,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #idbb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,augu/ #bg1 #bjbd,ms4 
,pett]s5 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d titles    
,,xix & ,,xxi ( ! ,social ,security ,act
 to add a new ,/ate plan am5dm5t option 
to provide m$ical assi/ance = c]ta9     
individuals :o are pati5ts 9 c]ta9      
in/itutions = m5tal diseases4  #a4 ,%ort
 title ,?is ,act may be cit$ z !        
,recov]y ,act4  #b4 ,add+ ,m$icaid &    
,,*ip ,/ate plan am5dm5t options  7a7   
,additional ,m$icaid ,/ate plan am5dm5t 
option ,section #aiae ( ! ,social       
,security ,act 7#db ,u4,s4,c4 #acifn7 is
 am5d$ by add+ at ! end ! foll[+ new    
subsection3  7m7 ,additional ,/ate plan 
am5dm5t option ,to provide m$ical       
assi/ance = c]ta9 individuals :o are    
pati5ts 9 c]ta9 in/itutions = m5tal     
diseases  7#a7 ,9 g5]al ,subject to !   
succe$+ p>agraphs ( ?is subsection1 )   
respect to cal5d> qu>t]s beg9n+ on or   

aft] ,janu>y #a1 #bjbe1 a ,/ate may     
elect1 ?r\gh a ,/ate plan am5dm5t1 to   
provide m$ical assi/ance = items &      
s]vices furni%$ to an eligible          
individual :o is a pati5t 9 an eligible 
in/itution = m5tal diseases 9 accordance
 ) ! requirem5ts describ$ 9 p>agraphs   
7#c7 ?r\gh 7#g7 ( subsection 7l74  7#b7 
,paym5ts  7,a7 ,9 g5]al ,subject to     
p>agraphs 7#c7 & 7#d7 ( subsection 7l7 z
 appli$ to a ,/ate plan am5dm5t "u      
p>agraph 7#a71 am\nts exp5d$ "u su* a   
,/ate plan am5dm5t = s]vices describ$ 9 
su* p>agraph furni%$1 ) respect to a    
#ab-mon? p]iod1 to an eligible          
individual :o is a pati5t 9 an eligible 
in/itution = m5tal diseases %all be     
treat$ z m$ical assi/ance = :i* paym5t  
is made "u section #aijc7;a71 b only to 
! ext5t t su* s]vices are furni%$ = n m 
?an ! p]iod ( m$ical necessity det]m9$  
"u subp>agraph 7,b7 ) respect to su*    
eligible individual dur+ su* #ab-mon?   
p]iod4  7,b7 ,p]iod ( m$ical necessity  
,= purposes ( subp>agraph 7,a71 )       

respect to an eligible individual1 !    
p]iod ( m$ical necessity-- 7i7 is !     
numb] ( days 7bo? consecutive &         
nonconsecutive7 t treatm5t 9 an eligible
 in/itution = m5tal diseases is det]m9$1
 9 a mann] specifi$ by ! ,secret>y1 to  
be 9 accordance ) ! mo/ rec5t           
evid5ce-bas$ crit]ia develop$ by a      
nonpr(it m$ical association ) exp]tise 9
 sub/ance use disord] treatm5t1 su* z ! 
,am]ican ,society ( ,addiction ,m$ic9e2 
&  7ii7 %all be r$et]m9$ at a frequ5cy  
specifi$ by ! ,secret>y1 b 9 no case    
less frequ5tly ?an e #cj consecutive    
days dur+ :i* su* eligible individual is
 a pati5t 9 an eligible in/itution =    
m5tal diseases4  7#c7 ,tempor>y enhanc$ 
,,fmap ,not)/&+ section #aije7;b71 = ea*
 fiscal qu>t] dur+ ! fir/ #e ye>s t a   
,/ate plan am5dm5t elect$ "u ?is        
subsection is 9 effect1 ! ,f$]al m$ical 
assi/ance p]c5tage applicable to paym5ts
 "u ?is subsection %all be equal to #ij 
p]c5t4  7#d7 ,cl>ification ) respect to 
inpati5t & resid5tial s]vices ,=        

purposes ( a ,/ate plan am5dm5t elect$  
"u ?is subsection1 p>agraph             
7#d77;,c77ii7 ( subsection 7l7 %all be  
appli$ by sub/itut+ ! foll[+ = subclause
 7,,iv73  7,,iv7 ,m$ically manag$1      
high-int5sity resid5tial s]vices =      
adolesc5ts1 & m$ically manag$1 int5sive 
resid5tial s]vices 7includ+ )drawal     
managem5t7 = adults1 t provide #bd-;h\r 
nurs+ c>e1 make physicians available =  
significant problems 9 ,dim5sions #a1   
#b1 or #c1 & provide compreh5sive       
psy*osocial s]vices4  4  7#e7 ,plann+   
grants  7,a7 ,9 g5]al ,beg9n+ ,janu>y   
#a1 #bjbe1 ! ,secret>y may aw>d plann+  
grants to ,/ates = purposes ( develop+ &
 implem5t+ a ,/ate plan am5dm5t "u ?is  
subsection1 includ+ ?r\gh ! fund+ (     
appropriate tools & tra9+4 ,a plann+    
grant aw>d$ to a ,/ate "u ?is p>agraph  
%all rema9 available until exp5d$4  7,b7
 ,application ,to be eligible to receive
 a plann+ grant "u ?is p>agraph1 a ,/ate
 %all submit to ! ,secret>y an          
application 9 su* =m & mann] z !        

,secret>y %all specify4  7,c7           
,limitation ,! total am\nt ( paym5ts to 
,/ates "u ?is p>agraph %all n exce$     
#be1jjj1jjj4  7#f7 ,eligible individual 
def9$ ,9 ?is subsection1 ! t]m eligible 
individual means an individual :o-- 7,a7
 ) respect to a ,/ate1 is enroll$ =     
m$ical assi/ance "u ! ,/ate plan or a   
waiv] ( su* plan2  7,b7 has n atta9$ #fe
 ye>s ( age2 &  7,c7 has at lea/ #a     
sub/ance use disord]4  4  7b7 ,*ildr5's 
,heal? ,insurance ,program ,section     
#bajg7;e77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acig;gg7e77#a77 is     
am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,v7 ,section #aiae7m7    
7relat+ to ! ,/ate option to provide    
m$ical assi/ance = individuals :o are   
pati5ts 9 an eligible in/itution = m5tal
 diseases74  4