,,ii  #aah? ,,congress  #a/ ,session    
,s4 #cjih  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #ai1 #bjbc,mr4 
,?une 7= himself1 ,ms4 ,hassan1 & ,mrs4 
,blackburn7 introduc$ ! foll[+ bill2 :i*
 0 read twice & ref]r$ to ! ,committee  
on ,f9ance  ,a ,,bill  ,to am5d title   
,,xix ( ! ,social ,security ,act to make
 p]man5t ! ,m$icaid option to remove !  
,,imd exclusion to provide m$ical       
assi/ance = c]ta9 individuals :o are    
pati5ts 9 an in/itution = m5tal         
diseases4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,secur+ ,advances & a      
,v>iety ( ,evid5ce-,bas$ ,,imd ,options 
,act4  #b4 ,mak+ p]man5t ,/ate ,plan    
,am5dm5t ,option ,to ,provide ,m$ical   
,assi/ance = ,c]ta9 ,individuals ,:o    
,are ,pati5ts 9 ,c]ta9 ,in/itutions =   
,m5tal ,diseases  7a7 ,9 g5]al ,section 
#aiae7l77#a7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acifn7l77#a77 is am5d$  
by /rik+ ,) respect to cal5d> qu>t]s    
beg9n+ dur+ ! p]iod beg9n+ ,octob] #a1  
#bjai1 & end+ ,septemb] #cj1 #bjbc1 &   

ins]t+ ,) respect to cal5d> qu>t]s      
beg9n+ on or aft] ,octob] #a1 #bjai14   
7b7 ,ma9t5ance ( ef=t revision ,section 
#aiae7l77#c77;,a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acifn7l77#c77;,a77 
is am5d$-- 7#a7 9 ! matt] prec$+ clause 
7i71 by /rik+ o!r ?an "u ?is title2 &   
7#b7 9 clause 7i71 by /rik+ or1 if      
high]1 & all t foll[s ?r\gh 9 accordance
 ) ?is subsection4  7c7 ,additional     
requirem5ts  7#a7 ,9 g5]al  7,a7 ,g5]al 
requirem5ts ,section #aiae7l77#d7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acifn7l77#d77 is am5d$-- 7i7 9         
subp>agraph 7,a71 by /rik+ ?r\gh 7,d7 & 
ins]t+ ?r\gh 7,f72  7ii7 9 subp>agraph  
7,c71 by add+ at ! end ! foll[+ new     
clause3  7iii7 ,m$ication-assi/$        
treatm5t ,! ,/ate %all1 :5 appropriate1 
facilitate access to1 & provide m$ical  
assi/ance =1 m$ication-assi/$ treatm5t =
 sub/ance use disord] treatm5t1         
irrespective ( ! sett+ 9 :i* su*        
treatm5t is provid$4  2  7iii7 9        
subp>agraph 7,d71 9 ! matt] prec$+      

clause 7i71 by ins]t+ h 9 place         
evid5ce-bas$1 sub/ance use              
disord]-specific individual placem5t    
crit]ia & utilization managem5t approa* 
to ensure placem5t ( su* individual 9 an
 appropriate level ( c>e & %all aft]    
,/ate %all2 &  7iv7 by add+ at ! end !  
foll[+ new subp>agraph3  7,e7 ,review   
process ,! ,/ate %all h 9 place a       
process to review ! compliance (        
eligible in/itutions = m5tal diseases ) 
evid5ce-bas$1 sub/ance use              
disord]-specific program /&>ds ( c>e =  
eligible individuals specifi$ by !      
,/ate4  4  7,b7 ,effective date ,!      
am5dm5ts made by subp>agraph 7,a7 %all  
apply ) respect to m$ical assi/ance     
furni%$ 9 cal5d> qu>t]s beg9n+ on or    
aft] ,octob] #a1 #bjbe4  7#b7 ,"o-"t    
assessm5t ,section #aiae7l77#d7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acifn7l77#d771 z am5d$ by p>agraph     
7#a71 is fur!r am5d$ by add+ at ! end ! 
foll[+ new subp>agraph3  7,f7 ,assessm5t
 ,! ,/ate %all1 n lat] ?an #ab mon?s    

aft] ! approval ( a ,/ate plan am5dm5t  
describ$ 9 ?is subsection 7or1 9 ! case 
su* ,/ate has su* an am5dm5t approv$ z (
 ! date ( ! enactm5t ( ?is subp>agraph1 
n lat] ?an #ab mon?s aft] su* date71    
comm5ce an assessm5t (-- 7i7 !          
availability ( treatm5t = individuals   
enroll$ "u a ,/ate plan "u ?is title 7or
 waiv] ( su* plan7 9 ea* level ( c>e    
describ$ 9 subp>agraph 7,c72 &  7ii7 !  
availability ( m$ication-assi/$ treatm5t
 & m$ically sup]vis$ )drawal managem5t  
s]vices = su* individuals4  4  7#c7     
,cl>ification ( levels ( c>e ,section   
#aiae7l77#g77;,a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acifn7l77#g77;,a77 
is am5d$ by ins]t+ 7or any successor    
publication7 be=e ! p]iod4