,,ii  #aah? ,,congress  #a/ ,session    
,s4 #agfi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ca 7legislative  
day1 ,may #cj71 #bjbc ,mr4 ,c>p] 7=     
himself & ,mr4 ,sullivan7 introduc$ !   
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xix ( ! ,social        
,security ,act to e/abli% a demon/ration
 project te/+ ,:ole ,*ild ,heal?        
,models1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,kick/>t+ ,innovative ,demon/rations    
,support+ ,kids ,heal? ,act ( #bjbc or !
 ,,kids ,heal? ,act ( #bjbc4  #b4       
,e/abli%m5t ( :ole *ild heal? models    
,section #aijc ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;b7 is am5d$ by
 add+ at ! end ! foll[+ new subsection3 
7cc7 ,:ole *ild heal? demon/ration      
project  7#a7 ,9 g5]al ,! ,secret>y1    
act+ ?r\gh ! ,deputy ,adm9i/rator &     
,director ( ! ,c5t] = ,m$icaid & ,,*ip  
,s]vices1 %all conduct a demon/ration   
project 7ref]r$ to 9 ?is subsection z ! 

demon/ration project7 "u :i* p>ticipat+ 
,/ates %all design & implem5t :ole *ild 
heal? models 9 #a or m t>get communities
 9 accordance ) ! requirem5ts ( ?is     
subsection4 ,! requirem5ts ( section    
#aijb7;a77#a7 7relat+ to /atewid5ess7   
%all n apply to ! demon/ration project4 
7#b7 ,design phase  7,a7 ,grants ,n lat]
 ?an #ab mon?s aft] ! date ( ! enactm5t 
( ?is subsection1 ! ,secret>y %all aw>d 
up to #ae grants to ,/ates t submit     
complete applications = su* grants :i*  
meet ! requirem5ts ( subp>agraph 7,c74  
7,b7 ,selection ( grantees ,9 aw>d+     
grants "u ?is p>agraph1 ! ,secret>y     
%all1 to ! ext5t possible1 prioritize   
aw>d+ grants to a geographically div]se 
selection ( ,/ates & t>get communities (
 diff]5t sizes & ) v>y+ exp]i5ce )      
value-bas$ paym5t1 includ+ rural & urban
 communities4  7,c7 ,grant application  
,a ,/ate %all include 9 an application =
 a grant aw>d$ "u ?is p>agraph ! foll[+3
  7i7 ,a description ( ea* propos$ t>get
 community 9 :i* ! ,/ate proposes to    

implem5t a :ole *ild heal? model4  7ii7 
,= ea* t>get community describ$ 9 clause
 7i71 a /atem5t ( ! propos$ objectives (
 ! ,/ate 9 implem5t+ a :ole *ild heal?  
model 9 t community4  7iii7 ,su* o!r    
in=mation z ! ,secret>y may require4    
7,d7 ,use ( grant funds  7i7 ,9 g5]al ,a
 ,/ate aw>d$ a grant "u ?is p>agraph    
%all use ! grant funds to--  7,i7       
conduct or use an exi/+ ne$s assessm5t t
 is n m ?an two ye>s old & meets !      
requirem5ts ( clause 7ii7 = ea* propos$ 
t>get community2  7,,ii7 n lat] ?an #ab 
mon?s aft] be+ aw>d$ ! grant1 design &  
submit = approval by ! ,secret>y a      
propos$ :ole *ild heal? model t meets ! 
requirem5ts ( subp>agraph 7,e7 = ea*    
t>get community bas$ on ! results ( !   
ne$s assessm5t & o!r assessm5ts or      
surveys conduct$ = t community2 &       
7,,iii7 implem5t ! :ole *ild heal? model
 dur+ ! implem5tation phase describ$ 9  
p>agraph 7#c74  7ii7 ,ne$s assessm5t    
requirem5ts ,a ne$s assessm5t conduct$ =
 a propos$ t>get community ) grant funds

