,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajbdj  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,septemb] #c1         
#bjbf,ms4 ,mc,clellan 7= h]self1 ,ms4   
,matsui1 ,mrs4 ,trahan1 ,mr4 ,smi? (    
,wa%+ton1 & ,ms4 ,b>ragn7 introduc$ !   
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committees on ,ways &    
,means1 ,arm$ ,s]vices1 ,vet]ans'       
,affairs1 ,ov]sight & ,gov]nm5t ,re=m1 &
 ,education & ,work=ce1 = a p]iod to be 
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to provide cov]age 
( crisis response s]vices "u c]ta9      
programs4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,behavioral ,heal? ,crisis 
,s]vices ,expansion ,act ( #bjbf4  #b4  
,cov]age ( crisis response s]vices  7a7 
,cov]age "u ! ,m$ic>e program  7#a7 ,9  
g5]al ,section #ahfa7s77#b7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#aciex7s77#b77 is am5d$--  7,a7 9       

subp>agraph 7,,jj71 by /rik+ & at ! end2
  7,b7 9 subp>agraph 7,,kk71 by /rik+ ! 
p]iod at ! end & ins]t+ 2 &2 &  7,c7 by 
add+ at ! end ! foll[+ new subp>agraph3 
7,,ll7 crisis response s]vices z def9$ 9
 subsection 7ooo72  4  7#b7 ,crisis     
response s]vices def9$ ,section #ahfa ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#aciex7 is am5d$ by add+ at ! end !     
foll[+ new subsection3  7ooo7 ,crisis   
response s]vices  7#a7 ,9 g5]al ,! t]m  
crisis response s]vices means m5tal     
heal? or sub/ance use s]vices t are     
furni%$ by a mobile crisis response     
team1 a crisis receiv+ & /abilization   
facility1 m5tal heal? or sub/ance use   
urg5t c>e facility1 or o!r appropriate  
provid]1 z det]m9$ by ! ,secret>y1 to an
 individual1 includ+ *ildr5 &           
adolesc5ts1 exp]i5c+ a m5tal heal? or   
sub/ance use crisis4  7#b7 ,crisis      
receiv+ & /abilization facility ,=      
purposes ( p>agraph 7#a71 ! t]m crisis  
receiv+ & /abilization facility means a 
facility t-- 7,a7 qualifies = lic5sure  

or c]tification z a crisis receiv+ &    
/abilization facility1 pursuant to ,/ate
 law ( ! ,/ate 9 :i* su* facility       
furni%es s]vices2  7,b7 provides        
#bc-;h\r obs]vation & assessm5t *airs or
 b$s & #dh-;h\r crisis /abilization     
psy*iatric b$s inclusive ( )drawal      
managem5t & #bd-;h\r m$ical monitor+2   
7,c7 provides m5tal heal? or sub/ance   
use s]vices #bd h\rs p] day1 #g days p] 
week us+ a slid+ scale ( paym5t1 & nei!r
 rejects s]vice nor limits s]vices on ! 
basis ( a pati5t's ability to pay1 place
 ( resid5ce1 prior =5sic engagem5t1     
acuity ( m5tal heal? or sub/ance use    
condition1 intellectual or developm5tal 
disability1 age or relat$ factors2  7,d7
 supports no-wrong-door admission       
capacity available to law en=cem5t      
(fic]s1 em]g5cy m$ical p]sonnel1 &      
family memb]s2 &  7,e7 ma9ta9s an av]age
 l5g? ( /ay ( less ?an #aej h\rs4  7#c7 
,m5tal heal? & sub/ance use urg5t c>e   
facility ,= purposes ( p>agraph 7#a71 ! 
t]m m5tal heal? & sub/ance use urg5t c>e

