,,ii #aahth ,,congress #ast ,session ,s4 #acgh ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #bg1 #bjbc ,ms4 ,cortez ,masto 7for herself and ,mr4 ,cornyn7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend title ,,xviii of the ,social ,security ,act to provide incentives for behavioral health integration under the ,medicare program4 #a4 ,short title ,this ,act may be cited as the ,connecting ,our ,medical ,providers with ,links to ,expand ,tailored and ,effective ,care or the ,,complete ,care ,act4 #b4 ,incentives for behavioral health integration 7a7 ,incentives 7#a7 ,in general ,section #ahdh7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;b77 is amended by adding at the end the following new paragraph3 7#ac7 ,incentives for behavioral health integration 7,a7 ,in general ,for services described in subparagraph 7,b7 that are furnished during #bjbe1 #bjbf1 or #bjbg1 instead of the payment amount that would otherwise be determined under this section for such year1 the payment amount shall be equal to the applicable percent 7as defined in subparagraph 7,c77 of such payment amount for such year4 7,b7 ,services described ,the services described in this subparagraph are services identified1 as of ,january #a1 #bjbc1 by ,,hcpcs codes #iidhd1 #iidib1 #iidic1 #iidid1 and ,g#bbad 7and any successor or similar codes as determined appropriate by the ,secretary74 7,c7 ,applicable percent ,in this paragraph1 the term applicable percent means1 with respect to a service described in subparagraph 7,a71 the following3 7i7 ,for services furnished during #bjbe 1 #age percent4 7ii7 ,for services furnished during #bjbf1 #aej percent4 7iii7 ,for services furnished during #bjbg1 #abe percent4 4 7#b7 ,waiver of budget neutrality ,section #ahdh7;c77#b77;,b77iv7 of such ,act 7#db ,u4,s4,c4 #aciew-#d7;c77#b77;,b77iv77 is amended-- 7,a7 in subclause 7,v71 by striking and at the end2 7,b7 in subclause 7,,vi71 by striking the period at the end and inserting 2 and2 and 7,c7 by adding at the end the following new subclause3 7,,vii7 the increase in payment amounts as a result of the application of subsection 7b77#ac7 shall not be taken into account in applying clause 7ii77,,ii7 for #bjbe1 #bjbf1 or #bjbg4 4 7b7 ,quality measurement 7#a7 ,in general ,section #ahcc7z7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7z77 is amended-- 7,a7 by redesignating paragraph 7#d7 as paragraph 7#e72 and 7,b7 by inserting after paragraph 7#c7 the following new paragraph3 7#d7 ,quality measurement relating to behavioral health integration 7,a7 ,in general ,the ,secretary shall establish quality measurement reporting requirements for applicable physicians and practitioners 7as defined in subparagraph 7,b77 with respect to the extent to which clinician practices are integrating behavioral health services and primary care services1 in accordance with the succeeding provisions of this paragraph4 7,b7 ,applicable physicians and practitioners ,for purposes of this paragraph1 the term applicable physician or practitioner means1 with respect to a year1 a physician or a practitioner described in section #ahdb7;b77#ah77;,c7 who is participating in an eligible alternative payment entity for which the associated alternative payment model involves the delivery of primary care services to beneficiaries who may have the need for mental health or substance use disorder services1 as determined by the ,secretary4 7,c7 ,quality reporting by selected physicians and practitioners ,with respect to each year beginning on or after the date that is one year after one or more measures are first specified under subparagraph 7,d71 an applicable physician or practitioner shall submit to the ,secretary data on quality measures specified under such subparagraph4 ,such data shall be submitted in a form and manner1 and at a time1 specified by the ,secretary for purposes of this subparagraph4 7,d7 ,quality measures 7i7 ,in general ,subject to clause 7ii71 any measure specified by the ,secretary under this subparagraph must have been endorsed by the entity with a contract under section #ahij7;a74 7ii7 ,exception ,in the case of a specified area or medical topic determined appropriate by the ,secretary for which a feasible and practical measure has not been endorsed by the entity with a contract under section #ahij7;a71 the ,secretary may specify a measure that is not so endorsed as long as due consideration is given to measures that have been endorsed or adopted by a consensus organization identified by the ,secretary4 7,e7 ,implementation ,the ,secretary may use quality measures developed pursuant to this paragraph in-- 7i7 the shared savings program under section #ahii2 and 7ii7 the ,primary ,care ,first ,model1 the ,accountable ,care ,organization ,realizing ,equity1 ,access1 and ,community ,health 7,,aco ,,reach7 ,model1 and any other alternative payment model 7as defined in paragraph 7#c77;,c77 as determined appropriate by the ,secretary4 4 7#b7 ,conforming amendment relating to convening multi-stakeholder groups ,section #ahij7;b77#g77;,b77i77,i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;aaa7b77#g77;,b77i77,i77 is amended by inserting #ahcc7z77#d71 after #ahcc7t77#ag714 7c7 ,technical assistance for the adoption of behavioral health integration 7#a7 ,in general ,not later than ,january #a1 #bjbe1 the ,secretary of ,health and ,human ,services shall enter into contracts or agreements with appropriate entities to offer technical assistance to primary care practices that are seeking to adopt behavioral health integration models in such practices4 7#b7 ,behavioral health integration models ,for purposes of paragraph 7#a71 behavioral health integration models include the ,collaborative ,care ,model 7with services identified as of ,january #a1 #bjbc1 by ,,hcpcs codes #iidib1 #iidic1 #iidid1 and ,g#bbad 7and any successor codes771 the ,primary ,care ,behavioral ,health model 7with services identified as of ,january #a1 #bjbc1 by ,,hcpcs code #iidhd 7and any successor code771 and other models identified by the ,secretary4 7#c7 ,funding ,in addition to amounts otherwise available1 there is appropriated to the ,secretary of ,health and ,human ,services for each of fiscal years #bjbd through #bjbg1 out of any money in the ,treasury not otherwise appropriated1 such sums as are necessary1 to remain available until expended1 for purposes of carrying out this subsection4