,i  #aahth ,,congress  #b;d ,session    
,h4 ,r4 #hcge  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ad1 #bjbd,ms4  
,caraveo 7for herself1 ,mr4             
,fitzpatrick1 ,mrs4 ,watson ,coleman1   
,ms4 ,jackson ,lee1 ,mr4 ,thanedar1 ,ms4
 ,lee of ,california1 ,ms4 ,norton1 ,ms4
 ,tlaib1 and ,ms4 ,stansbury7 introduced
 the following bill2 which was referred 
to the ,committee on ,energy and        
,commerce  ,a ,,bill  ,to require the   
,secretary of ,health and ,human        
,services to issue guidance to ,states  
on strategies under ,medicaid and ,,chip
 to increase pediatric mental and       
behavioral health provider education1   
training1 recruitment1 retention1 and   
support1 and for other purposes4  #a4   
,short title ,this ,act may be cited as 
the ,strengthening ,our ,pediatric      
,mental ,health ,workforce ,act4  #b4   
,guidance to ,states on strategies under
 medicaid and chip to increase pediatric
 mental and behavioral health provider  
education1 training1 recruitment1       

retention1 and support ,not later than  
#ab months after the date of the        
enactment of this ,act1 the ,secretary  
of ,health and ,human ,services shall   
issue guidance to ,states on strategies 
7including strategies that utilize      
waivers under section #aaae of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acae7 or other authorities under titles
 ,,xix and ,,xxi of such ,act 7#db      
,u4,s4,c4 #acif et seq41 #acig;aa et    
seq477 such ,states may utilize under   
the ,medicaid and ,,chip programs to--  
7#a7 increase the education1 training1  
recruitment1 and retention of           
pediatricians1 child and adolescent     
psychiatrists1 and other pediatric      
mental and behavioral health providers  
that participate in such programs2  7#b7
 improve the capacity of pediatricians1 
child and adolescent psychiatrists1 and 
other pediatric mental and behavioral   
health providers that serve populations 
with limited ,english proficiency2  7#c7
 recruit and retain pediatricians1 child

 and adolescent psychiatrists1 and other
 pediatric mental and behavioral health 
professionals that practice in rural and
 underserved areas2  7#d7 expand the    
capacity of the pediatric mental and    
behavioral health care workforce that   
practices in rural and underserved      
areas2  7#e7 increase the recruitment   
and retention of racial and ethnic      
minorities in the pediatric mental and  
behavioral health professions2  7#f7    
promote the capabilities of and payments
 available to pediatric mental and      
behavioral providers across disciplines 
that participate in such programs       
through implementation of integrated    
care models1 primary care behavioral    
health models1 collaborative care       
models1 pediatric mental health care    
telehealth access programs 7as described
 in section #ccj,m7b7 of the ,public    
,health ,service ,act 7#db ,u4,s4,c4    
#bed;c-#ai7;b7771 and consultation with 
and training of other allied            
professionals and community             

organizations engaged in pediatric      
mental and behavioral health services2  
and  7#g7 improve provider participation
 and recruitment in such programs       
through various incentive strategies1   
such as increased reimbursement1        
scholarships1 and student loan repayment
 programs1 and to support the needs of  
pediatricians1 child and adolescent     
psychiatrists1 and other pediatric      
mental and behavioral health providers  
that participate in such programs to    
reduce rates of turnover1 burnout1 and  
intent to leave4  #c4 ,report on        
strategies under medicaid and chip to   
increase pediatric mental and behavioral
 health provider education1 training1   
recruitment1 retention1 and support ,not
 later than #b years after the date of  
the enactment of this ,act1 the         
,secretary of ,health and ,human        
,services shall submit to the ,committee
 on ,health1 ,education1 ,labor1 and    
,pensions of the ,senate and the        
,committee on ,energy and ,commerce of  

the ,house of ,representatives1 and make
 publicly available1 a report analyzing 
implementation of strategies described  
in section #b4