 facility means an ambulatory facility  
:]e individuals exp]i5c+ a m5tal or     
behavioral heal? crisis may walk 9 )\t  
an appo9tm5t to receive crisis assessm5t
 s]vices1 crisis int]v5tion s]vices1    
m$ication1 & connection to o!r          
appropriate s]vices4  4  7#c7 ,paym5t   
7,a7 ,9 g5]al ,section #ahcc7;a77#a7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciel7a77#a77 is am5d$--  7i7 by /rik+ 
& 7,,hh7 & ins]t+ 7,,hh72 &  7ii7 by    
ins]t+ be=e ! semicolon at ! end !      
foll[+3 & 7,,ii7 ) respect to crisis    
response s]vices describ$ 9 section     
#ahfa7s77#b77,,ll71 ! am\nts paid %all  
be #hj p]c5t ( ! less] ( ! actual *>ge =
 ! s]vice or ! am\nt det]m9$ "u ! paym5t
 basis e/abli%$ "u section #ahcd7;bb74  
7,b7 ,e/abli%m5t ( paym5t basis ,section
 #ahcd ( ! ,social ,security ,act 7#db  
,u4,s4,c4 #aciem7 is am5d$ by add+ at ! 
end ! foll[+ new subsection3  7bb7      
,paym5t = crisis response s]vices ,!    
,secret>y %all e/abli% a paym5t basis   
det]m9$ appropriate by ! ,secret>y )    

respect to crisis response s]vices 7z   
def9$ 9 section #ahfa7ooo77 furni%$ by a
 provid] ( s]vices or suppli]4  4  7#d7 
,ambulance transport ( individuals 9    
crisis  7,a7 ,9 g5]al ,section #ahcd7l7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciem7l77 is am5d$ by add+ at
 ! end ! foll[+ new p>agraph3  7#ah7    
,transportation ( individuals 9 crisis  
,) respect to ambulance s]vices furni%$ 
on or aft] ! date t is #c ye>s aft] !   
date ( ! enactm5t ( ! ,behavioral ,heal?
 ,crisis ,s]vices ,expansion ,act1 !    
regulations describ$ 9 section          
#ahfa7s77#g7 %all provide cov]age "u su*
 section = ambulance & o!r qualifi$     
em]g5cy transport s]vices to transport  
an individual exp]i5c+ a m5tal heal? or 
sub/ance crisis to an appropriate       
facility1 su* z a community m5tal heal? 
c5t] 7z def9$ 9 section                 
#ahfa7;ff77#c77;,b77 or o!r facility or 
provid] id5tifi$ by ! ,secret>y1 z      
appropriate1 = crisis response s]vices  
describ$ 9 section #ahfa7s77#b77,,ll74  

4  7,b7 ,con=m+ am5dm5t ,section        
#ahfa7s77#g7 ( su* ,act 7#db ,u4,s4,c4  
#aciex7s77#g77 is am5d$ by /rik+ section
 #ahcd7l77#ad7 & ins]t+ p>agraphs 7#ad7 
& 7#ah7 ( section #ahcd7l74  7#e7       
,effective date ,! am5dm5ts made by ?is 
subsection %all apply to s]vices furni%$
 on or aft] ! date t is #c ye>s aft] !  
date ( ! enactm5t ( ?is ,act4  7b7      
,m&atory cov]age ( crisis response      
s]vices "u ! m$icaid program ,title     
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq47 is am5d$-- 7#a7
 9 section #aijb7;a77#aj77;,a71 9 !     
matt] prec$+ clause 7i71 by /rik+ &     
7#cj7 & ins]t+ 7#cj71 & 7#ca72 &  7#b7 9
 section #aije-- 7,a7 9 subsection 7a7--
  7i7 9 p>agraph 7#ca71 by /rik+ 2 & &  
ins]t+ a semicolon2  7ii7 by r$esignat+ 
p>agraph 7#cb7 z p>agraph 7#cc72 &      
7iii7 by ins]t+ ! foll[+ p>agraph aft]  
p>agraph 7#ca73  7#cb7 crisis response  
s]vices 7z def9$ 9 section #ahfa7ooo772 
&  4  7#c7  ,presumptive eligibility    
det]m9ation by crisis response s]vice   

