,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ddda  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #e1 #bjbj,mr4   
,wyd5 7= himself & ,ms4 ,cortez ,ma/o7  
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to enc\rage 
,/ate ,m$icaid programs to provide      
community-bas$ mobile crisis int]v5tion 
s]vices1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,crisis 
,assi/ance ,help+ ,out ,on ,! ,/reets   
,act or ! ,,cahoots ,act4  #b4 ,enhanc$ 
,f$]al ,m$icaid support = community-bas$
 mobile crisis int]v5tion s]vices       
,section #aijc ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;b7 is am5d$ by
 add+ at ! end ! foll[+ new subsection3 
7bb7 ,community-,bas$ mobile crisis     
int]v5tion s]vices  7#a7 ,9 g5]al       
,not)/&+ section #aijb7;a77#a7 7relat+  
to ,/atewid5ess71 section               
#aijb7;a77#aj77;,b7 7relat+ to          
comp>ability71 section                  

#aijb7;a77#bc77;,a7 7relat+ to fre$om ( 
*oice ( provid]s71 or section           
#aijb7;a77#bg7 7relat+ to provid]       
agreem5ts71 a ,/ate may provide m$ical  
assi/ance = qualify+ community-bas$     
mobile crisis int]v5tion s]vices "u a   
,/ate plan am5dm5t or waiv] approv$ "u  
section #aaae or #aiae7;c74  7#b7       
,qualify+ community-bas$ mobile crisis  
int]v5tion s]vices def9$ ,= purposes (  
?is subsection1 ! t]m qualify+          
community-bas$ mobile crisis int]v5tion 
s]vices means1 ) respect to a ,/ate1    
items & s]vices = :i* m$ical assi/ance  
is available "u ! ,/ate plan "u ?is     
title or a waiv] ( su* plan1 t are--    
7,a7 furni%$ to an individual :o is--   
7i7 outside ( a hospital or o!r facility
 sett+2 &  7ii7 exp]i5c+ a m5tal heal?  
or sub/ance use disord] crisis2  7,b7   
furni%$ by a multidiscipl9>y mobile     
crisis team-- 7i7 t includes at lea/ #a 
behavioral heal? c>e pr(essional :o is  
capable ( conduct+ an assessm5t ( !     
individual1 9 accordance ) !            

pr(essional's p]mitt$ scope ( practice  
"u ,/ate law1 & o!r pr(essionals or     
p>apr(essionals ) appropriate exp]tise 9
 behavioral heal? or m5tal heal? crisis 
response1 includ+ nurses1 social work]s1
 pe] support speciali/s1 & o!rs1 z      
designat$ by ! ,/ate & approv$ by !     
,secret>y2  7ii7 ^: memb]s are tra9$ 9  
trauma-in=m$ c>e1 de-escalation         
/rategies1 & h>m r$uction2  7iii7 t is  
able to respond 9 a timely mann] &1 :]e 
appropriate1 provide ! foll[+-- 7,i7    
scre5+ & assessm5t2  7,,ii7 /abilization
 & de-escalation2  7,,iii7 coord9ation  
)1 & ref]rals to1 heal?1 social1 & o!r  
s]vices & supports z ne$$2 &  7,,iv7    
provision or coord9ation (              
transportation to ! next /ep 9 c>e or   
treatm5t2  7iv7 t ma9ta9s relation%ips )
 relevant community p>tn]s1 includ+     
m$ical & behavioral heal? provid]s1     
community heal? c5t]s1 crisis respite   
c5t]s1 manag$ c>e organizations 7if     
applicable71 entities able to provide   
assi/ance ) application & enrollm5t 9 ! 

,/ate plan or a waiv] ( ! plan1 entitles
 able to provide assi/ance ) apply+ = & 
enroll+ 9 b5efit programs1 entities t   
provide assi/ance ) h\s+ 7su* z public  
h\s+ au?orities1 ,cont9uum ( ,c>e       
programs1 or n-=-pr(it entities t       
provide h\s+ assi/ance71 & entities t   
provide assi/ance ) o!r social s]vices2 
7v7 t coord9ates ) crisis int]v5tion    
hotl9es & em]g5cy response sy/ems2  7vi7
 t ma9ta9s ! privacy & confid5tiality ( 
pati5t in=mation consi/5t ) ,f$]al &    
,/ate requirem5ts2 &  7vii7 t op]ates   
indep5d5tly f 7b may coord9ate )7 ,/ate 
or local law en=cem5t ag5cies2  7,c7    
available #bd h\rs p] day1 e day ( !    
ye>2 &  7,d7 volunt>y to receive4  7#c7 
,paym5ts  7,a7 ,9 g5]al ,not)/&+ section
 #aije7;b71 beg9n+ ,octob] #a1 #bjbj1   
dur+ ea* ( ! fir/ #ab fiscal qu>t]s t a 
,/ate meets ! requirem5ts describ$ 9    
p>agraph 7#d71 ! ,f$]al m$ical assi/ance
 p]c5tage applicable to am\nts exp5d$ by
 ! ,/ate = m$ical assi/ance = qualify+  
community-bas$ mobile crisis int]v5tion 

