,,ii  #aah? ,,congress  #a/ ,session    
,s4 #cdea  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #g1 #bjbc,mr4 
,book] introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d titles     
,,xix & ,,xxi ( ! ,social ,security ,act
 to provide m5tal heal? & sub/ance use  
s]vices to inc>c]at$ individuals1 & =   
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,rehabilitation &      
,recov]y ,dur+ ,inc>c]ation ,act4  #b4  
,modify+ ,m$icaid & ,,*ip exclusions    
relat+ to inc>c]at$ individuals to all[ 
= provision ( m5tal heal? & sub/ance use
 s]vices  7a7 ,m$icaid option  7#a7 ,9  
g5]al ,section #aije7;a7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acif;d7a77 is am5d$1 9 ! subdivision   
7,a7 foll[+ p>agraph 7#ca71 by ins]t+ 1 
or1 at ! option ( ! ,/ate1 9 ! case ( an
 eligible inmate 7z def9$ 9 p>agraph    
7#d7 ( section #aijb7nn771 ) respect to 
m5tal heal? & sub/ance use s]vices      
describ$ 9 p>agraph 7#e7 ( su* section  

be=e 72 or4  7#b7 ,eligible inmate &    
m5tal heal? & sub/ance use s]vices def9$
 ,section #aijb7nn7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acif;a7nn77 is am5d$-- 7,a7 9 !        
subsection head]1 by ins]t+ 2 ,eligible 
,inmate2 ,m5tal ,heal? & ,sub/ance ,use 
,s]vices aft] ,public ,in/itution2  7,b7
 9 ! matt] prec$+ p>agraph 7#a71 by     
/rik+ & ?is subsection & ins]t+ 1 ?is   
subsection1 & ! subdivision 7,a7 foll[+ 
! la/ numb]$ p>agraph ( section         
#aije7;a72 &  7,c7 by add+ at ! end !   
foll[+ new p>agraphs3  7#d7 ,eligible   
inmate ,! t]m eligible inmate means an  
individual ( any age :o is an inmate ( a
 public in/itution & :o-- 7,a7 0 det]m9$
 eligible = m$ical assi/ance "u ! ,/ate 
plan imm$iately be=e becom+ an inmate ( 
su* a public in/itution2 or  7,b7 is    
det]m9$ eligible = su* m$ical assi/ance 
:ile an inmate ( a public in/itution4   
7#e7 ,m5tal heal? & sub/ance use s]vices
 ,! t]m m5tal heal? & sub/ance use      
s]vices means su* s]vices = ! treatm5t (

 a m5tal heal? condition or sub/ance use
 disord] z ! ,secret>y %all specify by  
regulation4  4  7b7 ,,*ip option  7#a7  
,9 g5]al ,section #baaj7;b77#g7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acig;jj7b77#g77 is am5d$-- 7,a7 9 !    
p>agraph head]1 by /rik+ ,exception &   
ins]t+ ,exceptions2  7,b7 by /rik+ ,9 ! 
case ( & ins]t+ ! foll[+3  7,a7         
,provision ( scre5+1 diagno/ic1 ref]ral1
 & case managem5t s]vices pre-release ,9
 ! case (  2 &  7,c7 by add+ at ! end ! 
foll[+ new subp>agraph3  7,b7 ,provision
 ( m5tal heal? & sub/ance use disord]   
s]vices :ile an inmate  7i7 ,9 g5]al ,9 
! case ( a *ild :o is an eligible       
inmate1 ! *ild %all n be consid]$ to be 
describ$ 9 p>agraph 7#b77;,a7 ) respect 
to m5tal heal? s]vices & sub/ance use   
disord] s]vices o!rwise cov]$ "u ! ,/ate
 *ild heal? plan 7or waiv] ( su* plan74 
7ii7 ,eligible inmate def9$ ,= purposes 
( ?is subp>agraph1 ! t]m eligible inmate
 has ! mean+ giv5 t t]m 9 section       
#aijb7nn77#d71 except t su* section %all

