,i  #aagth ,,congress  #b;d ,session    
,h4 ,r4 #ghjc  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ag1 #bjbb,mrs4 
,carolyn ,b4 ,maloney of ,new ,york     
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 remove the exclusion from       
medical assistance under the ,medicaid  
program of items and services for       
patients in an institution for mental   
diseases1 and for other purposes4  #a4  
,short title ,this ,act may be cited as 
the ,michelle ,alyssa ,go ,act4  #b4    
,removal of age exclusion from medical  
assistance of items and services for    
patients in an institution for mental   
diseases  7a7 ,in general ,section      
#aije7;a7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #acif;d7a77 is amended1  
in the first sentence1 in the matter    
following paragraph 7#ca7-- 7#a7 by     
striking such term does not include--   
and all that follows through 7,a7 any   

and inserting such term does not include
 any2  7#b7 by striking 2 or and        
inserting a period2 and  7#c7 by        
striking subparagraph 7,b74  7b7        
,conforming amendments ,to permit       
medical assistance for ,,imd patients   
under #fe years of age ,title ,,xix of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acif;a et seq47 is amended-- 
7#a7 in section #aijb7;a7-- 7,a7 in     
paragraph 7#bj7-- 7i7 in the matter     
preceding subparagraph 7,a71 by striking
 #fe years of age or older2 and  7ii7 in
 subparagraph 7,c71 by striking #fe     
years of age or older2 and  7,b7 in     
paragraph 7#ba7 by striking #fe years of
 age or older2  7#b7 in section         
#aije7;a77#ad71 by striking #fe years of
 age or over2 and  7#c7 in section      
#aiai7;e77#g77;,b77i77,i71 by striking  
#fe years of age or older4  #c4         
,required standards for ,i,m,ds ,section
 #aije7;i7 of the ,social ,security ,act
 7#db ,u4,s4,c4 #acif;d7i77 is amended  
to read as follows3  7i7 ,institution   

for mental diseases ,the term           
institution for mental diseases means a 
hospital1 nursing facility1 or other    
institution that-- 7#a7 is primarily    
engaged in providing diagnosis1         
treatment1 or care of persons with      
mental diseases1 including medical      
attention1 nursing care1 and related    
services2 and  7#b7 meets nationally    
recognized1 evidence-based standards for
 mental health programs 7and1 in the    
case of an institution for mental       
diseases that provides treatment for    
substance use disorders1 meets          
nationally recognized1 evidence-based   
standards for substance use disorder    
programs1 such as the latest standards  
set forth by the ,american ,society of  
,addiction ,medicine71 approved by the  
,secretary1 including standards that    
establish the types of services offered1
 hours of clinical care1 and staffing   
credentials for such an institution1 and
 any other standards as the ,secretary  
may require4  4  #d4 ,effective date    

,the amendments made by this ,act shall 
take effect #ahj days after the date of 
enactment of this ,act and shall apply  
to ,state plans beginning on such date4