,,ib ,union ,cal5d> ,no4 #bhe #aag?     
,,congress  #b;d ,session  ,h4 ,r4 #gbcc
 ,report ,no4 #aag-cgd ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,m>* #bh1         
#bjbb,mr4 ,hudson 7= himself & ,ms4     
,ku/]7 introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,june #af1 #bjbb;,additional  
sponsors3 ,mrs4 ,h9son1 ,mrs4 ,hayes1   
,ms4 ,h\lahan1 & ,mr4 ,trone  ,june #af1
 #bjbb,report$ ) am5dm5ts1 committ$ to !
 ,committee ( ! ,:ole ,h\se on ! ,/ate (
 ! ,union1 & ord]$ to be printed,strike 
out all aft] ! enact+ clause & ins]t !  
"p pr9t$ 9 italic,for text ( introduc$  
bill1 see copy ( bill z introduc$ on    
,m>* #bh1 #bjbb  ,a ,,bill  ,to am5d    
title ,,xix ( ! ,social ,security ,act  
to provide = requirem5ts "u ,m$icaid    
,/ate plans = heal? scre5+s & ref]rals =
 c]ta9 eligible juv5iles 9 public       
in/itutions2 & to require ! ,secret>y ( 
,heal? & ,human ,s]vices to issue cle> &
 specific guidance "u ! ,m$icaid &      
,*ildr5's ,heal? ,insurance programs to 

improve ! deliv]y ( heal? c>e s]vices1  
includ+ m5tal heal? s]vices1 9 elem5t>y 
& second>y s*ools & s*ool-bas$ heal?    
c5t]s4  #a4 ,%ort title ,?is ,act may be
 cit$ z ! ,keep+ ,inc>c]ation ,dis*>ges 
,/reaml9$ = ,*ildr5 & ,accommodat+      
,res\rces 9 ,education ,act or ! ,,kids 
,,c>e ,act4  #b4 ,m$icaid & ,,*ip       
requirem5ts = heal? scre5+s & ref]rals =
 eligible juv5iles 9 public in/itutions 
7a7 ,m$icaid ,/ate plan requirem5t      
,section #aijb ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;a7 is am5d$-- 
7#a7 9 subsection 7a77#hd7-- 7,a7 9     
subp>agraph 7,b71 by /rik+ & at ! end2  
7,b7 9 subp>agraph 7,c71 by add+ & at ! 
end2 &  7,c7 by add+ at ! end ! foll[+  
new subp>agraph3  7,d7 beg9n+ ,octob]   
#a1 #bjbc1 9 ! case ( individuals :o are
 eligible juv5iles describ$ 9 subsection
 7nn77#b71 are s*$ul$ to be releas$ f   
placem5t 9 a public in/itution foll[+   
adjudication1 & :o ! ,/ate det]m9es     
pursuant to subp>agraph 7,b7 or 7,c71 z 
applicable1 meet ! eligibility          

requirem5ts = m$ical assi/ance "u !     
,/ate plan1 ! ,/ate %all h 9 place a    
plan to ensure1 & 9 accordance ) su*    
plan1 provide-- 7i7 =1 prior to !       
release ( su* an eligible juv5ile f su* 
public in/itution 7or n lat] ?an "o week
 aft] release f ! public in/itution71 & 
9 coord9ation ) su* in/itution-- 7,i7   
any scre5+ describ$ 9 section #aije7r7 =
 :i* su* eligible juv5ile qualifies bas$
 on ! int]vals e/abli%$ pursuant to su* 
section2  7,,ii7 any scre5+ :i* su*     
eligible juv5ile did n receive 9        
accordance ) su* int]vals due to !      
inc>c]ation ( su* eligible juv5ile2 &   
7,,iii7 a behavioral heal? or m5tal     
heal? scre5+ t is a scre5+ s]vice       
describ$ "u section #aije7r77#a71 if su*
 scre5+ 0 n o!rwise conduct$ pursuant to
 ?is clause2  7ii7 =1 n lat] ?an ! latt]
 ( ! date on :i* su* eligible juv5ile is
 releas$ f su* in/itution1 or ! date on 
:i* ! scre5+s pursuant to clause 7i7 =  
su* eligible juv5ile are conduct$1      
ref]rals = su* eligible juv5ile to !    

appropriate s]vices1 includ+ necess>y   
heal? c>e1 diagno/ic s]vices1 treatm5t1 
& o!r measures describ$ 9 section       
#aije7;a71 giv+ pref]5ce to provid]s (  
su* s]vices :o are locat$ 9 ! geographic
 region ( ! home or resid5ce ( su*      
eligible juv5ile :5 available1 bas$ on  
su* scre5+s2 &  7iii7 =1 foll[+ !       
release ( su* eligible juv5ile f su*    
in/itution1 & ! completion ( ! scre5+s  
conduct$ pursuant to clause 7i71 n less 
?an #cj days ( t>get$ case managem5t    
s]vices furni%$ by a provid] 9 !        
geographic region ( ! home or resid5ce (
 su* eligible juv5ile4  2 &  7#b7 9     
subsection 7nn77#c71 by /rik+ 7#cj7 &   
ins]t+ 7#ca74  7b7 ,cl>ification (      
,f$]al f9ancial p>ticipation ,!         
subdivision 7,a7 ( section #aije7;a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif;d7a77 foll[+ p>agraph 7#ca7 ( su* 
section is am5d$ by /rik+ 7except z a   
pati5t 9 a m$ical in/itution7 & ins]t+  
7except 9 ! case ( eligible juv5iles    
describ$ 9 section #aijb7;a77#hd77;,d71 

