,i  #aagth ,,congress  #b;d ,session    
,h4 ,r4 #gbcc  ,,in ,,the ,,house ,,of  
,,representatives  ,march #bh1 #bjbb,mr4
 ,hudson 7for himself and ,ms4 ,kuster7 
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 for requirements under  
,medicaid ,state plans for health       
screenings and referrals for certain    
eligible juveniles in public            
institutions2 and to require the        
,secretary of ,health and ,human        
,services to issue clear and specific   
guidance under the ,medicaid and        
,children's ,health ,insurance programs 
to improve the delivery of health care  
services1 including mental health       
services1 in elementary and secondary   
schools and school-based health centers4
  #a4 ,short title ,this ,act may be    
cited as the ,keeping ,incarceration    
,discharges ,streamlined for ,children  
and ,accommodating ,resources in        

,education ,act or the ,,kids ,,cares   
,act4  #b4 ,medicaid ,state plan        
requirements for health screenings and  
referrals for eligible juveniles in     
public institutions ,section            
#aijb7;a77#hd7 of the ,social ,security 
,act 7#db ,u4,s4,c4 #aicf;a7a77#hd77 is 
amended-- 7#a7 in subparagraph 7,b71 by 
striking and at the end2  7#b7 in       
subparagraph 7,c71 by adding and at the 
end2 and  7#c7 by adding at the end the 
following new subparagraph3  7,d7       
beginning ,october #a1 #bjbc1 in the    
case of individuals who are eligible    
juveniles described in subsection       
7nn77#b71 and who the ,state determines 
pursuant to subparagraph 7,b7 or 7,c71  
as applicable1 meet the eligibility     
requirements for medical assistance     
under the ,state plan-- 7i7 the ,state  
shall have in place a plan to ensure    
and1 in accordance with such plan1      
provide-- 7,i7 for1 prior to release of 
such an eligible juvenile from such     
public institution 7or not later than   

one week after release from the public  
institution71 and in coordination with  
such institution1 screenings of such    
eligible individual1 including the      
screenings described under section      
#aije7r72 and  7,,ii7 for1 not later    
than the latter of the date on which    
such eligible juvenile is released from 
such institution or the date on which   
the screenings pursuant to subclause    
7,i7 for such individual are completed1 
referrals for such eligible individual  
to the appropriate health care services 
based on such screenings2 and  7ii7 at  
the option of the ,state1 make medical  
assistance available under the ,state   
plan for screenings pursuant to clause  
7i7 conducted prior to the release of   
such eligible juvenile from such public 
institution2  4  #c4 ,guidance on       
reducing administrative barriers to     
providing health care services in       
schools  7a7 ,in general ,not later than
 #ahj days after the date of enactment  
of this ,act1 the ,secretary of ,health 

and ,human ,services shall issue        
proposed guidance to ,state ,medicaid   
agencies1 elementary and secondary      
schools1 and school-based health centers
 on reducing administrative barriers to 
such schools and centers furnishing     
specified health services and obtaining 
reimbursement for such services under   
titles ,,xix and ,,xxi of the ,social   
,security ,act 7#db ,u4,s4,c4 #acif et  
seq41 #acig;aa et seq474  7b7 ,contents 
of guidance ,the guidance issued        
pursuant to subsection 7a7 shall-- 7#a7 
include proposed revisions to the ,may  
#bjjc ,medicaid ,school-,based          
,administrative ,claiming ,guide and    
other guidance in effect on the date of 
enactment of this ,act2  7#b7 provide   
information on reimbursement under      
titles ,,xix and ,,xxi of the ,social   
,security ,act 7#db ,u4,s4,c4 #acif et  
seq41 #acig;aa et seq47 for the         
provision of specified health services1 
including such services provided in     
accordance with an individualized       

education program or under the free care
 policy described in the ,state         
,medicaid ,director letter on payment   
for services issued on ,december #ae1   
#bjad 7#ad-jjf72  7#c7 take into account
 reasons why small and rural local      
education agencies may choose not to    
provide specified health services1 and  
consider approaches to encourage such   
agencies to provide such services2 and  
7#d7 include best practices and examples
 of methods that ,state ,medicaid       
agencies and local education agencies   
have used to reimburse for1 and increase
 the availability of1 specified health  
services4  7c7 ,definitions ,in this    
,act3 7#a7 ,individualized education    
program ,the term individualized        
education program has the meaning given 
such term in section #fjb7ad7 of the    
,individuals with ,disabilities         
,education ,act 7#bj ,u4,s4,c4          
#adja7ad774  7#b7 ,school-based health  
center ,the term school-based health    
center has the meaning given such term  

in section #baaj7;c77#i7 of the ,social 
,security ,act 7#db ,u4,s4,c4           
#acig;jj7c77#i774  7#c7 ,specified      
health services ,the term specified     
health services means health services   
7including mental health services7 for  
which medical assistance may be provided
 under a ,state plan 7or waiver of such 
plan7 under title ,,xix of the ,social  
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 or a ,state child health plan 7or 
waiver of such plan7 under title ,,xxi  
of such ,act 7#db ,u4,s4,c4 #acig;aa et 
seq474