,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #gcgh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #d1 #bjbb,mr4  
,burgess introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to make
 p]man5t ! ,/ate plan am5dm5t option to 
provide m$ical assi/ance = c]ta9        
individuals :o are pati5ts 9 c]ta9      
in/itutions = m5tal diseases1 & = o!r   
purposes4  #a4 ,lift+ ! ,,imd exclusion 
= sub/ance use disord] & s]i\s m5tal    
illness  7a7 ,mak+ p]man5t ,/ate ,plan  
,am5dm5t ,option ,to ,provide ,m$ical   
,assi/ance = ,c]ta9 ,individuals ,:o    
,are ,pati5ts 9 ,c]ta9 ,in/itutions =   
,m5tal ,diseases ,section #aiae7l77#a7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acifn7l77#a77 is am5d$ by /rik+ ,)    
respect to cal5d> qu>t]s beg9n+ dur+ !  
p]iod beg9n+ ,octob] #a1 #bjai1 & end+  
,septemb] #cj1 #bjbc1 & ins]t+ ,)       
respect to cal5d> qu>t]s beg9n+ on or   
aft] ,octob] #a1 #bjai14  7b7 ,l5g?s (  

/ay ,section #aiae7l77#b7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acifn7l77#b77 is am5d$-- 7#a7 by /rik+ 
#cj days & ins]t+ #de days2 &  7#b7 by  
add+ at ! end ! foll[+ new s5t5ce3 ,no?+
 9 ?is p>agraph %all be con/ru$ z       
preclud+ a ,/ate f us+ o!r au?orities1  
includ+ section #aaae1 t apply ) respect
 to m$ical assi/ance "u ! ,/ate plan "u 
?is title1 or waiv] ( su* plan1 =       
deliv]+ c>e 9 c]ta9 in/itutions = m5tal 
diseases ) m ?an #af b$s concurr5tly )  
?is p>agraph & all[+ = /ays 9 su*       
in/itutions = m5tal diseases equal to ! 
comb9$ total l5g?s ( /ays p]mitt$ "u !  
respective au?orities s long z all      
requirem5ts = su* au?orities are met44  
7c7 ,codification ( ,/ate ,m$icaid      
,director ,lett] #ah-jaa ,beg9n+ on !   
date ( ! enactm5t ( ?is ,act1 ! ,/ate   
,m$icaid ,director ,lett] #ah-jaa %all h
 ! =ce & effect ( law1 except t 9 apply+
 su* lett]1 ) respect to a ,/ate1 !     
,/ate m5tal heal? director 7or su* o!r  
simil> actor7 may all[ = up to #de days 

= ! ,/atewide av]age l5g? ( /ay describ$
 9 su* lett]4