,,ii #aahth ,,congress #ast ,session ,s4 #ffi ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #g1 #bjbc,mr4 ,brown 7for himself1 ,ms4 ,collins1 ,mr4 ,heinrich1 and ,mr4 ,mullin7 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 expand access to psychological and behavioral services4 #a4 ,short title ,this ,act may be cited as the ,increasing ,mental ,health ,options ,act of #bjbc4 #b4 ,expanding eligibility for incentives to practice in rural and underserved areas ,section #ahcc7m7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7m77 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 by inserting 7,a7 before ,in the case2 and 7,b7 by adding at the end the following new subparagraph3 7,b7 ,in the case of services furnished by a clinical psychologist 7as defined by the ,secretary for purposes of section #ahfa7;ii77 in a year 7beginning with #bjbe7 to an individual1 who is covered under the insurance program established by this part and who incurs expenses for such services1 in an area that is designated 7under section #ccb7;a77#a77;,a7 of the ,public ,health ,service ,act7 as a health professional shortage area as identified by the ,secretary prior to the beginning of such year1 in addition to the amount otherwise paid under this part1 there also shall be paid to the clinical psychologist 7or to an employer or facility in the cases described in clause 7,a7 of section #ahdb7;b77#f77 7on a monthly or quarterly basis7 from the ,federal ,supplementary ,medical ,insurance ,trust ,fund an amount equal to #aj percent of the payment amount for the service under this part 2 and 7#b7 in paragraph 7#b71 by inserting or clinical psychologist after physician4 #c4 ,eliminating unnecessary oversight and approval requirements for behavioral health services provided by clinical psychologists 7a7 ,comprehensive ,outpatient ,rehabilitation ,facilities ,section #ahce7;a77#b77;,e77iii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acien7a77#b77;,e77iii77 is amended by inserting 1 except that an individual receiving qualified psychologist services as described in section #ahfa7;ii7 may be under the care of a clinical psychologist with respect to such services to the extent authorized under ,state law before the semicolon4 7b7 ,skilled ,nursing ,facilities ,section #ahai7;b7 of such ,act 7#db ,u4,s4,c4 #acie;i-#c7;b77 is amended-- 7#a7 in paragraph 7#e77;,g71 by inserting clinical psychologist1 after nurse practitioner12 and 7#b7 in paragraph 7#f77;,a71 by inserting 1 except that a resident receiving qualified psychologist services as described in section #ahfa7;ii7 may be under the supervision of a clinical psychologist with respect to such services to the extent authorized under ,state law before the semicolon4 7c7 ,partial hospitalization services 7#a7 ,section #ahce7;a77#b77;,f77iii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acien7a77#b77;,f77iii77 is amended by inserting 1 except that an individual receiving qualified psychologist services as described in section #ahfa7;ii7 may be under the care of a clinical psychologist with respect to such services to the extent authorized under ,state law before the period4 7#b7 ,section #ahfa7;ff77#a7 of such ,act 7#db ,u4,s4,c4 #aciex7ff77#a77 is amended by inserting 7or1 in the case of qualified psychologist services1 under the supervision of a clinical psychologist to the extent authorized under ,state law7 after under the supervision of a physician4 7d7 ,home health services 7#a7 ,section #ahfa7m7 of such ,act 7#db ,u4,s4,c4 #aciex7m77 is amended-- 7,a7 in paragraph 7#f71 by striking and at the end2 7,b7 in paragraph 7#g71 by inserting and after the semicolon2 and 7,c7 by inserting after paragraph 7#g7 the following new paragraph3 7#h7 an individual receiving qualified psychologist services may be under the care of a clinical psychologist with respect to such services to the extent authorized under ,state law2 4 7#b7 ,section #ahia7;a77#c77;,f7 of such ,act 7#db ,u4,s4,c4 #acie;bbb7a77#c77;,f77 is amended by inserting clinical psychologist1 after physician14 7e7 ,inpatient psychiatric hospital services ,section #ahad7;a77#b77;,a7 of such ,act 7#db ,u4,s4,c4 #acie;f7a77#b77;,a77 is amended by inserting 7or1 in the case of qualified psychologist services1 under the supervision of a clinical psychologist to the extent authorized under ,state law7 after under the supervision of a physician4 7f7 ,rule of construction ,in accordance with section #daj4ga7;e7 of title #db1 ,code of ,federal ,regulations 7or any successor regulation71 nothing in the provisions of1 and amendments made by1 this section shall be construed as changing or eliminating existing requirements regarding clinical consultation by clinical psychologists with a beneficiary's physician1 in accordance with accepted professional ethical norms and taking into consideration patient confidentiality4 7g7 ,effective date ,the amendments made by this section shall apply to services furnished on or after ,january #a1 #bjbe4