,,ii  #aahth ,,congress  #b;d ,session  
,s4 #cfbh  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,january #ah1  
#bjbd,ms4 ,cortez ,masto 7for herself   
and ,mr4 ,cornyn7 introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to improve   
mobility crisis under the ,medicare     
program4  #a4 ,short title ,this ,act   
may be cited as the ,medicare ,mobility 
,crisis ,improvement ,act 4  #b4        
,payment for mobile crisis response     
intervention services under physician   
fee schedule ,section #ahdh7;b7 of the  
,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#d7;b77 is amended by adding at  
the end the following new paragraph3    
7#ac7 ,mobile crisis response team      
services  7,a7 ,in general ,beginning   
,january #a1 #bjbe1 the ,secretary      
shall1 subject to the succeeding        
provisions of this paragraph1 make a    
single global payment 7as determined by 

the ,secretary under subparagraph 7,c77 
under this section for mobile crisis    
response team services 7as defined in   
subparagraph 7,b77 furnished by a       
physician 7as defined in section        
#ahfa7r77#a771 physician assistant or   
nurse practitioner 7as defined in       
section #ahfa7;aa77#e77;,a771 clinical  
nurse specialist 7as defined in section 
#ahfa7;aa77#e77;,b771 clinical social   
worker 7as defined in section           
#ahfa7;hh77#a771 or clinical            
psychologist 7as defined by the         
,secretary for purposes of section      
#ahfa7;ii774  7,b7 ,definition of mobile
 crisis response team services ,in this 
paragraph1 the term mobile crisis       
response team services means physicians'
 services that are furnished outside of 
a hospital1 other facility setting1 or  
physician office to an individual       
experiencing a mental health or         
substance use disorder crisis to-- 7i7  
provide screening and assessment for the
 individual's mental health or substance

 use disorder crisis2  7ii7 support the 
de-escalation of the individual's mental
 health or substance use disorder       
crisis2  7iii7 facilitate or support    
subsequent referral to health1 social1  
and other services1 as determined       
appropriate by the ,secretary2 or  7iv7 
otherwise address the individual's      
pressing behavioral health needs1 as    
determined appropriate by the           
,secretary4  7,c7 ,determination of     
single global payment  7i7 ,in general  
,the ,secretary shall determine an      
appropriate global payment for mobile   
crisis response team services under the 
fee schedule under this section to      
account for the work1 practice expenses1
 and malpractice expenses involved in   
furnishing physicians' services that    
would typically be furnished to an      
individual experiencing a mental health 
or substance use disorder crisis to     
accomplish the objectives described in  
clauses 7i7 through 7iv7 of subparagraph
 7,b7 7as identified by the ,secretary74

  7ii7 ,relative values ,in determining 
work1 practice expenses1 and malpractice
 expenses under clause 7i71 the         
,secretary shall account for differences
 in work1 practice expenses1 and        
malpractice expenses between furnishing 
physicians' services identified in      
clause 7i7 in a physician office and the
 work1 practice expenses1 and           
malpractice expenses involved in        
furnishing such services at the site at 
which at individual is experiencing a   
mental or substance use disorder crisis1
 including potential practice expenses  
associated with transportation to such  
site4  7iii7 ,ensuring no duplicate     
payment ,the ,secretary shall ensure    
that if a physician or practitioner     
receives payment for mobile crisis      
response team services under this       
paragraph1 additional payment is not    
made under this section for physicians' 
services identified in clause 7i7 that  
are furnished to the same individual by 
the same physician or practitioner on   

the same day on which such mobile crisis
 response team services are furnished4  
7,d7 ,requirements for physicians and   
practitioners receiving payment ,in     
order to receive payment for mobile     
crisis response team services1 a        
physician or practitioner who submits a 
claim for payment for such services must
 document1 in a form and manner         
determined appropriate by the           
,secretary1 that the physician or       
practitioner furnishing such services   
and any auxiliary personnel 7as defined 
in section #daj4bf7;a77#a7 of title #db1
 ,code of ,federal ,regulations1 or any 
successor regulation7 furnishing such   
services under the supervision of the   
physician or practitioner-- 7i7 are     
trained in trauma-informed care1        
de-escalation strategies1 and harm      
reduction2  7ii7 are capable of         
coordinating with emergency response    
systems1 crisis intervention hotlines1  
and hospitals furnishing crisis         
stabilization services 7as defined in   

section #ahcc7t77#bc772 and  7iii7 meet 
other criteria determined appropriate by
 the ,secretary to ensure quality of    
care and program integrity4  7,e7       
,additional clarification ,the          
,secretary shall allow for auxiliary    
personnel 7as defined in section        
#daj4bf7;a77#a7 of title #db1 ,code of  
,federal ,regulations1 or any successor 
regulation71 including peer support     
specialists 7as defined in subsection   
7i77#d77;,b771 to furnish mobile crisis 
response team services under the        
supervision of a physician or           
practitioner billing for such services  
under this section4  4