& individuals z a pati5t 9 a m$ical     
in/itution74  7c7 ,,*ip requirem5t      
,section #bajg7;e77#a7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acig;gg7e77#a77 is am5d$ by add+ at !  
end ! foll[+ new subp>agraph3  7,u7     
,section #aijb7;a77#hd77;,d7 7relat+ to 
eligible juv5iles s*$ul$ to be releas$ f
 placem5t 9 a public in/itution foll[+  
adjudication74  4  #c4 ,guidance on     
r$uc+ adm9i/rative b>ri]s to provid+    
heal? c>e s]vices 9 s*ools  7a7 ,9 g5]al
 ,n lat] ?an #ahj days aft] ! date (    
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all issue     
guidance to ,/ate ,m$icaid ag5cies1     
elem5t>y & second>y s*ools1 & s*ool-bas$
 heal? c5t]s on r$uc+ adm9i/rative      
b>ri]s to su* s*ools & c5t]s furni%+    
m$ical assi/ance & obta9+ paym5t = su*  
assi/ance "u titles ,,xix & ,,xxi ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq41 #acig;aa et seq474  7b7  
,cont5ts ( guidance ,! guidance issu$   
pursuant to subsection 7a7 %all-- 7#a7  

include propos$ revisions to ! ,may     
#bjjc ,m$icaid ,s*ool-,bas$             
,adm9i/rative ,claim+ ,guide1 ! #aiig   
,m$icaid & ,s*ools ,te*nical ,assi/ance 
,guide1 & o!r guidance 9 effect on !    
date ( enactm5t ( ?is ,act2  7#b7       
provide in=mation on paym5t "u titles   
,,xix & ,,xxi ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif et seq41 #acig;aa 
et seq47 = ! provision ( m$ical         
assi/ance1 includ+ su* assi/ance provid$
 9 accordance ) an individualiz$        
education program or "u ! free c>e      
policy describ$ 9 ! ,/ate ,m$icaid      
,director lett] on paym5t = s]vices     
issu$ on ,decemb] #ae1 #bjad 7#ad-jjf72 
7#c7 take into acc\nt reasons :y small &
 rural local education ag5cies may n    
provide m$ical assi/ance1 & consid]     
approa*es to enc\rage su* ag5cies to    
provide su* assi/ance2 &  7#d7 include  
be/ practices & examples ( me?ods t     
,/ate ,m$icaid ag5cies & local education
 ag5cies h us$ to pay =1 & increase !   
availability (1 m$ical assi/ance4  7c7  

,def9itions ,9 ?is ,act3 7#a7           
,individualiz$ education program ,! t]m 
individualiz$ education program has !   
mean+ giv5 su* t]m 9 section #fjb7ad7 ( 
! ,individuals ) ,disabilities          
,education ,act 7#bj ,u4,s4,c4          
#adja7ad774  7#b7 ,s*ool-bas$ heal? c5t]
 ,! t]m s*ool-bas$ heal? c5t] has !     
mean+ giv5 su* t]m 9 section            
#baaj7;c77#i7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acig;jj7c77#i774  #d4  
,guidance to ,/ates on support+ m5tal1  
emotional1 & behavioral heal? s]vices1 &
 on ! availability ( teleheal? "u       
,m$icaid ,n lat] ?an ,janu>y #a1 #bjbd1 
! ,secret>y ( ,heal? & ,human ,s]vices  
%all issue guidance to ,/ates on h[ to  
exp& ! provision ( m5tal1 emotional1 &  
behavioral heal? s]vices cov]$ "u ,/ate 
plans 7or waiv]s ( su* plans7 "u title  
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq471 includ+ a     
description ( be/ practices =-- 7#a7    
effective programs = ! provision ( su*  
s]vices2  7#b7 provision ( su* s]vices  

to und]s]v$ communities2  7#c7          
flexibilities = *ildr5's hospitals & o!r
 provid]s to exp& access to su* s]vices 
:ile ensur+ high quality & safety2 &    
7#d7 recruitm5t & ret5tion ( provid]s ( 
su* s]vices4  #e4 ,ensur+ *ildr5 receive
 timely access to c>e  7a7 ,guidance to 
,/ates on flexibilities to ensure       
provid] capacity to provide p$iatric    
m5tal1 emotional1 & behavioral crisis   
c>e ,n lat] ?an ,july #a1 #bjbd1 !      
,secret>y ( ,heal? & ,human ,s]vices    
%all provide guidance to ,/ates on exi/+
 flexibilities "u ,/ate plans 7or waiv]s
 ( su* plans7 "u title ,,xix ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acif et 
seq47 to support *ildr5 9 crisis or 9   
ne$ ( int5sive m5tal1 emotional1 or     
behavioral heal? s]vices4  7b7 ,ensur+  
consi/5t review & ,/ate implem5tation ( 
e>ly & p]iodic scre5+1 diagno/ic1 &     
treatm5t s]vices ,section #aije7r7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7r77 is am5d$ by add+ at ! end ! 
foll[+3 ,n lat] ?an ,janu>y #a1 #bjbe1 &