 aw>d$ to a ,/ate %all include ! foll[+3
  7,i7 ,an evaluation ( ! physical      
heal?1 m5tal1 emotional & behavioral    
heal?1 developm5tal1 social1 relational 
& sub/ance use disord] s]vice ne$s (    
eligible individuals 9 ! t>get          
community1 includ+ ne$s t c\ld be       
address$ ?r\gh population-bas$ or       
community-bas$ int]v5tions4  7,,ii7 ,a  
review ( ! res\rces available to meet ! 
physical heal?1 m5tal heal?1 & sub/ance 
use disord] s]vice ne$s ( eligible      
individuals 9 ! t>get community4        
7,,iii7 ,a description ( ! b>ri]s       
id5tifi$ 9 ! t>get community to eligible
 individuals access+ res\rces & s]vices 
to address _! physical heal?1 m5tal     
heal?1 & sub/ance use disord] s]vice    
ne$s4  7,,iv7 ,a description ( heal?    
disp>ities id5tifi$ 9 ! t>get community1
 includ+ input f community resid5ts 9 ! 
t>get community4  7,e7 ,:ole *ild heal? 
model requirem5ts  7i7 ,9 g5]al ,a      
propos$ :ole *ild heal? model %all      
include descriptions ( ! foll[+3 7,i7   

,h[ ! ,/ate & its multi-sector p>tn]s w 
address ! physical heal?1 m5tal1        
emotional & behavioral heal?1           
developm5tal1 social1 relational &      
sub/ance use disord] s]vice ne$s (      
eligible individuals 9 ! t>get community
 id5tifi$ 9 ! ne$s assessm5t ( t        
community ?r\gh implem5tation ( ! :ole  
*ild heal? model & provision ( :ole *ild
 heal? s]vices4  7,,ii7 ,h[ ! ,/ate     
,m$icaid1 human s]vices1 & *ild welf>e  
ag5cies w coord9ate ) community p>tn]s  
to ensure ! successful implem5tation ( !
 :ole *ild heal? model 9 ! t>get        
communities & ! provision ( :ole *ild   
heal? s]vices4  7,,iii7 ,! lead ag5cy or
 o!r entity ! ,/ate proposes to         
designate to coord9ate activities c>ri$ 
out to implem5t ! :ole *ild heal? model 
9 ! t>get communities4  7ii7            
,requirem5ts ,a propos$ :ole *ild heal? 
model %all meet ! foll[+ requirem5ts3   
7,i7 ,align ) an exi/+ or plann$ deliv]y
 & paym5t sy/em ( ! ,/ate plan "u ?is   
title or "u a waiv] ( su* plan1 includ+1

 z applicable1 a manag$ c>e deliv]y     
sy/em4  7,,ii7 ,include p>tn]%ips ) *ild
 & family s]v+ organizations & ag5cies  
su* z heal? c>e provid]s1 pay]s1 s*ool  
di/ricts1 public heal? & *ild c>e4      
7,,iii7 ,promote ! deliv]y (            
trauma-in=m$ & culturally compet5t c>e1 
includ+ /rategies to address sy/emic    
res\rce ne$s1 includ+ work=ce %ortages1 
9 ! t>get community & an assessm5t ( !  
pot5tial impact ( ! model on heal?      
equity1 disp>ities1 & safety net        
provid]s 9 ! t>get community4  7,,iv7   
,coord9ate fund+ s\rces "u ! ,/ate plan 
"u ?is title 7or "u a waiv] ( plan71 !  
,/ate plans "u p>ts ,b & ,e ( title     
,,iv1 & o!r applicable fund+ s\rces1 = !
 :ole *ild heal? s]vices provid$ "u !   
model4  7,v7 ,include--  7aa7 ! design &
 implem5tation or adaptation ( a        
value-bas$ paym5t arrangem5t = provid+  
:ole *ild heal? s]vices "u ! ,/ate plan 
"u ?is title 7or "u a waiv] ( su* plan7 
t promotes p$iatric heal?2 or  7bb7 9 ! 
case ( a ,/ate t faces significant      

b>ri]s to implem5t+ or adapt+ su* a     
value-bas$ paym5t arrangem5t1 a proposal
 = /eps t ! ,/ate w take t[>ds advanc+  
value-bas$ c>e ) respect to :ole *ild   
heal? s]vices provid$ "u ! ,/ate plan "u
 ?is title 7or "u a waiv] ( su* plan74  
7,,vi7 ,include /rategies to coord9ate  
ref]rals to :ole *ild heal? s]vices1    
includ+ us+ teleheal?1 ref]ral networks 
&_/or o!r te*nologies to facilitate     
access to :ole *ild heal? s]vices4      
7,,vii7 ,include /rategies to promote ! 
integration ( prim>y c>e ) :ole *ild    
heal? s]vices & sub/ance use disord]    
s]vices4  7,,viii7 ,include /rategies to
 integrate & /reaml9e eligibility1      
enrollm5t1 & r5ewal processes to        
facilitate enrollm5t 9 heal? cov]age &  
o!r b5efit programs4  7,,ix7 ,include   
/rategies to promote s*ool-bas$ heal? & 
wellness4  7,x7 ,describe h[ ! ,/ate w  
lev]age or enhance exi/+ heal? in=mation
 te*nology infra/ructure & cross-sector 
data-%>+ capabilities to support !      
provision ( enhanc$ c>e coord9ation     

