,,ii  #aahth ,,congress  #ast ,session  
,s4 #cjih  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,october #ai1  
#bjbc,mr4 ,thune 7for himself1 ,ms4     
,hassan1 and ,mrs4 ,blackburn7          
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,finance  ,a ,,bill  ,to  
amend title ,,xix of the ,social        
,security ,act to make permanent the    
,medicaid option to remove the ,,imd    
exclusion to provide medical assistance 
for certain individuals who are patients
 in an institution for mental diseases4 
#a4 ,short title ,this ,act may be cited
 as the ,securing ,advances and a       
,variety of ,evidence-,based ,,imd      
,options ,act4  #b4 ,making permanent   
,state ,plan ,amendment ,option ,to     
,provide ,medical ,assistance for       
,certain ,individuals ,who ,are         
,patients in ,certain ,institutions for 
,mental ,diseases  7a7 ,in general      
,section #aiae7l77#a7 of the ,social    
,security ,act 7#db ,u4,s4,c4           

#acifn7l77#a77 is amended by striking   
,with respect to calendar quarters      
beginning during the period beginning   
,october #a1 #bjai1 and ending          
,september #cj1 #bjbc1 and inserting    
,with respect to calendar quarters      
beginning on or after ,october #a1      
#bjai14  7b7 ,maintenance of effort     
revision ,section #aiae7l77#c77;,a7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acifn7l77#c77;,a77 is        
amended-- 7#a7 in the matter preceding  
clause 7i71 by striking other than under
 this title2 and  7#b7 in clause 7i71 by
 striking or1 if higher1 and all that   
follows through in accordance with this 
subsection4  7c7 ,additional            
requirements  7#a7 ,in general  7,a7    
,general requirements ,section          
#aiae7l77#d7 of the ,social ,security   
,act 7#db ,u4,s4,c4 #acifn7l77#d77 is   
amended-- 7i7 in subparagraph 7,a71 by  
striking through 7,d7 and inserting     
through 7,f72  7ii7 in subparagraph     
7,c71 by adding at the end the following

 new clause3  7iii7 ,medication-assisted
 treatment ,the ,state shall1 when      
appropriate1 facilitate access to1 and  
provide medical assistance for1         
medication-assisted treatment for       
substance use disorder treatment1       
irrespective of the setting in which    
such treatment is provided4  2  7iii7 in
 subparagraph 7,d71 in the matter       
preceding clause 7i71 by inserting have 
in place evidence-based1 substance use  
disorder-specific individual placement  
criteria and utilization management     
approach to ensure placement of such    
individual in an appropriate level of   
care and shall after ,state shall2 and  
7iv7 by adding at the end the following 
new subparagraph3  7,e7 ,review process 
,the ,state shall have in place a       
process to review the compliance of     
eligible institutions for mental        
diseases with evidence-based1 substance 
use disorder-specific program standards 
of care for eligible individuals        
specified by the ,state4  4  7,b7       

,effective date ,the amendments made by 
subparagraph 7,a7 shall apply with      
respect to medical assistance furnished 
in calendar quarters beginning on or    
after ,october #a1 #bjbe4  7#b7         
,one-time assessment ,section           
#aiae7l77#d7 of the ,social ,security   
,act 7#db ,u4,s4,c4 #acifn7l77#d771 as  
amended by paragraph 7#a71 is further   
amended by adding at the end the        
following new subparagraph3  7,f7       
,assessment ,the ,state shall1 not later
 than #ab months after the approval of a
 ,state plan amendment described in this
 subsection 7or1 in the case such ,state
 has such an amendment approved as of   
the date of the enactment of this       
subparagraph1 not later than #ab months 
after such date71 commence an assessment
 of-- 7i7 the availability of treatment 
for individuals enrolled under a ,state 
plan under this title 7or waiver of such
 plan7 in each level of care described  
in subparagraph 7,c72 and  7ii7 the     
availability of medication-assisted     

treatment and medically supervised      
withdrawal management services for such 
individuals4  4  7#c7 ,clarification of 
levels of care ,section                 
#aiae7l77#g77;,a7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#acifn7l77#g77;,a77 is amended by       
inserting 7or any successor publication7
 before the period4