s]vices furni%$ dur+ su* qu>t] %all be  
equal to #ie p]c5t4  7,b7 ,exclusion (  
enhanc$ paym5ts f t]ritorial caps ,to ! 
ext5t t ! am\nt ( a paym5t to ,pu]to    
,rico1 ! ,virg9 ,isl&s1 ,guam1 ! ,nor!rn
 ,m>iana ,isl&s1 or ,am]ican ,samoa =   
m$ical assi/ance = qualify+             
community-bas$ mobile crisis int]v5tion 
s]vices t is bas$ on ! ,f$]al m$ical    
assi/ance p]c5tage specifi$ 9           
subp>agraph 7,a7 exce$s ! am\nt t w\ld h
 be5 paid to su* t]ritory = su* s]vices 
if ! ,f$]al m$ical assi/ance p]c5tage = 
! t]ritory _h be5 det]m9$ )\t reg>d to  
su* subp>agraph-- 7i7 ! limitation on   
paym5ts to t]ritories "u subsections 7f7
 & 7g7 ( section #aajh %all n apply to !
 am\nt ( su* excess2 &  7ii7 ! am\nt (  
su* excess %all be disreg>d$ 9 apply+   
su* subsections4  7#d7 ,requirem5ts ,!  
requirem5ts describ$ 9 ?is p>agraph are 
! foll[+3 7,a7 ,! ,/ate demon/rates1 to 
! satisfaction ( ! ,secret>y-- 7i7 t x w
 be able to support ! provision (       
qualify+ community-bas$ mobile crisis   

int]v5tion s]vices t meet ! conditions  
specifi$ 9 p>agraph 7#b72 &  7ii7 h[ x w
 support coord9ation betwe5 mobile      
crisis teams & community p>tn]s1 includ+
 heal? c>e provid]s1 to enable !        
provision ( s]vices1 ne$$ ref]rals1 &   
o!r activities id5tifi$ by ! ,secret>y4 
7,b7 ,! ,/ate provides assurances       
satisfactory to ! ,secret>y t-- 7i7 any 
additional ,f$]al funds receiv$ by !    
,/ate = qualify+ community-bas$ mobile  
crisis int]v5tion s]vices provid$ "u ?is
 subsection t are attributable to !     
increas$ ,f$]al m$ical assi/ance        
p]c5tage "u p>agraph 7#c77;,a7 w be us$ 
to supplem5t1 & n supplant1 ! level (   
,/ate funds exp5d$ = su* s]vices =      
fiscal ye> #bjai2  7ii7 if ! ,/ate made 
qualify+ community-bas$ mobile crisis   
int]v5tion s]vices available 9 a region 
( ! ,/ate 9 fiscal ye> #bjai1 ! ,/ate w 
cont9ue to make su* s]vices available 9 
su* region "u ?is subsection at ! same  
level t ! ,/ate made su* s]vices        
available 9 su* fiscal ye>2 &  7iii7 !  

,/ate w conduct ! evaluation &          
assessm5t1 & submit ! report1 requir$ "u
 p>agraph 7#e74  7#e7 ,/ate evaluation &
 report  7,a7 ,/ate evaluation ,n lat]  
?an #d fiscal qu>t]s aft] a ,/ate beg9s 
provid+ qualify+ community-bas$ mobile  
crisis int]v5tion s]vices 9 accordance )
 ?is subsection1 ! ,/ate %all ent] into 
a contract ) an indep5d5t entity or     
organization to conduct an evaluation = 
! purposes (-- 7i7 det]m9+ ! effect ( ! 
provision ( su* s]vices on-- 7,i7       
em]g5cy room visits2  7,,ii7 use (      
ambulatory s]vices2  7,,iii7            
hospitalizations2  7,,iv7 ! involvem5t (
 law en=cem5t 9 m5tal heal? or sub/ance 
use disord] crisis ev5ts2  7,v7 !       
div]sion ( individuals f jails or simil>
 sett+s2 &  7ii7 assess+-- 7,i7 ! types 
( s]vices provid$ to individuals2       
7,,ii7 ! types ( ev5ts respond$ to2     
7,,iii7 co/ sav+s or co/-effectiv5ess   
attributable to su* s]vices2  7,,iv7 !  
exp]i5ces ( individuals :o receive      
qualify+ community-bas$ mobile crisis   