s]vices1 includ+ ) respect to claim+    
adm9i/rative mat*+ funds = ! design1    
developm5t1 & in/allation ( data sy/ems 
to all[ or enhance coord9ation among    
,/ate ag5cies & o!r entities4  7,,xi7   
,describe h[ ! ,/ate w evaluate ! impact
 ( ! model on *ild heal? & disp>ities 9 
heal? outcomes1 accord+ to requirem5ts  
outl9$ by ! ,secret>y4  7,,xii7 ,include
 o!r su* population heal? /rategies or  
core s]vices z ! ,/ate det]m9es         
appropriate4  7iii7 ,p>ticipation by    
,indian tribes 9 :ole *ild heal? models 
,! ,secret>y may waive or o!rwise modify
 ! requirem5ts = a :ole *ild heal? model
 describ$ 9 clause 7ii7 to ! ext5t      
necess>y to p]mit ,indian tribes to     
p>ticipate 9 su* a model4  7#c7         
,implem5tation phase ,aft] ! design     
p]iod1 ! implem5tation phase ( !        
demon/ration project %all be conduct$ = 
a p]iod ( n less ?an #dh mon?s & n m ?an
 #gb mon?s4  7#d7 ,au?orization (       
appropriations  7,a7 ,9 g5]al ,!re are  
au?oriz$ to be appropriat$ to !         

,secret>y = ! purpose ( c>ry+ out ?is   
subsection1 out ( any funds 9 !         
,treasury n o!rwise appropriat$1        
#abe1jjj1jjj1 to rema9 available until  
exp5d$4  7,b7 ,limitation on use ( funds
 ,f any am\nts appropriat$ pursuant to  
?is p>agraph1 ! ,secret>y %all use-- 7i7
 n m ?an #b1jjj1jjj = adm9i/rative co/s1
 /aff+1 & report+ requirem5ts2  7ii7 n m
 ?an #aj1jjj1jjj = le>n+ plat=ms1 /aff+1
 & te*nical assi/ance relat$ directly to
 ! design & implem5tation ( :ole *ild   
heal? models1 & to c>ry out activities  
"u ?is subsection2 &  7iii7 n m ?an     
#c1jjj1jjjj may be us$ = c>ry+ out      
evaluations describ$ 9 p>agraph 7#e74   
7,c7 ,paym5t = :ole *ild heal? s]vices  
7i7 ,9 g5]al ,= ea* fiscal qu>t] occurr+
 dur+ ! implem5tation phase ( !         
demon/ration project1 subject to clause 
7ii71 ! ,secret>y %all pay ea* ,/ate    
select$ to p>ticipate 9 t phase ( !     
project1 an am\nt equal to #hj p]c5t ( !
 am\nts exp5d$ by ! ,/ate dur+ su* qu>t]
 = provid+ :ole *ild heal? s]vices to   

eligible individuals 9 ! t>get          
communities net ( any ,f$]al paym5ts    
made to ! ,/ate = su* exp5ditures1 "u   
?is title or o!rwise4  7ii7 ,requirem5t 
,! additional ,f$]al funds paid to a    
,/ate "u ?is subp>agraph %all be us$ to 
supplem5t1 n supplant1 ! level ( ,/ate  
funds exp5d$ = s]vices t are treat$ z   
:ole *ild heal? s]vices "u !            
demon/ration project4  7#e7 ,reports &  
evaluation  7,a7 ,9 g5]al ,a ,/ate t is 
select$ to p>ticipate 9 ! demon/ration  
project %all report on ! outcomes "u !  
entity's :ole *ild heal? model pursuant 
to p]iodic report+ requirem5ts e/abli%$ 
by ! ,secret>y4  7,b7 ,/ate reports ,ea*
 ,/ate aw>d$ a grant "u ?is subsection  
%all submit ! foll[+ reports to !       
,secret>y3  7i7 ,int]im report ,an      
int]im report at ! end ( ! fir/ #bd     
mon?s ( ! implem5tation phase ( !       
project t describes-- 7,i7 ! progress ( 
! ,/ate's implem5tation ( ! :ole *ild   
heal? model 9 ! t>get communities2      
7,,ii7 ! organizations & provid]s t are 

