,,ii  #aah? ,,congress  #a/ ,session    
,s4 #bicb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bf          
7legislative day1 ,septemb] #bb71       
#bjbc,mr4 ,m>key 7= himself1 ,mr4       
,padilla1 ,mr4 ,blum5?al1 & ,mr4 ,book]7
 introduc$ ! foll[+ bill2 :i* 0 read    
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to direct !        
,secret>y ( ,heal? & ,human ,s]vices to 
provide guidance to ,/ate ,m$icaid      
ag5cies1 public h\s+ ag5cies1 ,cont9uums
 ( ,c>e1 & h\s+ f9ance ag5cies on       
connect+ ,m$icaid b5efici>ies )         
h\s+-relat$ s]vices & supports "u       
,m$icaid & o!r h\s+ res\rces1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,h\s+ ,alignm5t &          
,coord9ation ( ,critical & ,effective   
,supportive ,heal? ,s]vices ,act or !   
,h\s+ ,,access ,act4  #b4 ,guidance to  
,/ates on connect+ ,m$icaid b5efici>ies 
) h\s+-relat$ s]vices & supports & o!r  
h\s+ res\rces  7a7 ,9 g5]al ,n lat] ?an 
#ab mon?s aft] ! date ( enactm5t ( ?is  

,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices1 9 consultation ) ! ,secret>y (
 ,h\s+ & ,urban ,developm5t & !         
,secret>y ( ! ,treasury1 %all issue     
guidance to ,/ate ,m$icaid ag5cies1     
public h\s+ ag5cies1 ,cont9uums ( ,c>e1 
& h\s+ f9ance ag5cies to connect        
individuals :o are receiv+ m$ical       
assi/ance "u a ,/ate ,m$icaid program to
 ,m$icaid h\s+-relat$ s]vices & supports
 & o!r h\s+ res\rces 9 an integrat$     
mann]4  7b7 ,requir$ in=mation ,!       
guidance issu$ pursuant to subsection   
7a7 %all include in=mation on-- 7#a7    
simplify+ heal? c>e s]vices = h\s+ &    
homelessness s]vice provid]s & simplify+
 h\s+ support s]vices = heal? c>e s]vice
 provid]s to und]/& ! respective        
sectors2  7#b7 develop+ a memor&um (    
und]/&+ betwe5 ,/ate ,m$icaid ag5cies1  
public h\s+ ag5cies1 ,cont9uums ( ,c>e1 
& h\s+ f9ance ag5cies t-- 7,a7          
coord9ates h\s+-relat$ s]vices &        
supports provid$ "u a ,/ate ,m$icaid    
program ) o!r h\s+ res\rces by align+-- 

7i7 eligibility crit]ia2  7ii7          
eligibility det]m9ation processes2 &    
7iii7 outcome measures1 includ+ h\s+    
/ability & heal? outcomes disaggregat$  
by race2  7,b7 enc\rages provid]s (     
h\s+-relat$ s]vices & supports to seek  
reimbursem5t = su* s]vices & supports   
?r\gh ! ,/ate ,m$icaid program1 includ+ 
by-- 7i7 expla9+ h[ su* provid]s may    
receive su* reimbursem5t2  7ii7 help+   
su* provid]s und]/& ! eligibility       
det]m9ation process = h\s+-relat$       
s]vices & supports (f]$ "u ! ,/ate      
,m$icaid program2 &  7iii7 provid+      
guidance ) respect to track+ common     
outcome measures1 includ+ h\s+ /ability 
& heal? outcomes disaggregat$ by race2 &
  7#c7 exi/+ au?orities "u :i* a ,/ate  
,m$icaid program may make ,f$]al funds  
available to provid]s ( h\s+-relat$     
s]vices & supports to build in=mation   
te*nology & f9ancial sy/ems & e/abli%   
adequate infra/ructure & /aff+ levels to
 seek ,m$icaid reimbursem5t4  7c7       
,report+ ,n lat] ?an #b ye>s aft] ! date

 ( enactm5t ( ?is ,act1 ! ,secret>y (   
,heal? & ,human ,s]vices1 9 consultation
 ) ! ,secret>y ( ,h\s+ & ,urban         
,developm5t & ! ,secret>y ( ! ,treasury1
 %all submit a report to ,congress t    
includes-- 7#a7 in=mation on ! progress 
( ,/ate ,m$icaid ag5cies1 public h\s+   
ag5cies1 ,cont9uums ( ,c>e1 & h\s+      
f9ance ag5cies 9 align+ eligibility     
crit]ia1 eligibility det]m9ation        
processes1 & outcome track+2  7#b7      
in=mation on ! adoption by su* ag5cies &
 ,cont9uums ( ,c>e ( recomm5dations made
 9 ! guidance issu$ pursuant to         
subsection 7a72 &  7#c7 fe$back f ,/ates
 on su* guidance & *all5ges fac$ by     
,/ates 9 connect+ individuals receiv+   
m$ical assi/ance "u a ,/ate ,m$icaid    
program ) h\s+-relat$ s]vices & supports
 & o!r h\s+ res\rces4  7d7 ,def9itions  
,9 ?is section3 7#a7 ,cont9uum ( ,c>e ,!
 t]m ,cont9uum ( ,c>e has ! mean+ giv5  
su* t]m 9 section #egh4c ( title #bd1   
,code ( ,f$]al ,regulations4  7#b7 ,/ate
 ,m$icaid program ,! t]m ,/ate ,m$icaid 

program means a ,/ate plan = m$ical     
assi/ance "u title ,,xix ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acif et  
seq471 & includes any waiv] ( su* a     
plan4  #c4 ,national rate /udy on ! co/ 
( h\s+-relat$ s]vices & supports  7a7 ,9
 g5]al ,! ,secret>y ( ,heal? & ,human   
,s]vices 7ref]r$ to 9 ?is section z !   
,secret>y7 %all conduct a national rate 
/udy on ! co/ ( h\s+-relat$ s]vices &   
supports to det]m9e appropriate rates = 
su* s]vices & supports t w all[ provid]s
 ( su* s]vices & supports to pay liv+   
wages1 r$uce /aff turnov]1 & ensure a   
maximum case manag]-to-cli5t ratio (    
#a3ae 9 alignm5t ) ! evid5ce-base =     
/rong supportive h\s+ outcomes4 ,su*    
/udy %all include an analysis (         
reimbursem5t rates = s]vices provid$ by 
c]tifi$ community behavioral heal?      
cl9ics 7z su* t]m is us$ 9 section #bbc 
( ! ,protect+ ,access to ,m$ic>e ,act ( 
#bjad 7#db ,u4,s4,c4 #acif;a note77 &   
,f$]ally-qualifi$ heal? c5t]s 7z def9$ 9
 section #aije7l77#b77;,b7 ( ! ,social  

,security ,act 7#db ,u4,s4,c4           
#acif;d7l77#b77;,b777 t promote         
integrat$ c>e1 :i* may include1 b is n  
limit$ to1 h\s+-relat$ supports &       
s]vices1 & s]ve p ) complex conditions4 
7b7 ,publication ,n lat] ?an #b ye>s    
aft] ! date ( enactm5t ( ?is ,act1 !    
,secret>y %all publi% ! results ( ! /udy
 conduct$ "u ?is section z guidance to  
,/ate ,m$icaid ag5cies4