int]v5tion s]vices2  7,v7 ! successful  
connection ( individuals ) foll[-up     
s]vices2 &  7,,vi7 o!r relevant outcomes
 id5tifi$ by ! ,secret>y4  7,b7         
,comp>ison to hi/orical measures ,!     
contract describ$ 9 subp>agraph 7,a7    
%all specify t ! evaluation is bas$ on a
 comp>ison ( ! hi/orical measures (     
,/ate p]=mance ) respect to ! outcomes  
specifi$ "u su* subp>agraph to ! ,/ate's
 p]=mance ) respect to su* outcomes dur+
 ! p]iod beg9n+ ) ! fir/ qu>t] 9 :i* !  
,/ate beg9s provid+ qualify+            
community-bas$ mobile crisis int]v5tion 
s]vices 9 accordance ) ?is subsection4  
7,c7 ,report ,n lat] ?an #b ye>s aft] a 
,/ate beg9s to provide qualify+         
community-bas$ mobile crisis int]v5tion 
s]vices 9 accordance ) ?is subsection1 !
 ,/ate %all submit a report to !        
,secret>y on ! foll[+3 7i7 ,! results ( 
! evaluation c>ri$ out "u subp>agraph   
7,a74  7ii7 ,! numb] ( individuals :o   
receiv$ qualify+ community-bas$ mobile  
crisis int]v5tion s]vices4  7iii7       

,demographic in=mation reg>d+ su*       
individuals :5 available1 includ+ ! race
 or e?nicity1 age1 sex1 sexual          
ori5tation1 g5d] id5tity1 & geographic  
location ( su* individuals4  7iv7 ,!    
processes & models develop$ by ! ,/ate  
to provide qualify+ community-bas$      
mobile crisis int]v5tion s]vices "u su* 
! ,/ate plan or waiv]1 includ+ !        
processes develop$ to provide ref]rals  
=1 or coord9ation )1 foll[-up c>e &     
s]vices4  7v7 ,lessons le>n$ reg>d+ !   
provision ( su* s]vices4  7,d7 ,public  
availability ,! ,/ate %all make ! report
 requir$ "u subp>agraph 7,c7 publicly   
available1 includ+ on ! website ( !     
appropriate ,/ate ag5cy1 ^u submission (
 su* report to ! ,secret>y4  7#f7 ,be/  
practices report  7,a7 ,9 g5]al ,n lat] 
?an #c ye>s aft] ! fir/ ,/ate beg9s to  
provide qualify+ community-bas$ mobile  
crisis int]v5tion s]vices 9 accordance )
 ?is subsection1 ! ,secret>y %all submit
 a report to ,congress t-- 7i7 id5tifies
 ! ,/ates t elect$ to provide s]vices 9 

accordance ) ?is subsection2  7ii7      
summ>izes ! in=mation report$ by su*    
,/ates "u p>agraph 7#e77;,c72 &  7iii7  
id5tifies be/ practices = ! effective   
deliv]y ( community-bas$ mobile crisis  
int]v5tion s]vices4  7,b7 ,public       
availability ,! report requir$ "u       
subp>agraph 7,a7 %all be made publicly  
available1 includ+ on ! website ( !     
,dep>tm5t ( ,heal? & ,human ,s]vices1 ^u
 submission to ,congress4  7#g7 ,/ate   
plann+ & evaluation grants  7,a7 ,9     
g5]al ,z soon z practicable aft] ! date 
( enactm5t ( ?is subsection1 ! ,secret>y
 may aw>d plann+ & evaluation grants to 
,/ates = purposes ( develop+ a ,/ate    
plan am5dm5t or section #aaae or        
#aiae7;c7 waiv] reque/ 7or an am5dm5t to
 su* a waiv]7 to provide qualify+       
community-bas$ mobile crisis int]v5tion 
s]vices & conduct+ ! evaluation requir$ 
"u p>agraph 7#e77;,a74 ,a grant aw>d$ to
 a ,/ate "u ?is p>agraph %all rema9     
available until exp5d$4  7,b7 ,/ate     
contribution ,a ,/ate aw>d$ a grant "u  

?is subsection %all contribute = ea*    
fiscal ye> = :i* ! grant is aw>d$ an    
am\nt equal to ! ,/ate p]c5tage det]m9$ 
"u section #aije7;b7 7)\t reg>d to !    
tempor>y increase 9 ! ,f$]al m$ical     
assi/ance p]c5tage ( ! ,/ate "u section 
#fjjh7;a7 ( ! ,families ,fir/           
,coronavirus ,response ,act 7,public    
,law #aaf-abg7 or any o!r tempor>y      
increase 9 ! ,f$]al m$ical assi/ance    
p]c5tage ( ! ,/ate = fiscal ye> #bjbj or
 any succe$+ fiscal ye>7 ( ! grant      
am\nt4  7#h7 ,fund+  7,a7 ,implem5tation
 & adm9i/ration ,!re is appropriat$ to !
 ,secret>y1 out ( any funds 9 !         
,treasury n o!rwise appropriat$1 su*    
sums z are necess>y = purposes (        
implem5t+ & adm9i/]+ ?is section4  7,b7 
,plann+ & evaluation grants ,!re is     
appropriat$1 out ( any funds 9 !        
,treasury n o!rwise appropriat$1        
#be1jjj1jjj to ! ,secret>y = fiscal ye> 
#bjba = purposes ( mak+ grants "u       
p>agraph 7#g71 to rema9 available until 
exp5d$4  4