p>ticipat+ 9 ! implem5tation ( ! model 9
 ! t>get communities2  7,,iii7 ! numb] (
 eligible individuals 9 ! t>get         
communities receiv+ enhanc$ c>e         
coord9ation s]vices2 &  7,,iv7 su* o!r  
in=mation z ! ,secret>y may require4    
7ii7 ,f9al report ,a f9al report n lat] 
?an #a ye> aft] ! end ( ! implem5tation 
phase ( ! demon/ration project t        
describes--  7,i7 be/ practices &       
*all5ges 9 implem5t+ ! :ole *ild heal?  
model 9 ! t>get communities2  7,,ii7 !  
impact ( ! model on *ild well-be+1 heal?
 c>e outcomes & heal? disp>ities 9 !    
t>get communities2 &  7,,iii7 su* o!r   
in=mation z ! ,secret>y may require4    
7,c7 ,,gao report ,n lat] ?an #c ye>s   
aft] ! fir/ grant is aw>d$ "u ?is       
subsection1 ! ,comptroll] ,g5]al ( !    
,unit$ ,/ates %all submit a report to   
,congress evaluat+ ! individual1        
f9ancial1 & sy/ems-level impacts        
associat$ ) :ole *ild heal? models      
implem5t$ "u ! demon/ration project4    
7#f7 ,consultation ,a ,/ate aw>d$ a     

grant "u p>agraph 7#b7 %all consult )   
/akehold]s1 su* z eligible individuals &
 _! prim>y c>egiv]s1 s*ools1 heal? c>e1 
m5tal heal?1 & sub/ance use disord]     
treatm5t organizations1 p$iatric        
provid]s1 public heal? dep>tm5ts1 *ild  
c>e provid]s1 juv5ile ju/ice programs1  
*ild welf>e programs1 & community-bas$  
organizations1 9 design+ & c>ry+ out !  
activities requir$ "u p>agraph 7#b71 & )
 respect to ! implem5tation & evaluation
 ( ! :ole *ild heal? models implem5t$ by
 ! ,/ate4 ,su* consultation may include 
e/abli%m5t ( a ,community ,advisory     
,bo>d z def9$ by ! ,secret>y4  7#g7     
,responsibilities ( ! secret>y  7,a7    
,te*nical assi/ance  7i7 ,9 g5]al ,!    
,secret>y %all provide ,/ates aw>d$ a   
grant "u p>agraph 7#b7 ) te*nical       
assi/ance ) respect to ! design ( :ole  
*ild heal? models4 ,su* assi/ance may   
include assi/+ ,/ates ) mov+ along a    
:ole *ild heal? model & utiliz+         
innovative f9anc+ /rategies1 su* z      
braid+ public & private funds4 ,z       

feasible1 ! ,secret>y may p>tn] ) o!r   
,f$]al ag5cies1 includ+ ! ,(fice (      
,managem5t & ,budget1 :5 provid+        
te*nical assi/ance to promote a :ole    
*ild heal? approa*4 ,! ,secret>y %all   
also provide su* ,/ates ) te*nical      
assi/ance ) respect to implem5tation (  
su* models4  7ii7 ,%>$ le>n+ ,!         
,secret>y %all facilitate %>$ le>n+1 su*
 z a le>n+ collaborative1 among ! ,/ates
 p>ticipat+ 9 ! demon/ration project4   
7iii7 ,reports to congress ,! ,secret>y 
%all submit to ! ,committee on ,f9ance (
 ! ,s5ate & ! ,committee on ,en]gy &    
,comm]ce ( ! ,h\se ( ,repres5tatives !  
foll[+ reports3  7,i7 ,design phase ,n  
lat] ?an #cf mon?s aft] ! date on :i*   
design grant funds are fir/ aw>d$ "u    
p>agraph 7#b71 a report t describes !   
:ole *ild heal? models propos$ by       
,/ates4  7,,ii7 ,implem5tation phase    
7aa7 ,int]im report ,n lat] ?an #c ye>s 
aft] ! date on :i* ! implem5tation phase
 ( ! demon/ration project beg9s1 an     
int]im report4  7bb7 ,f9al report ,n    