 n lat] ?an ea* ,janu>y #a !reaft]1 !   
,secret>y %all review implem5tation ( ! 
requirem5ts ( ?is subsection by ,/ates1 
includ+ su* requirem5ts relat+ to       
s]vices provid$ by a manag$ c>e entity1 
id5tify & dissem9ate be/ practices =    
ensur+ compreh5sive cov]age ( s]vices1  
id5tify gaps & defici5cies 9 meet+      
,f$]al requirem5ts1 & provide guidance  
to ,/ates on address+ id5tifi$ gaps &   
disp>ities & meet+ ,f$]al cov]age       
requirem5ts 9 ord] to ensure *ildr5 h   
access to behavioral heal? s]vices44    
#f4 ,/rategies to increase access to    
teleheal? "u ,m$icaid & ,*ildr5's ,heal?
 ,insurance ,program ,n lat] ?an #a ye> 
aft] ! date ( ! enactm5t ( ?is ,act1 & n
 less frequ5tly ?an once e five ye>s    
!reaft]1 ! ,secret>y ( ,heal? & ,human  
,s]vices %all update guidance issu$ by !
 ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices to 
,/ates1 ! ,/ate ,m$icaid  ,,*ip         
,teleheal? ,toolkit1 to cl>ify /rategies
 to ov]come exi/+ b>ri]s & increase     
access to teleheal? s]vices "u !        

,m$icaid program "u title ,,xix ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq47 & ! ,*ildr5's ,heal?     
,insurance ,program "u title ,,xxi ( su*
 ,act 7#db ,u4,s4,c4 #acig;aa et seq474 
,su* updat$ guidance %all include       
examples ( & promis+ practices reg>d+-- 
7#a7 teleheal? deliv]y ( cov]$ s]vices2 
7#b7 recomm5d$ volunt>y bill+ codes1    
modifi]s1 & place-(-s]vice designations 
= teleheal? & o!r virtual heal? c>e     
s]vices2  7#c7 ! simplification or      
alignm5t 7includ+ ?r\gh reciprocity7 (  
provid] lic5s+1 cr$5tial+1 & enrollm5t  
protocols ) respect to teleheal? across 
,/ates1 ,/ate ,m$icaid plans "u su*     
title ,,xix1 & ,m$icaid manag$ c>e      
organizations1 includ+ dur+ national    
public heal? em]g5cies2  7#d7 /rategies 
,/ates c use to integrate teleheal? &   
o!r virtual heal? c>e s]vices into      
value-bas$ heal? c>e models2 &  7#e7    
waiv]s "u ! ,m$icaid program to te/     
exp&$ access to teleheal?1 includ+ dur+ 
! em]g5cy p]iod describ$ 9 section      

#aace7;g77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acbj;b-#e7;g77#a77;,b774  #g4 ,removal 
( inmate limitations on b5efits "u      
,m$icaid  7a7 ,9 g5]al ,! subdivision   
7,a7 ( section #aije7;a7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acif;d7a77 foll[+ p>agraph 7#ca7 ( su* 
section1 z am5d$ by section #b7;b71 is  
fur!r am5d$ by /rik+ & individuals z a  
pati5t 9 a m$ical in/itution & ins]t+   
individuals z a pati5t 9 a m$ical       
in/itution1 or1 at ! option ( ! ,/ate1 =
 an individual :o is a juv5ile1 :ile su*
 individual is an inmate ( a public     
in/itution p5d+ disposition ( *>ges4    
7b7 ,effective date ,! am5dm5t made by  
subsection 7a7 %all take effect on !    
fir/ day ( ! fir/ cal5d> qu>t] t beg9s  
aft] ! date t is #ah mon?s aft] ! date (
 enactm5t ( ?is ,act & %all apply to    
items & s]vices furni%$ = p]iods beg9n+ 
on or aft] su* date4  ,am5d ! title s z 
to read3 ,a bill to am5d titles ,,xix & 
,,xxi ( ! ,social ,security ,act to     

provide = requirem5ts "u ,m$icaid ,/ate 
plans = heal? scre5+s & ref]rals = c]ta9
 eligible juv5iles 9 public in/itutions2
 to require ! ,secret>y ( ,heal? &      
,human ,s]vices to issue & update       
guidance "u ! ,m$icaid & ,*ildr5's      
,heal? ,insurance ,programs to improv+  
access to1 & ! deliv]y (1 timely heal?  
c>e s]vices1 includ+ m5tal & behavioral 
heal? s]vices2 & = o!r purposes44 ,june 
#af1 #bjbb,report$ ) am5dm5ts1 committ$ 
to ! ,committee ( ! ,:ole ,h\se on !    
,/ate ( ! ,union1 & ord]$ to be pr9t$