 be appli$ by-- 7,i7 sub/itut+ *ild     
heal? assi/ance = m$ical assi/ance ea*  
place x appe>s2 &  7,,ii7 by sub/itut+  
,/ate *ild heal? plan "u title ,,xxi =  
,/ate plan4  4  7#b7 ,te*nical am5dm5t  
7,a7 ,9 g5]al ,section #eabb7;b7 (      
division ,,ff ( ! ,consolidat$          
,appropriations ,act1 #bjbc 7,public    
,law #aag-cbh7 is am5d$ by /rik+        
p>agraph 7#a74  7,b7 ,effective date ,! 
am5dm5t made by ?is p>agraph %all take  
effect z if includ$ 9 ! enactm5t ( !    
,consolidat$ ,appropriations ,act1 #bjbc
 7,public ,law #aag-cbh74  7c7 ,increas$
 ,f$]al mat* = m5tal heal? & sub/ance   
use disord] s]vices furni%$ to inc>c]at$
 individuals  7#a7 ,m$icaid ,section    
#aije ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif;d7 is am5d$-- 7,a7 9    
subsection 7b71 by /rik+ & 7ii7 & ins]t+
 7ii71 & 7jj72 &  7,b7 by add+ at ! end 
! foll[+ new subsection3  7jj7 ,increas$
 ,,fmap = m5tal heal? & sub/ance use    
s]vices furni%$ to inmates  7#a7 ,9     
g5]al ,not)/&+ any o!r provision ( ?is  

title except = p>agraph 7#c71 ! ,f$]al  
m$ical assi/ance p]c5tage = a ,/ate1 )  
respect to am\nts exp5d$ by ! ,/ate =   
m$ical assi/ance = m5tal heal? &        
sub/ance use disord] s]vices furni%$ to 
an eligible inmate 7z su* t]ms are def9$
 9 section #aijb7nn77 %all be equal to  
#ajj p]c5t4  7#b7 ,exclusion (          
exp5ditures f t]ritorial caps ,any      
paym5t made to a t]ritory = exp5ditures 
= m$ical assi/ance t are subject to !   
,f$]al m$ical assi/ance p]c5tage        
specifi$ "u p>agraph 7#a7 %all n be tak5
 into acc\nt = purposes ( apply+ paym5t 
limits "u subsections 7f7 & 7g7 (       
section #aajh4  7#c7 ,requirem5t to     
re9ve/ additional funds ,z a condition =
 ! receipt ( ! increase "u p>agraph 7#a7
 to ! ,f$]al m$ical assi/ance p]c5tage (
 a ,/ate1 ! ,/ate %all demon/rate to !  
satisfaction ( ! ,secret>y t ! ,/ate w  
use ! ,f$]al funds attributable to su*  
increase only = ! foll[+ purposes3 7,a7 
,to improve heal? in=mation te*nology & 
data %>+ betwe5 ,/ate ,m$icaid programs1

 jails & prisons1 & community-bas$      
provid]s & support organizations4  7,b7 
,to increase ! treatm5t capacity (      
community-bas$ provid]s :o are          
p>ticul>ly attun$ to1 & able to s]ve1 ! 
specific ne$s ( individuals :o are      
involv$ ) ! ju/ice sy/em or at risk (   
becom+ involv$ 9 ! ju/ice sy/em4  7,c7  
,to exp& or enhance community-bas$      
re5try s]vices & supports provid$ by !  
,/ate to inc>c]at$ & =m]ly inc>c]at$    
individuals1 includ+ s]vices & supports 
design$ to meet ! heal?-relat$ social   
ne$s ( su* individuals4  4  7#b7 ,,*ip  
7,a7 ,9 g5]al ,section #baje ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acig;ee7
 is am5d$-- 7i7 9 subsection 7b71 by    
/rik+ 7#aa7 & ins]t+ 7#aa71 7#ab71 &    
7#ac72 &  7ii7 9 subsection 7c71 by add+
 at ! end ! foll[+ new p>agraph3  7#ac7 
,enhanc$ paym5t = cov]age ( m5tal heal? 
& sub/ance use disord] s]vices  7,a7 ,9 
g5]al ,not)/&+ subsection 7b7 & subject 
to subp>agraph 7,b71 ! enhanc$ ,,fmap = 
a ,/ate ) respect to paym5ts "u         

