,,ii #aag? ,,congress #b;d ,session ,s4 #dgdg ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,augu/ #b1 #bjbb,mr4 ,portman 7= himself & ,mr4 ,casey7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d title ,,xix ( ! ,social ,security ,act to exp& ! availability ( m5tal1 emotional1 & behavioral heal? s]vices "u ! ,m$icaid program1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,inve/+ 9 ,kids' ,m5tal ,heal? ,n[ ,act ( #bjbb4 #b4 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4,sec4 #b4 ,table ( cont5ts4,sec4 #c4 ,paym5t rate increase = p$iatric behavioral heal? s]vices4,sec4 #d4 ,guidance to ,/ates on support+ m5tal1 emotional1 & behavioral heal? s]vices1 & on ! availability ( teleheal? "u ,m$icaid4,sec4 #e4 ,ensur+ *ildr5 receive timely access to c>e4 #c4 ,paym5t rate increase = p$iatric behavioral heal? s]vices 7a7 ,paym5t rate increase = p$iatric behavioral heal? s]vices ,section #aijb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7 is am5d$-- 7#a7 9 subsection 7a77#ac7-- 7,a7 9 subp>agraph 7,b71 by /rik+ & at ! end2 7,b7 9 subp>agraph 7,c71 by add+ & at ! end2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,d7 t1 = a #a-ye> p]iod t beg9s n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is subp>agraph1 ! ,/ate %all pay = p$iatric m5tal1 emotional1 & behavioral heal? s]vices 7z def9$ 9 subsection 7tt77 furni%$ dur+ su* p]iod at a rate t is at lea/ #a p]c5t1 & n m ?an #i p]c5t1 high] ?an ! rate t 0 applicable to su* s]vices "u ! ,/ate plan z ( ! day be=e ! date t is #f mon?s be=e ! date ( enactm5t ( ?is subp>agraph2 2 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7tt7 ,p$iatric m5tal1 emotional1 & behavioral heal? s]vices def9$ ,= purposes ( subsection 7a77#ac77;,d71 ! t]m p$iatric m5tal1 emotional1 & behavioral heal? s]vices means at lea/ #aj ( ! foll[+ s]vices furni%$ by a heal? c>e provid]1 includ+ hospitals1 physicians1 & o!r provid]s det]m9$ by ! ,secret>y1 = ! purposes ( scre5+ =1 id5tify+1 diagnos+1 or treat+ a m5tal1 emotional1 or behavioral heal? condition1 :e!r furni%$ 9-p]son or via teleheal?3 7#a7 ,m5tal heal? & sub/ance use disord] scre5+s4 7#b7 ,m5tal heal? developm5t assessm5ts4 7#c7 ,m5tal heal? behavior assessm5ts & int]v5tions4 7#d7 ,psy*ological & neuropsy*ological te/+ & assessm5t4 7#e7 ,m5tal heal? prim>y prev5tion s]vices4 7#f7 ,m5tal heal? & sub/ance use disord] case managem5t s]vices4 7#g7 ,s*ool-bas$ m5tal heal? & sub/ance use disord] prev5tion1 id5tification1 & treatm5t s]vices4 7#h7 ,*ild & adolesc5t psy*iatry & psy*ology s]vices4 7#i7 ,p>tial hospitalization s]vices4 7#aj7 ,day program s]vices4 7#aa7 ,int5sive outpati5t s]vices4 7#ab7 ,eat+ disord] treatm5t s]vices4 7#ac7 ,outpati5t s]vices4 7#ad7 ,crisis resid5tial s]vices4 7#ae7 ,crisis int]v5tion & /abilization4 7#af7 ,inpati5t psy*iatric & psy*ological s]vices4 7#ag7 ,individual !rapy4 7#ah7 ,family !rapy4 7#ai7 ,gr\p !rapy s]vices4 7#bj7 ,int5sive 9-home s]vices4 7#ba7 ,pe] support s]vices4 7#bb7 ,provid]-to-provid] consultation s]vices involv+ prim>y c>e practition]s & m5tal heal? c>e speciali/s1 includ+ *ild & adolesc5t speciali/s4 7#bc7 ,sub/ance use disord] scre5+1 includ+ ,,sbirt1 & treatm5t4 7#bd7 ,m$ication managem5t4 7#be7 ,any o!r p$iatric m5tal1 emotional1 or behavioral heal? s]vice det]m9$ appropriate by ! ,secret>y4 4 7b7 ,"u m$icaid manag$ c>e plans ,section #aicb7;f7 ( su* ,act 7#db ,u4,s4,c4 #acifu-#b7;f77 is am5d$-- 7#a7 9 ! head]1 by ins]t+ & p$iatric m5tal1 emotional1 & behavioral heal? be=e ,s]vices2 7#b7 by ins]t+ & p$iatric m5tal1 emotional1 & behavioral heal? s]vices describ$ 9 section #aijb7;a77#ac77;,d7 aft] section #aijb7;a77#ac77;,c72 & 7#c7 by /rik+ su* section & ins]t+ section #aijb7;a77#ac74 7c7 ,increase 9 paym5t us+ increas$ ,,fmap ,section #aije ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7jj7 ,increas$ ,,fmap = additional exp5ditures = p$iatric m5tal1 emotional1 & behavioral heal? s]vices ,not)/&+ subsection 7b71 ) respect to ! portion ( ! am\nts exp5d$ = m$ical assi/ance = s]vices describ$ 9 section #aijb7;a77#ac77;,d7 t is furni%$ dur+ ! #a-ye> p]iod describ$ 9 su* section & t is attributable to ! increase to ! paym5t rate applicable to su* s]vices requir$ "u su* section 7or1 by application1 section #aicb7;f771 ! ,f$]al m$ical assi/ance p]c5tage = a ,/ate t is "o ( ! #ej ,/ates or ! ,di/rict ( ,columbia %all be equal to #ajj p]c5t4 ,! prec$+ s5t5ce does n prohibit ! paym5t ( ,f$]al f9ancial p>ticipation bas$ on ! ,f$]al m$ical assi/ance p]c5tage = am\nts 9 excess ( ^? specifi$ 9 su* s5t5ce4 4 #d4 ,guidance to ,/ates on support+ m5tal1 emotional1 & behavioral heal? s]vices1 & on ! availability ( teleheal? "u ,m$icaid 7a7 ,m5tal1 emotional1 & behavioral heal? s]vices ,n lat] ?an #ahj days aft] date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance to ,/ates on h[ to exp& ! provision ( m5tal1 emotional1 & behavioral heal? s]vices cov]$ by ,/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 = effective programs1 s]vice provision = und]s]v$ communities1 meet+ ! ne$s ( *ildr5 ) m$ical complexities1 & recruitm5t & ret5tion ( provid]s4 7b7 ,m5tal1 emotional1 & behavioral teleheal? s]vices ,n lat] ?an #a ye> aft] date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all issue guidance to ,/ates on be/ practices to su/a9 & enhance ! availability ( m5tal1 emotional1 & behavioral teleheal? s]vices cov]$ by ,/ate plans 7or waiv]s ( su* plans7 "u title ,,xix ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 includ+ exp&+ ! orig9at+ site requirem5t1 deliv]+ audio-only m5tal1 emotional1 & behavioral teleheal? s]vices1 & /reaml9+ provid] lic5s+1 cr$5tial+1 & enrollm5t protocols ) respect to teleheal? s]vices furni%$ across ,/ate l9es4 #e4 ,ensur+ *ildr5 receive timely access to c>e 7a7 ,guidance to ,/ates on flexibilities ,to ensure provid] capacity ,to provide p$iatric m5tal1 emotional1 & behavioral crisis c>e ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all provide guidance to ,/ates on be/ practices to support *ildr5 9 crisis or 9 ne$ ( int5sive m5tal1 emotional1 or behavioral heal? s]vices by us+ flexibilities = hospitals & o!r provid]s "u applicable laws1 regulations1 & guidance1 includ+ a description ( h[ ,/ates are lev]ag+ exi/+ flexibilities to deliv] crisis c>e4 7b7 ,m&at$ report to ,congress reg>d+ b>ri]s to repurpos+ ( b$s1 space1 & /aff ,to address p$iatric behavioral heal? ne$s 7#a7 ,9 g5]al ,n lat] ?an #abj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! ,congress a report ) respect to regulatory1 legal1 & o!r b>ri]s to c>e across ! crisis cont9uum1 includ+ int]m$iate level c>e1 su* z int5sive outpati5t c>e or p>tial hospitalization1 t id5tifies solutions to facilitate flexibility = *ildr5's hospitals & o!r provid]s ( m5tal1 emotional1 or behavioral heal? s]vices4 7#b7 ,requirem5ts ,9 prep>+ a report "u ?is subsection1 ! ,secret>y ( ,heal? & ,human ,s]vices %all include 9 su* report-- 7,a7 a compreh5sive li/ ( laws1 regulations1 & guidance impact+ *ildr5's hospitals' & o!r provid]s' ability to repurpose imm$iately b$s1 space1 & /aff = *ildr5 9 ne$ ( m5tal1 emotional1 or behavioral heal? s]vices1 includ+ a description ( ! rationale = ea* policy & correspond+ actions requir$ to repurpose su* b$s1 space1 & /aff2 & 7,b7 recomm5dations on h[ *ildr5's hospitals & o!r provid]s c imm$iately exp& access to m5tal1 emotional1 & behavioral heal? s]vices1 su* z int5sive outpati5t c>e1 p>tial hospitalization1 & resid5tial c>e1 :ile also ensur+ high quality & safety4