,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #ajdai  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,decemb] #af1         
#bjbd,mr4 ,crd5as 7= himself1 ,mr4      
,veasey1 ,mr4 ,s*weik]t1 & ,mr4         
,fitzpatrick7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,ways & 
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
e/abli% a ,m$ic>e demon/ration program  
relat+ to crisis response s]vices4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,crisis ,c>e ,access & ,response        
,expansion = ,behavioral ,heal? ,act (  
#bjbd or ! ,,c>e = ,behavioral ,heal?   
,act ( #bjbd4  #b4 ,e/abli%+ a ,m$ic>e  
demon/ration program relat+ to crisis   
response s]vices ,"p ,e ( title ,,xviii 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciex et seq47 is am5d$ by   

ins]t+ aft] section #ahff;,g ! foll[+   
new section3  #ahff;,h4 ,crisis response
 s]vices demon/ration program  7a7 ,9   
g5]al ,n lat] ?an ,janu>y #a1 #bjbf1 !  
,secret>y %all e/abli% a crisis response
 s]vices demon/ration program 79 ?is    
section ref]r$ to z ! demon/ration      
program7 to det]m9e :e!r paym5t = crisis
 response s]vices furni%$ to applicable 
individuals by p>ticipat+ provid]s      
results 9-- 7#a7 a r$uction 9 em]g5cy   
dep>tm5t visits2  7#b7 increas$ access  
to crisis response s]vices2  7#c7 a     
r$uction 9 exp5ditures "u ?is title2 or 
7#d7 improv$ behavioral heal? outcomes4 
7b7 ,p>ticipat+ provid]s  7#a7 ,9 g5]al 
,subject to p>agraph 7#c71 ! ,secret>y  
%all designate an eligible provid] z a  
p>ticipat+ provid] = purposes ( !       
demon/ration program if su* eligible    
provid] submits an application to !     
,secret>y at su* "t & 9 su* mann] z     
specifi$ by ! ,secret>y & demon/rates t 
! provid] meets ! /&>ds e/abli%$ by !   
,secret>y "u p>agraph 7#b74  7#b7 ,/&>ds

 ,! ,secret>y1 9 coord9ation ) !        
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use1 %all specify /&>ds t an 
eligible provid] mu/ meet 9 ord] to be  
designat$ z a p>ticipat+ provid] "u     
p>agraph 7#a74 ,su* /&>ds %all include !
 foll[+3 7,a7 ,/&>ds relat+ to ! m9imum 
set ( crisis response s]vices to be     
furni%$ by a p>ticipat+ provid] "u !    
demon/ration program4  7,b7 ,/&>ds      
relat+ to access to su* s]vices1 includ+
 a requirem5t t su* provid] be available
 to furni% su* s]vices #bd h\rs p] day1 
#g days p] week1 & h a physician 7:i*   
may include a psy*iatri/71 nurse        
practition]1 or physician assi/ant s    
available to furni% su* s]vices4  7,c7  
,/&>ds relat+ to ! provision ( su*      
s]vices1 includ+-- 7i7 /&>ds relat+ to !
 qualifications ( individuals :o may    
furni% su* s]vices1 9 accordance )      
applicable ,/ate lic5sure requirem5ts2  
7ii7 /&>ds relat+ to collaboration ( su*
 individuals ) o!r entities 7su* z      
community fir/ respond]s &              

community-bas$ organizations7 to ensure 
appropriate case managem5t & adh]5ce to 
be/ practices2  7iii7 /&>ds relat+ to ! 
receipt ( individuals f appropriate     
provid]s ( s]vices1 suppli]s1 & o!r     
entities 7su* z law en=cem5t entities1  
educational in/itutions1 &              
community-bas$ organizations72 &  7iv7 a
 requirem5t t su* s]vices may only be   
t]m9at$ once an individual is /abiliz$  
or transf]r$ to receive c>e f ano!r     
appropriate provid] ( s]vices1 suppli]1 
or entity4  7#c7 ,t]m9ation (           
designation  7,a7 ,9 g5]al ,! ,secret>y 
%all t]m9ate a designation ( a          
p>ticipat+ provid] "u p>agraph 7#a7 if--
 7i7 ! ,secret>y det]m9es t su* provid] 
no long] meets ! /&>ds specifi$ "u      
p>agraph 7#b72 or  7ii7 su* provid]     
fails to meets su* quality /&>ds z !    
,secret>y det]m9es appropriate4  7,b7   
,p]missive t]m9ation ,! ,secret>y may   
t]m9ate a designation ( a p>ticipat+    
provid] "u p>agraph 7#a7 = su* o!r      
reasons z det]m9$ appropriate by !      