subsection 7a7 = exp5ditures "u ! ,/ate 
*ild heal? plan 7or a waiv] ( su* plan7 
= m5tal heal? or sub/ance use disord]   
s]vices furni%$ to a t>get$ l[-income   
*ild or a t>get$ l[-income pregnant     
woman :o is an eligible inmate 7z su*   
t]m is def9$ 9 section                  
#baaj7;b77#g77;,b77ii77 %all be equal to
 #ajj p]c5t4  7,b7 ,requirem5t to re9ve/
 additional funds ,! requirem5t describ$
 9 p>agraph 7#c7 ( section #aije7;jj7   
%all apply to ,f$]al funds attributable 
to an increase 9 ! enhanc$ ,f$]al m$ical
 assi/ance p]c5tage ( a ,/ate "u        
subp>agraph 7,a7 9 ! same mann] z su*   
requirem5t applies to ,f$]al funds      
attributable to an increase to ! ,f$]al 
m$ical assi/ance p]c5tage ( a ,/ate "u  
p>agraph 7#a7 ( su* section4  4  7,b7   
,adju/+ ,/ate ,,*ip allotm5ts to acc\nt 
= increas$ paym5ts = cov]age ( m5tal    
heal? & sub/ance use s]vices furni%$ to 
eligible inmates ,section #bajd7m7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acig;dd7m77 is am5d$-- 7i7 9 p>agraph  

7#b77;,b71 9 ! matt] prec$+ clause 7i71 
by /rik+ & 7#ab7 & ins]t+ 7#ab71 &      
7#ac72 &  7ii7 by add+ at ! end ! foll[+
 new p>agraph3  7#ac7 ,adju/+ allotm5ts 
to acc\nt = increas$ f$]al paym5ts =    
cov]age ( m5tal heal? & sub/ance use    
s]vices = eligible inmates ,if a ,/ate1 
commonweal?1 or t]ritory receives paym5t
 = a fiscal ye> "u subsection 7a7 (     
section #baje = exp5ditures t are       
subject to ! enhanc$ ,,fmap specifi$ "u 
subsection 7c77#ac7 ( su* section1 !    
am\nt ( ! allotm5t det]m9$ = ! ,/ate1   
commonweal?1 or t]ritory "u ?is         
subsection-- 7,a7 = su* fiscal ye> %all 
be increas$ by ! project$ exp5ditures = 
su* ye> by ! ,/ate1 commonweal?1 or     
t]ritory "u ! ,/ate *ild heal? plan 7or 
a waiv] ( su* plan7 = m5tal heal? &     
sub/ance use disord] s]vices furni%$ to 
eligible inmates 7z def9$ 9 section     
#baaj7;b77#g77;,b77ii77,b772 &  7,b7    
once actual exp5ditures are available 9 
! subsequ5t fiscal ye>1 ! fiscal ye>    
allotm5t t 0 adju/$ by ! am\nt describ$ 