lat] ?an #b ye>s aft] ! date on :i* !   
demon/ration project ends1 a f9al       
report4  7cc7 ,cont5t ,! int]im & f9al  
reports requir$ "u ?is clause %all      
include ! foll[+3 7,,aa7 ,a summ>y ( !  
:ole *ild heal? models be+ implem5t$ "u 
! demon/ration project4 7,,bb7 ,an      
assessm5t ( ! impacts ( su* models on ! 
physical & m5tal heal? & well-be+ (     
eligible individuals 9 ! t>get          
communities4 7,,cc7 ,a description ( !  
mo/ effective /rategies ( su* models 9  
promot+ ! physical & m5tal heal? (      
eligible individuals1 includ+ !         
effectiv5ess ( su* /rategies 9 r$uc+    
heal? disp>ities & improv+ heal? equity4
 7,,dd7 ,a summ>y ( ! in=mation report$ 
to ! ,secret>y by ,/ates4  7dd7         
,legislative recomm5dations ,9 addition 
to ! in=mation requir$ "u item 7cc71 !  
f9al report submitt$ "u item 7bb7 %all  
include recomm5dations = su* ,f$]al     
legislative *anges1 if any1 z !         
,secret>y recomm5ds to implem5t positive
 outcomes id5tifi$ by ! use ( :ole *ild 

heal? models "u ! demon/ration project4 
7#h7 ,def9itions ,9 ?is subsection3     
7,a7 ,eligible individual ,! t]m        
eligible individual means an individual 
:o has n atta9$ age #ba & :o is eligible
 = m$ical assi/ance "u a ,/ate plan "u  
?is title or "u a waiv] ( su* plan1 or =
 assi/ance "u a ,/ate *ild heal? plan "u
 title ,,xxi or "u a waiv] ( su* plan4  
7,b7 ,indian tribe ,! t]m ,indian ,tribe
 has ! mean+ giv5 t t]m 9 section #d7;e7
 ( ! ,indian ,self-,det]m9ation &       
,education ,assi/ance ,act 7#be         
,u4,s4,c4 #ecjd7;e774  7,c7 ,t>get      
community ,! t]m t>get community means1 
) respect to a ,/ate1 ! b\nd>ies ( a    
geographic area )9 ! ,/ate 9 :i* ! ,/ate
 proposes to implem5t a :ole *ild heal? 
model4  7,d7 ,:ole *ild heal? s]vices ,!
 t]m :ole *ild heal? s]vices means !    
foll[+3  7i7 ,compreh5sive c>e          
managem5t4  7ii7 ,enhanc$ c>e           
coord9ation s]vices & ref]rals to heal?1
 developm5tal & social supports t       
include /rategies to--  7,i7 id5tify &  

address ! physical1 m5tal1 emotional1 & 
behavioral heal?1 developm5tal1         
relational & social ne$s ( eligible     
individuals2  7,,ii7 coord9ate ref]rals1
 z ne$$1 to heal? c>e1 m5tal1 emotional1
 & behavioral heal?1 sub/ance use       
disord] treatm5t1 *ild developm5t1 &    
social s]vice provid]s2  7,,iii7 ensure 
t eligible individuals foll[ up ) s]vice
 provid]s to :om !y are ref]r$2 &       
7,,iv7 facilitate ! ability ( eligible  
individuals to access ne$$ s]vices by   
c5traliz+1 coord9at+ )1 or co-locat+    
res\rces4  7#i7 ,requirem5t to issue    
guidance on comb9+ ,f$]al & non-,f$]al  
funds to address social driv]s ( heal? 9
 l[-income populations ,n lat] ?an #cfe 
days aft] ! selection ( eligible        
entities "u ?is subsection1 ! ,secret>y 
%all issue & dissem9ate guidance &      
te*nical assi/ance to grant aw>dees to  
cl>ify /rategies & be/ practices to     
comb9e funds1 includ+ ,m$icaid1 9 !     
context ( a *ild heal? & wellness fund1 
consi/5t ) ,f$]al law1 & %all make su*  

guidance publicly available4  4