,,ii #aah? ,,congress #b;d ,session ,s4 #eaab ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,septemb] #ai1 #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 provide paym5t = crisis /abilization s]vices "u ! prospective paym5t sy/em = hospital outpati5t dep>tm5t s]vices4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,crisis ,c>e ,access ,act ( #bjbd4 #b4 ,paym5t = crisis /abilization s]vices "u prospective paym5t sy/em = hospital outpati5t dep>tm5t s]vices 7a7 ,9 g5]al ,section #ahcc7t7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7t77 is am5d$-- 7#a7 9 p>agraph 7#a77;,b7-- 7,a7 9 clause 7iv71 by /rik+ & at ! end2 7,b7 9 clause 7v71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new clause3 7vi7 includes crisis /abilization s]vices 7z def9$ 9 p>agraph 7#bc77 furni%$ on or aft] ,janu>y #a1 #bjbg4 2 & 7#b7 by add+ at ! end ! foll[+ new p>agraph3 7#bc7 ,crisis /abilization s]vices 7,a7 ,crisis /abilization s]vices def9$ ,9 ?is subsection1 ! t]m crisis /abilization s]vices means applicable items & s]vices 7z def9$ 9 subp>agraph 7,b77 t are furni%$ to an eligible individual :o is exp]i5c+ a m5tal heal? or sub/ance use disord] crisis1 subject to ! requirem5ts "u subp>agraph 7,c74 7,b7 ,applicable items & s]vices def9$ 7i7 ,9 g5]al ,= purposes ( subp>agraph 7,a71 ! t]m applicable items & s]vices means items & s]vices describ$ 9 clause 7ii7 t are-- 7,i7 cov]$ "u ?is "p2 & 7,,ii7 7aa7 reasonable & necess>y = ! diagnosis & active treatm5t ( ! individual's m5tal heal? or sub/ance use disord] condition2 or 7bb7 reasonably expect$ to support ! de-escalation ( ! individual's m5tal heal? or sub/ance use disord] crisis4 7ii7 ,items & s]vices describ$ ,! foll[+ items & s]vices are describ$ 9 ?is clause3 7,i7 ,obs]vation s]vices & sup]vis$ c>e = individuals 9 sev]e di/ress = up to #bc consecutive h\rs4 7,,ii7 ,scre5+ = suicide risk1 includ+ compreh5sive suicide risk assessm5ts & plann+ :5 cl9ically indicat$4 7,,iii7 ,scre5+ = viol5ce risk1 includ+ compreh5sive viol5ce risk assessm5ts & plann+ :5 cl9ically indicat$4 7,,iv7 ,assessm5t ( imm$iate physical heal? ne$s & deliv]y ( c>e = physical heal? ne$s t are )9 ! capability ( ! hospital4 7,v7 ,su* o!r items & s]vices z ! ,secret>y det]m9es appropriate4 7,c7 ,requirem5ts = paym5t ,9 ord] to receive paym5t = crisis /abilization s]vices "u ?is subsection1 a hospital mu/ docum5t1 9 a =m & mann] det]m9$ appropriate by ! ,secret>y1 t-- 7i7 ! hospital accepts ref]rals1 )9 ! capability ( ! hospital1 = crisis /abilization s]vices2 7ii7 ! hospital is capable ( provid+ ref]rals = heal?1 social1 & o!r s]vices & supports1 z ne$$1 t are n provid$ z "p ( crisis /abilization s]vices2 7iii7 ! unit ( ! hospital t furni%es crisis /abilization s]vices is /aff$ at all times 7#bd h\rs a day1 #g days a week1 #cfe days a ye>7 ) a multidiscipl9>y team1 :i* may include provid]s su* z a psy*iatri/ or psy*iatric nurse practition] 7:o may be available by teleheal? = su* /aff+ purposes71 regi/]$ nurses1 practition]s legally au?oriz$ to furni% su* s]vices "u ,/ate law 7or ! ,/ate regulatory me*anism provid$ by ,/ate law7 ( ! ,/ate 9 :i* ! s]vices are furni%$1 & pe] support speciali/s 7z def9$ 9 subp>agraph 7,d772 & 7iv7 ! unit ( ! hospital t furni%es crisis /abilization s]vices is capable-- 7,i7 ( timely communication ) em]g5cy response sy/ems1 crisis int]v5tion hotl9es1 & physicians & practition]s furni%+ mobile crisis response team s]vices 7z def9$ 9 subp>agraph 7,d772 & 7,,ii7 )9 ! capacity ( ! hospital1 ( accept+ ref]rals ( individuals f su* entities = crisis /abilization s]vices4 7,d7 ,def9itions ,9 ?is p>agraph3 7i7 ,mobile crisis response s]vices ,! 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-- 7,i7 provide scre5+ & assessm5t = ! individual's m5tal heal? or sub/ance use disord] crisis2 7,,ii7 support ! de-escalation ( ! individual's m5tal heal? or sub/ance use disord] crisis2 7,,iii7 facilitate or support subsequ5t ref]ral to heal?1 social1 & o!r s]vices1 z det]m9$ appropriate by ! ,secret>y2 or 7,,iv7 o!rwise address ! individual's press+ behavioral heal? ne$s1 z det]m9$ appropriate by ! ,secret>y4 7ii7 ,pe] support speciali/ ,! t]m pe] support speciali/ means an individual :o-- 7,i7 is recov]+ f a m5tal heal? or sub/ance use condition2 & 7,,ii7 is c]tifi$ z qualifi$ to furni% pe] support s]vices "u a c]tification process consi/5t ) ! ,national ,practice ,guidel9es = ,pe] ,support]s & inclusive ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration ,core ,compet5cies = ,pe] ,work]s 9 ,behavioral ,heal? ,sett+s 7z e/abli%$ by ! ,/ate 9 :i* su* individual furni%es su* s]vices or "u su* c]tification process det]m9$ appropriate by ! ,secret>y ( ,heal? & ,human ,s]vices4 4 7b7 ,report on ,m$ic>e cov]age ( crisis /abilization facility s]vices ,n lat] ?an #ah mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is subsection z ! ,secret>y7 %all submit to ! ,committee on ,f9ance ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,ways & ,means ( ! ,h\se ( ,repres5tatives a report on policy issues = consid]ation 9 relation to provid+ ,m$ic>e cov]age ( crisis /abilization s]vices 7z def9$ 9 section #ahcc7t77#bc7 ( ! ,social ,security ,act1 z add$ by subsection 7a771 :5 furni%$ by crisis /abilization facilities t are n eligible to enroll 9 ! ,m$ic>e program z a subsection 7d7 hospital 7z def9$ 9 section #ahhf7;d77#a77;,b7 ( su* ,act 7#db ,u4,s4,c4 #acieww7d77#a77;,b7774 ,su* report may include an assessm5t ( ! foll[+3 7#a7 ,consid]ations relat+ to lic5sure & accr$itation ( su* facilities by ,/ates & accr$itation organizations to ensure c>e quality & program integrity4 7#b7 ,consid]ations relat+ to ! developm5t ( paym5t rates = su* facilities1 includ+ collection ( data on ! co/s t su* facilities incur 9 furni%+ crisis /abilization s]vices4 7#c7 ,consid]ations relat+ to any program integrity risks associat$ ) crisis /abilization facilities & pot5tial measures t c\ld be implem5t$ to mitigate ^? risks4 7#d7 ,o!r consid]ations det]m9$ appropriate by ! ,secret>y4