9 subp>agraph 7,a7 %all be adju/$ on !  
basis ( ! diff]5ce betwe5-- 7i7 su*     
project$ am\nt ( exp5ditures describ$ 9 
subp>agraph 7,a7 = su* fiscal ye>       
describ$ 9 su* subp>agraph by ! ,/ate1  
commonweal?1 or t]ritory2 &  7ii7 !     
actual am\nt ( exp5ditures = su* fiscal 
ye> describ$ 9 subp>agraph 7,a7 by !    
,/ate1 commonweal?1 or t]ritory "u !    
,/ate *ild heal? plan 7or waiv] ( su*   
plan7 = m5tal heal? & sub/ance use      
disord] s]vices furni%$ to eligible     
inmates 7z def9$ 9 section              
#baaj7;b77#g77;,b77ii77,b774  4  7d7    
,con=m+ am5dm5ts  7#a7 ,section         
#aije7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;d7a771 z am5d$ by  
subsection 7a71 is am5d$1 9 ! matt]     
foll[+ p>agraph 7#ca71 by /rik+ set =? 9
 ! subdivision 7,b7 foll[+ p>agraph     
7#cj7 ( ! fir/ s5t5ce ( ?is subsection &
 ins]t+ set =? 9 ! portion ( ! fir/     
s5t5ce ( ?is subsection t foll[s ! la/  
numb]$ p>agraph ( ?is subsection4  7#b7 
,section #eabb7;a77#a7 ( division ,,ff (

 ! ,consolidat$ ,appropriations ,act1   
#bjbc 7,public ,law #aag-cbh7 is am5d$  
by /rik+ case managem5t & ins]t+ t>get$ 
case managem5t s]vices4  7e7 ,effective 
date  7#a7 ,9 g5]al ,except z provid$ 9 
p>agraph 7#b71 ! am5dm5ts made by ?is   
section %all apply ) respect to m$ical  
assi/ance1 *ild heal? assi/ance1 &      
pregnancy-relat$ assi/ance provid$ on or
 aft] ,janu>y #a1 #bjbc4  7#b7          
,effective date ( con=m+ am5dm5t ,!     
am5dm5t made by p>agraph 7#b7 (         
subsection 7d7 %all take effect z if    
includ$ 9 ! enactm5t ( ! ,consolidat$   
,appropriations ,act1 #bjbc 7,public    
,law #aag-cbh74  #c4 ,report by         
,comptroll] ,g5]al ,n lat] ?an ! date t 
is #e ye>s aft] ! date ( enactm5t ( ?is 
,act1 ! ,comptroll] ,g5]al ( ! ,unit$   
,/ates %all submit to ,congress a report
 conta9+ available in=mation reg>d+     
inc>c]at$ individuals t receive m$ical  
assi/ance or *ild heal? assi/ance "u a  
,/ate plan "u title ,,xix or ,,xxi ( !  
,social ,security ,act 7#db ,u4,s4,c4   

#acif et seq41 #acig;aa et seq47 7z     
applicable7 z a result ( a ,/ate elect+ 
to provide cov]age to eligible inmates  
pursuant to ! am5dm5ts to su* titles    
made by section #b4 ,! in=mation conta9$
 9 ! report may include in=mation su* z 
! foll[+3 7#a7 ,! numb] ( su* inc>c]at$ 
individuals4  7#b7 ,! access ( su*      
inc>c]at$ individuals to heal? c>e      
s]vices1 includ+ specialty c>e1 & heal? 
c>e provid]s4  7#c7 ,! quality ( heal?  
c>e s]vices provid$ to inc>c]at$        
individuals4  7#d7 ,any impact ( cov]age
 "u su* a ,/ate plan on recidivism4     
7#e7 ,! p]c5tage ( su* inc>c]at$        
individuals :o1 ^u release1 are-- 7,a7  
enroll$ "u su* a ,/ate plan2  7,b7      
connect$ to a provid] 9 _! community (  
m5tal heal?1 sub/ance use disord]1 or   
prim>y c>e s]vices2 &  7,c7 receiv+     
m$ication-assi/$ treatm5t = ! treatm5t (
 a sub/ance use disord]4  7#f7 ,any o!r 
in=mation ! ,comptroll] ,g5]al det]m9es 
necess>y reg>d+ ! heal? ( inc>c]at$     
individuals4