,,ii  #aah? ,,congress  #b;d ,session   
,s4 #cfbh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,janu>y #ah1 #bjbd,ms4 
,cortez ,ma/o 7= h]self & ,mr4 ,cornyn7 
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
improve mobility crisis "u ! ,m$ic>e    
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,m$ic>e ,mobility ,crisis   
,improvem5t ,act 4  #b4 ,paym5t = mobile
 crisis response int]v5tion s]vices "u  
physician fee s*$ule ,section #ahdh7;b7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#d7;b77 is am5d$ by    
add+ at ! end ! foll[+ new p>agraph3    
7#ac7 ,mobile crisis response team      
s]vices  7,a7 ,9 g5]al ,beg9n+ ,janu>y  
#a1 #bjbe1 ! ,secret>y %all1 subject to 
! succe$+ provisions ( ?is p>agraph1    
make a s+le global paym5t 7z det]m9$ by 
! ,secret>y "u subp>agraph 7,c77 "u ?is 
section = mobile crisis response team   
s]vices 7z def9$ 9 subp>agraph 7,b77    

furni%$ by a physician 7z def9$ 9       
section #ahfa7r77#a771 physician        
assi/ant or nurse practition] 7z def9$ 9
 section #ahfa7;aa77#e77;,a771 cl9ical  
nurse speciali/ 7z def9$ 9 section      
#ahfa7;aa77#e77;,b771 cl9ical social    
work] 7z def9$ 9 section                
#ahfa7;hh77#a771 or cl9ical psy*ologi/  
7z def9$ by ! ,secret>y = purposes (    
section #ahfa7;ii774  7,b7 ,def9ition ( 
mobile crisis response team s]vices ,9  
?is p>agraph1 ! t]m mobile crisis       
response team s]vices means physicians' 
s]vices t are furni%$ outside ( a       
hospital1 o!r facility sett+1 or        
physician (fice to an individual        
exp]i5c+ a m5tal heal? or sub/ance use  
disord] crisis to-- 7i7 provide scre5+ &
 assessm5t = ! individual's m5tal heal? 
or sub/ance use disord] crisis2  7ii7   
support ! de-escalation ( ! individual's
 m5tal heal? or sub/ance use disord]    
crisis2  7iii7 facilitate or support    
subsequ5t ref]ral to heal?1 social1 &   
o!r s]vices1 z det]m9$ appropriate by ! 

,secret>y2 or  7iv7 o!rwise address !   
individual's press+ behavioral heal?    
ne$s1 z det]m9$ appropriate by !        
,secret>y4  7,c7 ,det]m9ation ( s+le    
global paym5t  7i7 ,9 g5]al ,! ,secret>y
 %all det]m9e an appropriate global     
paym5t = mobile crisis response team    
s]vices "u ! fee s*$ule "u ?is section  
to acc\nt = ! "w1 practice exp5ses1 &   
malpractice exp5ses involv$ 9 furni%+   
physicians' s]vices t w\ld typically be 
furni%$ to an individual exp]i5c+ a     
m5tal heal? or sub/ance use disord]     
crisis to accompli% ! objectives        
describ$ 9 clauses 7i7 ?r\gh 7iv7 (     
subp>agraph 7,b7 7z id5tifi$ by !       
,secret>y74  7ii7 ,relative values ,9   
det]m9+ "w1 practice exp5ses1 &         
malpractice exp5ses "u clause 7i71 !    
,secret>y %all acc\nt = diff]5ces 9 "w1 
practice exp5ses1 & malpractice exp5ses 
betwe5 furni%+ physicians' s]vices      
id5tifi$ 9 clause 7i7 9 a physician     
(fice & ! "w1 practice exp5ses1 &       
malpractice exp5ses involv$ 9 furni%+   

su* s]vices at ! site at :i* at         
individual is exp]i5c+ a m5tal or       
sub/ance use disord] crisis1 includ+    
pot5tial practice exp5ses associat$ )   
transportation to su* site4  7iii7      
,ensur+ no duplicate paym5t ,! ,secret>y
 %all ensure t if a physician or        
practition] receives paym5t = mobile    
crisis response team s]vices "u ?is     
p>agraph1 additional paym5t is n made "u
 ?is section = physicians' s]vices      
id5tifi$ 9 clause 7i7 t are furni%$ to !
 same individual by ! same physician or 
practition] on ! same day on :i* su*    
mobile crisis response team s]vices are 
furni%$4  7,d7 ,requirem5ts = physicians
 & practition]s receiv+ paym5t ,9 ord]  
to receive paym5t = mobile crisis       
response team s]vices1 a physician or   
practition] :o submits a claim = paym5t 
= su* s]vices mu/ docum5t1 9 a =m &     
mann] det]m9$ appropriate by !          
,secret>y1 t ! physician or practition] 
furni%+ su* s]vices & any auxili>y      
p]sonnel 7z def9$ 9 section             

#daj4bf7;a77#a7 ( title #db1 ,code (    
,f$]al ,regulations1 or any successor   
regulation7 furni%+ su* s]vices "u !    
sup]vision ( ! physician or             
practition]-- 7i7 are tra9$ 9           
trauma-in=m$ c>e1 de-escalation         
/rategies1 & h>m r$uction2  7ii7 are    
capable ( coord9at+ ) em]g5cy response  
sy/ems1 crisis int]v5tion hotl9es1 &    
hospitals furni%+ crisis /abilization   
s]vices 7z def9$ 9 section              
#ahcc7t77#bc772 &  7iii7 meet o!r       
crit]ia det]m9$ appropriate by !        
,secret>y to ensure quality ( c>e &     
program integrity4  7,e7 ,additional    
cl>ification ,! ,secret>y %all all[ =   
auxili>y p]sonnel 7z def9$ 9 section    
#daj4bf7;a77#a7 ( title #db1 ,code (    
,f$]al ,regulations1 or any successor   
regulation71 includ+ pe] support        
speciali/s 7z def9$ 9 subsection        
7i77#d77;,b771 to furni% mobile crisis  
response team s]vices "u ! sup]vision ( 
a physician or practition] bill+ = su*  
s]vices "u ?is section4  4