ,cov]age ( ,s]vices 7#a7 ,9 g5]al ,section #ahfa7s77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$-- 7,a7 9 subp>agraph 7,,gg71 by /rik+ & aft] ! semicolon at ! end2 7,b7 9 subp>agraph 7,,hh71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,,ii7 m>riage & family !rapi/ s]vices 7z def9$ 9 subsection 7kkk77#a77 & m5tal heal? c\nselor s]vices 7z def9$ 9 subsection 7kkk77#c772 4 7#b7 ,def9itions ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7kkk7 ,m>riage & ,family ,!rapi/ ,s]vices2 ,m>riage & ,family ,!rapi/2 ,m5tal ,heal? ,c\nselor ,s]vices2 ,m5tal ,heal? ,c\nselor 7#a7 ,! t]m m>riage & family !rapi/ s]vices means s]vices p]=m$ by a m>riage & family !rapi/ 7z def9$ 9 p>agraph 7#b77 = ! diagnosis & treatm5t ( m5tal illnesses1 :i* ! m>riage & family !rapi/ is legally au?oriz$ to p]=m "u ,/ate law 7or ! ,/ate regulatory me*anism provid$ by ,/ate law7 ( ! ,/ate 9 :i* su* s]vices are p]=m$1 z w\ld o!rwise be cov]$ if furni%$ by a physician or z an incid5t to a physician's pr(essional s]vice1 b only if no facility or o!r provid] *>ges or is paid any am\nts ) respect to ! furni%+ ( su* s]vices4 7#b7 ,! t]m m>riage & family !rapi/ means an individual :o-- 7,a7 possesses a ma/]'s or doctoral degree :i* qualifies = lic5sure or c]tification z a m>riage & family !rapi/ pursuant to ,/ate law2 7,b7 aft] obta9+ su* degree has p]=m$ at lea/ #b ye>s ( cl9ical sup]vis$ exp]i5ce 9 m>riage & family !rapy2 & 7,c7 9 ! case ( an individual p]=m+ s]vices 9 a ,/ate t provides = lic5sure or c]tification ( m>riage & family !rapi/s1 is lic5s$ or c]tifi$ z a m>riage & family !rapi/ 9 su* ,/ate4 7#c7 ,! t]m m5tal heal? c\nselor s]vices means s]vices p]=m$ by a m5tal heal? c\nselor 7z def9$ 9 p>agraph 7#d77 = ! diagnosis & treatm5t ( m5tal illnesses :i* ! m5tal heal? c\nselor is legally au?oriz$ to p]=m "u ,/ate law 7or ! ,/ate regulatory me*anism provid$ by ! ,/ate law7 ( ! ,/ate 9 :i* su* s]vices are p]=m$1 z w\ld o!rwise be cov]$ if furni%$ by a physician or z incid5t to a physician's pr(essional s]vice1 b only if no facility or o!r provid] *>ges or is paid any am\nts ) respect to ! furni%+ ( su* s]vices4 7#d7 ,! t]m m5tal heal? c\nselor means an individual :o-- 7,a7 possesses a ma/]'s or doctor's degree 9 m5tal heal? c\nsel+ or a relat$ field2 7,b7 aft] obta9+ su* a degree has p]=m$ at lea/ #b ye>s ( sup]vis$ m5tal heal? c\nselor practice2 & 7,c7 9 ! case ( an individual p]=m+ s]vices 9 a ,/ate t provides = lic5sure or c]tification ( m5tal heal? c\nselors or pr(essional c\nselors1 is lic5s$ or c]tifi$ z a m5tal heal? c\nselor or pr(essional c\nselor 9 su* ,/ate4 4 7#c7 ,provision = paym5t "u "p ,b ,section #ahcb7;a77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciek7a77#b77;,b77 is am5d$ by add+ at ! end ! foll[+ new clause3 7v7 m>riage & family !rapi/ s]vices 7z def9$ 9 section #ahfa7kkk77#a77 & m5tal heal? c\nselor s]vices 7z def9$ 9 section #ahfa7kkk77#c772 4 7#d7 ,am\nt ( paym5t ,section #ahcc7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is am5d$-- 7,a7 by /rik+ & 7,,cc7 & ins]t+ 7,,cc72 & 7,b7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 1 & 7,,dd7 ) respect to m>riage & family !rapi/ s]vices & m5tal heal? c\nselor s]vices "u section #ahfa7s77#b77;,,ii71 ! am\nts paid %all be #hj p]c5t ( ! less] ( ! actual *>ge = ! s]vices or #ge p]c5t ( ! am\nt det]m9$ = paym5t ( a psy*ologi/ "u subp>agraph 7,l74 7#e7 ,exclusion ( m>riage & family !rapi/ s]vices & m5tal heal? c\nselor s]vices f skill$ nurs+ facility prospective paym5t sy/em ,section #ahhh7;e77#b77;,a77ii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieyy7e77#b77;,a77ii77 is am5d$ by ins]t+ m>riage & family !rapi/ s]vices 7z def9$ 9 section #ahfa7kkk77#a771 m5tal heal? c\nselor s]vices 7z def9$ 9 section #ahfa7kkk77#c771 aft] qualifi$ psy*ologi/ s]vices14 7#f7 ,inclusion ( m>riage & family !rapi/s & m5tal heal? c\nselors z practition]s = assignm5t ( claims ,section #ahdb7;b77#ah77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieu7b77#ah77;,c77 is am5d$ by add+ at ! end ! foll[+ new clauses3 7vii7 ,a m>riage & family !rapi/ 7z def9$ 9 section #ahfa7kkk77#b774 7viii7 ,a m5tal heal? c\nselor 7z def9$ 9 section #ahfa7kkk77#d774 4 7b7 ,cov]age ( ,c]ta9 ,m5tal ,heal? ,s]vices ,provid$ 9 ,c]ta9 ,sett+s 7#a7 ,rural heal? cl9ics & f$]ally qualifi$ heal? c5t]s ,section #ahfa7;aa77#a77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#a77;,b77 is am5d$ by /rik+ or by a cl9ical social work] 7z def9$ 9 subsection 7hh77#a77 & ins]t+ 1 by a cl9ical social work] 7z def9$ 9 subsection 7hh77#a771 by a m>riage & family !rapi/ 7z def9$ 9 subsection 7kkk77#b771 or by a m5tal heal? c\nselor 7z def9$ 9 subsection 7kkk77#d774 7#b7 ,hospice programs ,section #ahfa7;dd77#b77;,b77i77,,iii7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7dd77#b77;,b77i77,,iii77 is am5d$ by ins]t+ 1 m>riage & family !rapi/1 or m5tal heal? c\nselor aft] social work]4 7c7 ,au?orization ( m>riage & family !rapi/s & m5tal heal? c\nselors ,to develop dis*>ge plans = po/-,hospital s]vices ,section #ahfa7;ee77#b77;,g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7ee77#b77;,g77 is am5d$ by ins]t+ 1 includ+ a m>riage & family !rapi/ & a m5tal heal? c\nselor :o meets qualification /&>ds e/abli%$ by ! ,secret>y be=e ! p]iod at ! end4 7d7 ,effective ,date ,! am5dm5ts made by ?is section %all apply ) respect to s]vices furni%$ on or aft] ,janu>y #a1 #bjbj4