provid]s  ,section #aijb7;a77#dg77;,b7 (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acif;a7a77#dg77;,b77 is am5d$ by      
ins]t+ or provid] ( crisis response     
s]vices 7z def9$ 9 section #ahfa7ooo77  
aft] any hospital4  7#d7 ,effective date
  7,a7 ,9 g5]al ,except z provid$ 9     
subp>agraph 7,b71 ! am5dm5ts made by ?is
 section %all take effect on ! date t is
 #c ye>s aft] ! date ( ! enactm5t ( ?is 
,act4  7,b7 ,delay p]mitt$ if ,/ate     
legislation requir$ ,9 ! case ( a ,/ate 
plan "u title ,,xix ( ! ,social         
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 :i* ! ,secret>y ( ,heal? & ,human 
,s]vices det]m9es requires ,/ate        
legislation 7o!r ?an legislation        
appropriat+ funds7 9 ord] = ! plan to   
meet ! additional requirem5ts impos$ by 
! am5dm5ts made by ?is section1 ! ,/ate 
plan %all n be reg>d$ z fail+ to comply 
) ! requirem5ts ( su* title solely on ! 
basis ( ! failure ( ! plan to meet su*  
additional requirem5ts be=e ! fir/ day (
 ! fir/ cal5d> qu>t] beg9n+ aft] ! close

 ( ! fir/ regul> session ( ! ,/ate      
legislature t beg9s aft] ! date (       
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4  7c7 ,gr\p heal? plans &   
heal? insurance issu]s  7#a7 ,,phsa ,"p 
,d ( title ,,xxvii ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aaa
 et seq47 is am5d$ by add+ at ! end !   
foll[+ new section3  #bgii;,a-#ab4      
,requir$ cov]age ( crisis response      
s]vices  7a7 ,9 g5]al ,a gr\p heal? plan
 & a heal? insurance issu] (f]+ gr\p or 
individual heal? insurance cov]age %all 
provide b5efits "u su* plan or cov]age =
 crisis response s]vices 7z def9$ 9     
section #ahfa7ooo7 ( ! ,social ,security
 ,act74  7b7 ,application ( f9ancial    
requirem5ts & treatm5t limitations ,a   
gr\p heal? plan & a heal? insurance     
issu] (f]+ gr\p or individual heal?     
insurance cov]age %all ensure t1 )      

respect to s]vices = :i* b5efits are    
requir$ to be provid$ "u su* plan or    
cov]age "u subsection 7a7-- 7#a7 !      
f9ancial requirem5ts applicable to su*  
s]vices are no m re/rictive ?an !       
pr$om9ant f9ancial requirem5ts appli$ to
 sub/antially all m$ical & surgical     
b5efits cov]$ by ! plan or cov]age & !re
 are no sep>ate co/-%>+ requirem5ts t   
are applicable only ) respect to su*    
s]vices2 &  7#b7 ! treatm5t limitations 
applicable to su* items & s]vices are no
 m re/rictive ?an ! pr$om9ant treatm5t  
limitations appli$ to sub/antially all  
m$ical & surgical b5efits cov]$ by !    
plan or cov]age & !re are no sep>ate    
treatm5t limitations t are applicable   
only ) respect to su* s]vices4  7c7     
,def9itions ,9 ?is section1 ! t]ms      
f9ancial requirem5t1 pr$om9ant1 &       
treatm5t limitation h ! mean+ giv5 su*  
t]ms 9 clauses 7i7 ?r\gh 7iii71         
respectively1 ( section                 
#bgbf7;a77#c77;,b71 except t ! t]m      
f9ancial requirem5t %all include        

aggregate lifetime limits & annual      
limits4  4  7#b7 ,,erisa  7,a7 ,9 g5]al 
,subp>t ,b ( "p #g ( subtitle ,b ( title
 ,i ( ! ,employee ,retirem5t ,income    
,security ,act ( #aigd 7#bi ,u4,s4,c4   
#aahe et seq47 is am5d$ by add+ at ! end
 ! foll[+ new section3  #gbg4 ,requir$  
cov]age ( crisis response s]vices  7a7  
,9 g5]al ,a gr\p heal? plan & a heal?   
insurance issu] (f]+ gr\p heal?         
insurance cov]age %all provide b5efits  
"u su* plan or cov]age = crisis response
 s]vices 7z def9$ 9 section #ahfa7ooo7 (
 ! ,social ,security ,act74  7b7        
,application ( f9ancial requirem5ts &   
treatm5t limitations ,a gr\p heal? plan 
& a heal? insurance issu] (f]+ gr\p     
heal? insurance cov]age %all ensure t1 )
 respect to s]vices = :i* b5efits are   
requir$ to be provid$ "u su* plan or    
cov]age "u subsection 7a7-- 7#a7 !      
f9ancial requirem5ts applicable to su*  
s]vices are no m re/rictive ?an !       
pr$om9ant f9ancial requirem5ts appli$ to
 sub/antially all m$ical & surgical     

