,,ii #aah? ,,congress #a/ ,session ,s4 #acgh ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,april #bg1 #bjbc ,ms4 ,cortez ,ma/o 7= h]self & ,mr4 ,cornyn7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to provide inc5tives = behavioral heal? integration "u ! ,m$ic>e program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,connect+ ,our ,m$ical ,provid]s ) ,l9ks to ,exp& ,tailor$ & ,effective ,c>e or ! ,,complete ,c>e ,act4 #b4 ,inc5tives = behavioral heal? integration 7a7 ,inc5tives 7#a7 ,9 g5]al ,section #ahdh7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;b77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#ac7 ,inc5tives = behavioral heal? integration 7,a7 ,9 g5]al ,= s]vices describ$ 9 subp>agraph 7,b7 t are furni%$ dur+ #bjbe1 #bjbf1 or #bjbg1 in/ead ( ! paym5t am\nt t w\ld o!rwise be det]m9$ "u ?is section = su* ye>1 ! paym5t am\nt %all be equal to ! applicable p]c5t 7z def9$ 9 subp>agraph 7,c77 ( su* paym5t am\nt = su* ye>4 7,b7 ,s]vices describ$ ,! s]vices describ$ 9 ?is subp>agraph are s]vices id5tifi$1 z ( ,janu>y #a1 #bjbc1 by ,,hcpcs codes #iidhd1 #iidib1 #iidic1 #iidid1 & ,g#bbad 7& any successor or simil> codes z det]m9$ appropriate by ! ,secret>y74 7,c7 ,applicable p]c5t ,9 ?is p>agraph1 ! t]m applicable p]c5t means1 ) respect to a s]vice describ$ 9 subp>agraph 7,a71 ! foll[+3 7i7 ,= s]vices furni%$ dur+ #bjbe 1 #age p]c5t4 7ii7 ,= s]vices furni%$ dur+ #bjbf1 #aej p]c5t4 7iii7 ,= s]vices furni%$ dur+ #bjbg1 #abe p]c5t4 4 7#b7 ,waiv] ( budget neutrality ,section #ahdh7;c77#b77;,b77iv7 ( su* ,act 7#db ,u4,s4,c4 #aciew-#d7;c77#b77;,b77iv77 is am5d$-- 7,a7 9 subclause 7,v71 by /rik+ & at ! end2 7,b7 9 subclause 7,,vi71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new subclause3 7,,vii7 ! increase 9 paym5t am\nts z a result ( ! application ( subsection 7b77#ac7 %all n be tak5 into acc\nt 9 apply+ clause 7ii77,,ii7 = #bjbe1 #bjbf1 or #bjbg4 4 7b7 ,quality measurem5t 7#a7 ,9 g5]al ,section #ahcc7z7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7z77 is am5d$-- 7,a7 by r$esignat+ p>agraph 7#d7 z p>agraph 7#e72 & 7,b7 by ins]t+ aft] p>agraph 7#c7 ! foll[+ new p>agraph3 7#d7 ,quality measurem5t relat+ to behavioral heal? integration 7,a7 ,9 g5]al ,! ,secret>y %all e/abli% quality measurem5t report+ requirem5ts = applicable physicians & practition]s 7z def9$ 9 subp>agraph 7,b77 ) respect to ! ext5t to :i* cl9ician practices are integrat+ behavioral heal? s]vices & prim>y c>e s]vices1 9 accordance ) ! succe$+ provisions ( ?is p>agraph4 7,b7 ,applicable physicians & practition]s ,= purposes ( ?is p>agraph1 ! t]m applicable physician or practition] means1 ) respect to a ye>1 a physician or a practition] describ$ 9 section #ahdb7;b77#ah77;,c7 :o is p>ticipat+ 9 an eligible alt]native paym5t entity = :i* ! associat$ alt]native paym5t model involves ! deliv]y ( prim>y c>e s]vices to b5efici>ies :o may h ! ne$ = m5tal heal? or sub/ance use disord] s]vices1 z det]m9$ by ! ,secret>y4 7,c7 ,quality report+ by select$ physicians & practition]s ,) respect to ea* ye> beg9n+ on or aft] ! date t is "o ye> aft] "o or m measures are fir/ specifi$ "u subp>agraph 7,d71 an applicable physician or practition] %all submit to ! ,secret>y data on quality measures specifi$ "u su* subp>agraph4 ,su* data %all be submitt$ 9 a =m & mann]1 & at a "t1 specifi$ by ! ,secret>y = purposes ( ?is subp>agraph4 7,d7 ,quality measures 7i7 ,9 g5]al ,subject to clause 7ii71 any measure specifi$ by ! ,secret>y "u ?is subp>agraph mu/ h be5 endors$ by ! entity ) a contract "u section #ahij7;a74 7ii7 ,exception ,9 ! case ( a specifi$ area or m$ical topic det]m9$ appropriate by ! ,secret>y = :i* a feasible & practical measure has n be5 endors$ by ! entity ) a contract "u section #ahij7;a71 ! ,secret>y may specify a measure t is n s endors$ z long z due consid]ation is giv5 to measures t h be5 endors$ or adopt$ by a cons5sus organization id5tifi$ by ! ,secret>y4 7,e7 ,implem5tation ,! ,secret>y may use quality measures develop$ pursuant to ?is p>agraph 9-- 7i7 ! %>$ sav+s program "u section #ahii2 & 7ii7 ! ,prim>y ,c>e ,fir/ ,model1 ! ,acc\ntable ,c>e ,organization ,realiz+ ,equity1 ,access1 & ,community ,heal? 7,,aco ,,rea*7 ,model1 & any o!r alt]native paym5t model 7z def9$ 9 p>agraph 7#c77;,c77 z det]m9$ appropriate by ! ,secret>y4 4 7#b7 ,con=m+ am5dm5t relat+ to conv5+ multi-/akehold] gr\ps ,section #ahij7;b77#g77;,b77i77,i7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;aaa7b77#g77;,b77i77,i77 is am5d$ by ins]t+ #ahcc7z77#d71 aft] #ahcc7t77#ag714 7c7 ,te*nical assi/ance = ! adoption ( behavioral heal? integration 7#a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjbe1 ! ,secret>y ( ,heal? & ,human ,s]vices %all ent] into contracts or agreem5ts ) appropriate entities to (f] te*nical assi/ance to prim>y c>e practices t are seek+ to adopt behavioral heal? integration models 9 su* practices4 7#b7 ,behavioral heal? integration models ,= purposes ( p>agraph 7#a71 behavioral heal? integration models include ! ,collaborative ,c>e ,model 7) s]vices id5tifi$ z ( ,janu>y #a1 #bjbc1 by ,,hcpcs codes #iidib1 #iidic1 #iidid1 & ,g#bbad 7& any successor codes771 ! ,prim>y ,c>e ,behavioral ,heal? model 7) s]vices id5tifi$ z ( ,janu>y #a1 #bjbc1 by ,,hcpcs code #iidhd 7& any successor code771 & o!r models id5tifi$ by ! ,secret>y4 7#c7 ,fund+ ,9 addition to am\nts o!rwise available1 !re is appropriat$ to ! ,secret>y ( ,heal? & ,human ,s]vices = ea* ( fiscal ye>s #bjbd ?r\gh #bjbg1 out ( any money 9 ! ,treasury n o!rwise appropriat$1 su* sums z are necess>y1 to rema9 available until exp5d$1 = purposes ( c>ry+ out ?is subsection4