,secret>y4  7c7 ,paym5t  7#a7 ,9 g5]al  
,paym5t = crisis response s]vices       
furni%$ by a p>ticipat+ provid] "u !    
demon/ration program %all be equal to   
#ajj p]c5t ( ! less] ( ! am\nt *>g$ by  
su* provid] or an am\nt det]m9$ "u !    
paym5t basis e/abli%$ by ! ,secret>y "u 
p>agraph 7#b74  7#b7 ,paym5t basis ,!   
,secret>y %all e/abli% a s+le paym5t    
am\nt = crisis response s]vices furni%$ 
to an applicable individual by a        
p>ticipat+ provid] dur+ a mon?4 ,su*    
am\nt %all be equal to ! av]age 7z      
det]m9$ by ! ,secret>y7 co/s incurr$ by 
eligible provid]s 9 furni%+ su* s]vices 
to an individual dur+ a mon?4  7#c7     
,s\rce ( paym5t ,paym5t = crisis        
response s]vices furni%$ by a p>ticipat+
 provid] "u ! demon/ration program %all 
be made f ! ,f$]al ,supplem5t>y ,m$ical 
,insurance ,tru/ ,fund e/abli%$ "u      
section #ahda4  7d7 ,evaluation &       
monitor+ ,! ,secret>y %all evaluate ea* 
p>ticipat+ provid] "u ! demon/ration    
program to assess :e!r ! results        

describ$ 9 subsection 7a7 h be5 a*iev$4 
7e7 ,report ,n lat] ?an #c ye>s aft] !  
date ( ! enactm5t ( ?is section1 !      
,secret>y %all conduct an indep5d5t     
evaluation ( ! demon/ration program &   
submit to ,congress a report on su*     
program4 ,su* report %all include an    
analysis ( ! foll[+3 7#a7 ,:e!r su*     
program has a*iev$ results describ$ 9   
subsection 7a74  7#b7 ,! quality (      
crisis response s]vices furni%$ "u su*  
program4  7#c7 ,any r$uction 9 jail     
inc>c]ation attributable to su* program4
  7#d7 ,! numb] ( individuals furni%$   
s]vices "u su* program :o 7 n volunt>ily
 s furni%$ su* s]vices4  7f7 ,def9itions
 ,9 ?is section3 7#a7 ,applicable       
individual ,! t]m applicable individual 
means an individual :o-- 7,a7 is entitl$
 to b5efits "u "p ,a & enroll$ "u "p ,b2
  7,b7 is n enroll$ 9 a ,m$ic>e         
,advantage plan "u "p ,c or a ,,pace    
program "u section #ahid2 &  7,c7 meets 
su* o!r crit]ia z det]m9$ appropriate by
 ! ,secret>y4  7#b7 ,behavioral heal?   

urg5t c>e facility ,! t]m behavioral    
heal? urg5t c>e facility means an       
ambulatory facility :]e individuals     
exp]i5c+ a m5tal or behavioral heal?    
crisis may walk 9 )\t an appo9tm5t to   
receive crisis assessm5t s]vices1 crisis
 int]v5tion s]vices1 m$ication1 &       
connection to o!r appropriate s]vices4  
7#c7 ,crisis receiv+ & /abilization     
facility ,! t]m crisis receiv+ &        
/abilization facility means a subacute  
inpati5t facility or o!r facility       
specifi$ by ! ,secret>y t provides      
%ort-t]m obs]vation & /abilization      
s]vices to individuals exp]i5c+ a m5tal 
or behavioral heal? crisis4  7#d7       
,crisis response s]vices ,! t]m crisis  
response s]vices means m5tal or         
behavioral heal? s]vices t are furni%$  
to an individual exp]i5c+ a m5tal or    
behavioral heal? crisis to-- 7,a7       
provide scre5+ & assessm5t = !          
individual's m5tal heal? or sub/ance use
 disord] crisis2  7,b7 support !        
de-escalation ( ! individual's m5tal    

heal? or sub/ance use disord] crisis2   
7,c7 facilitate or support subsequ5t    
ref]ral to heal?1 social1 & o!r s]vices1
 z det]m9$ appropriate by ! ,secret>y2  
or  7,d7 o!rwise address ! individual's 
press+ behavioral heal? ne$s1 z det]m9$ 
appropriate by ! ,secret>y4  7#e7       
,eligible provid] ,! t]m eligible       
provid] means a provid] ( crisis        
response s]vices t is a mobile crisis   
response team1 a crisis receiv+ &       
/abilization facility1 a behavioral     
heal? urg5t c>e facility1 or su* o!r    
provid] ( s]vices or suppli] det]m9$    
appropriate by ! ,secret>y4  7#f7       
,mobile crisis response team ,! t]m     
mobile crisis response team means a team
 ( physicians or practition]s 7z        
describ$ 9 section #ahdb7;b77#ah77;,c77 
t is available to furni% crisis response
 s]vices to an individual exp]i5c+ a    
m5tal or behavioral heal? crisis 9 !    
individual's home or at ! individual's  
workplace or ano!r community-bas$       
location 9 a timely mann]4  7g7 ,fund+  

,= purposes ( adm9i/]+ & c>ry+ out !    
demon/ration program1 o!r ?an = paym5ts 
= s]vices furni%$ "u ! program1 9       
addition to funds o!rwise appropriat$1 !
 ,secret>y %all provide = ! transf] to !
 ,c5t] = ,m$ic>e  ,m$icaid ,s]vices     
,program ,managem5t ,acc\nt f ! ,f$]al  
,hospital ,insurance ,tru/ ,fund "u     
section #ahag & ! ,f$]al ,supplem5t>y   
,m$ical ,insurance ,tru/ ,fund "u       
section #ahda ( ?is title 79 proportions
 det]m9$ appropriate by ! ,secret>y7 (  
su* sums z ! ,secret>y det]m9es are     
necess>y = su* purposes4 ,am\nts        
transf]r$ "u ?is subsection %all rema9  
available until exp5d$4  4