,,ib ,union ,calendar ,no4 #bhe #aagth ,,congress #b;d ,session ,h4 ,r4 #gbcc ,report ,no4 #aag-cgd ,,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 ,june #af1 #bjbb;,additional sponsors3 ,mrs4 ,hinson1 ,mrs4 ,hayes1 ,ms4 ,houlahan1 and ,mr4 ,trone ,june #af1 #bjbb,reported with amendments1 committed to the ,committee of the ,whole ,house on the ,state of the ,union1 and ordered to be printed,strike out all after the enacting clause and insert the part printed in italic,for text of introduced bill1 see copy of bill as introduced on ,march #bh1 #bjbb ,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 ,,care ,act4 #b4 ,medicaid and ,,chip requirements for health screenings and referrals for eligible juveniles in public institutions 7a7 ,medicaid ,state plan requirement ,section #aijb of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is amended-- 7#a7 in subsection 7a77#hd7-- 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 are scheduled to be released from placement in a public institution following adjudication1 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 plan1 the ,state shall have in place a plan to ensure1 and in accordance with such plan1 provide-- 7i7 for1 prior to the 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 institution-- 7,i7 any screening described in section #aije7r7 for which such eligible juvenile qualifies based on the intervals established pursuant to such section2 7,,ii7 any screening which such eligible juvenile did not receive in accordance with such intervals due to the incarceration of such eligible juvenile2 and 7,,iii7 a behavioral health or mental health screening that is a screening service described under section #aije7r77#a71 if such screening was not otherwise conducted pursuant to this clause2 7ii7 for1 not later than the latter of the date on which such eligible juvenile is released from such institution1 or the date on which the screenings pursuant to clause 7i7 for such eligible juvenile are conducted1 referrals for such eligible juvenile to the appropriate services1 including necessary health care1 diagnostic services1 treatment1 and other measures described in section #aije7;a71 giving preference to providers of such services who are located in the geographic region of the home or residence of such eligible juvenile when available1 based on such screenings2 and 7iii7 for1 following the release of such eligible juvenile from such institution1 and the completion of the screenings conducted pursuant to clause 7i71 not less than #cj days of targeted case management services furnished by a provider in the geographic region of the home or residence of such eligible juvenile4 2 and 7#b7 in subsection 7nn77#c71 by striking 7#cj7 and inserting 7#ca74 7b7 ,clarification of ,federal financial participation ,the subdivision 7,a7 of section #aije7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 following paragraph 7#ca7 of such section is amended by striking 7except as a patient in a medical institution7 and inserting 7except in the case of eligible juveniles described in section #aijb7;a77#hd77;,d71 and individuals as a patient in a medical institution74 7c7 ,,chip requirement ,section #bajg7;e77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;gg7e77#a77 is amended by adding at the end the following new subparagraph3 7,u7 ,section #aijb7;a77#hd77;,d7 7relating to eligible juveniles scheduled to be released from placement in a public institution following adjudication74 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 guidance to ,state ,medicaid agencies1 elementary and secondary schools1 and school-based health centers on reducing administrative barriers to such schools and centers furnishing medical assistance and obtaining payment for such assistance 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 ,guide1 the #aiig ,medicaid and ,schools ,technical ,assistance ,guide1 and other guidance in effect on the date of enactment of this ,act2 7#b7 provide information on payment 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 medical assistance1 including such assistance 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 not provide medical assistance1 and consider approaches to encourage such agencies to provide such assistance2 and 7#d7 include best practices and examples of methods that ,state ,medicaid agencies and local education agencies have used to pay for1 and increase the availability of1 medical assistance4 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 #d4 ,guidance to ,states on supporting mental1 emotional1 and behavioral health services1 and on the availability of telehealth under ,medicaid ,not later than ,january #a1 #bjbd1 the ,secretary of ,health and ,human ,services shall issue guidance to ,states on how to expand the provision of mental1 emotional1 and behavioral health services covered under ,state plans 7or waivers of such plans7 under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 including a description of best practices for-- 7#a7 effective programs for the provision of such services2 7#b7 provision of such services to underserved communities2 7#c7 flexibilities for children's hospitals and other providers to expand access to such services while ensuring high quality and safety2 and 7#d7 recruitment and retention of providers of such services4 #e4 ,ensuring children receive timely access to care 7a7 ,guidance to ,states on flexibilities to ensure provider capacity to provide pediatric mental1 emotional1 and behavioral crisis care ,not later than ,july #a1 #bjbd1 the ,secretary of ,health and ,human ,services shall provide guidance to ,states on existing flexibilities under ,state plans 7or waivers of such plans7 under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 to support children in crisis or in need of intensive mental1 emotional1 or behavioral health services4 7b7 ,ensuring consistent review and ,state implementation of early and periodic screening1 diagnostic1 and treatment services ,section #aije7r7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7r77 is amended by adding at the end the following3 ,not later than ,january #a1 #bjbe1 and not later than each ,january #a thereafter1 the ,secretary shall review implementation of the requirements of this subsection by ,states1 including such requirements relating to services provided by a managed care entity1 identify and disseminate best practices for ensuring comprehensive coverage of services1 identify gaps and deficiencies in meeting ,federal requirements1 and provide guidance to ,states on addressing identified gaps and disparities and meeting ,federal coverage requirements in order to ensure children have access to behavioral health services44 #f4 ,strategies to increase access to telehealth under ,medicaid and ,children's ,health ,insurance ,program ,not later than #a year after the date of the enactment of this ,act1 and not less frequently than once every five years thereafter1 the ,secretary of ,health and ,human ,services shall update guidance issued by the ,centers for ,medicare ,medicaid ,services to ,states1 the ,state ,medicaid ,,chip ,telehealth ,toolkit1 to clarify strategies to overcome existing barriers and increase access to telehealth services under the ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 and the ,children's ,health ,insurance ,program under title ,,xxi of such ,act 7#db ,u4,s4,c4 #acig;aa et seq474 ,such updated guidance shall include examples of and promising practices regarding-- 7#a7 telehealth delivery of covered services2 7#b7 recommended voluntary billing codes1 modifiers1 and place-of-service designations for telehealth and other virtual health care services2 7#c7 the simplification or alignment 7including through reciprocity7 of provider licensing1 credentialing1 and enrollment protocols with respect to telehealth across ,states1 ,state ,medicaid plans under such title ,,xix1 and ,medicaid managed care organizations1 including during national public health emergencies2 7#d7 strategies ,states can use to integrate telehealth and other virtual health care services into value-based health care models2 and 7#e7 waivers under the ,medicaid program to test expanded access to telehealth1 including during the emergency period described in section #aace7;g77#a77;,b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#e7;g77#a77;,b774 #g4 ,removal of inmate limitations on benefits under ,medicaid 7a7 ,in general ,the subdivision 7,a7 of section #aije7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 following paragraph 7#ca7 of such section1 as amended by section #b7;b71 is further amended by striking and individuals as a patient in a medical institution and inserting individuals as a patient in a medical institution1 or1 at the option of the ,state1 for an individual who is a juvenile1 while such individual is an inmate of a public institution pending disposition of charges4 7b7 ,effective date ,the amendment made by subsection 7a7 shall take effect on the first day of the first calendar quarter that begins after the date that is #ah months after the date of enactment of this ,act and shall apply to items and services furnished for periods beginning on or after such date4 ,amend the title so as to read3 ,a bill to amend titles ,,xix and ,,xxi 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 to require the ,secretary of ,health and ,human ,services to issue and update guidance under the ,medicaid and ,children's ,health ,insurance ,programs to improving access to1 and the delivery of1 timely health care services1 including mental and behavioral health services2 and for other purposes44 ,june #af1 #bjbb,reported with amendments1 committed to the ,committee of the ,whole ,house on the ,state of the ,union1 and ordered to be printed