b5efits cov]$ by ! plan or cov]age & !re
 are no sep>ate co/-%>+ requirem5ts t   
are applicable only ) respect to su*    
s]vices2 &  7#b7 ! treatm5t limitations 
applicable to su* items & s]vices are no
 m re/rictive ?an ! pr$om9ant treatm5t  
limitations appli$ to sub/antially all  
m$ical & surgical b5efits cov]$ by !    
plan or cov]age & !re are no sep>ate    
treatm5t limitations t are applicable   
only ) respect to su* s]vices4  7c7     
,def9itions ,9 ?is section1 ! t]ms      
f9ancial requirem5t1 pr$om9ant1 &       
treatm5t limitation h ! mean+ giv5 su*  
t]ms 9 clauses 7i7 ?r\gh 7iii71         
respectively1 ( section                 
#gab7;a77#c77;,b71 except t ! t]m       
f9ancial requirem5t %all include        
aggregate lifetime limits & annual      
limits4  4  7,b7 ,cl]ical am5dm5t ,!    
table ( cont5ts 9 section #a ( !        
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #ajja note7 
is am5d$ by ins]t+ aft] ! item relat+ to
 section #gbf ! foll[+ new item3  ,sec4 

#gbg4 ,requir$ cov]age ( crisis response
 s]vices4  4  7#c7 ,,irc  7,a7 ,9 g5]al 
,sub*apt] ,b ( *apt] #ajj ( ! ,int]nal  
,rev5ue ,code ( #aihf is am5d$ by add+  
at ! end ! foll[+ new section3  #ihbg4  
,requir$ cov]age ( crisis response      
s]vices  7a7 ,9 g5]al ,a gr\p heal? plan
 %all provide b5efits "u su* plan =     
crisis response s]vices 7z def9$ 9      
section #ahfa7ooo7 ( ! ,social ,security
 ,act74  7b7 ,application ( f9ancial    
requirem5ts & treatm5t limitations ,a   
gr\p heal? plan %all ensure t1 ) respect
 to s]vices = :i* b5efits are requir$ to
 be provid$ "u su* plan "u subsection   
7a7--  7#a7 ! f9ancial requirem5ts      
applicable to su* s]vices are no m      
re/rictive ?an ! pr$om9ant f9ancial     
requirem5ts appli$ to sub/antially all  
m$ical & surgical b5efits cov]$ by !    
plan & !re are no sep>ate co/-%>+       
requirem5ts t are applicable only )     
respect to su* s]vices2 &  7#b7 !       
treatm5t limitations applicable to su*  
items & s]vices are no m re/rictive ?an 

! pr$om9ant treatm5t limitations appli$ 
to sub/antially all m$ical & surgical   
b5efits cov]$ by ! plan & !re are no    
sep>ate treatm5t limitations t are      
applicable only ) respect to su*        
s]vices4  7c7 ,def9itions ,9 ?is        
section1 ! t]ms f9ancial requirem5t1    
pr$om9ant1 & treatm5t limitation h !    
mean+ giv5 su* t]ms 9 clauses 7i7 ?r\gh 
7iii71 respectively1 ( section          
#ihab7;a77#c77;,b71 except t ! t]m      
f9ancial requirem5t %all include        
aggregate lifetime limits & annual      
limits4  4  7,b7 ,cl]ical am5dm5t ,!    
table ( sections = sub*apt] ,b ( *apt]  
#ajj ( ! ,int]nal ,rev5ue ,code ( #aihf 
is am5d$ by add+ at ! end ! foll[+ new  
item3  ,sec4 #ihbg4 ,requir$ cov]age (  
crisis response s]vices4  4  7#d7       
,effective date  ,! am5dm5ts made by ?is
 subsection %all apply ) respect to plan
 ye>s beg9n+ on or aft] ! date t is #c  
ye>s aft] ! date ( ! enactm5t ( ?is     
,act4  7d7 ,tric>e cov]age  7#a7 ,9     
g5]al ,! ,secret>y ( ,def5se %all       

provide cov]age "u ! ,,tric>e program = 
crisis response s]vices1 z def9$ 9      
section #ahfa7ooo7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciex74  7#b7     
,tric>e program def9$ ,9 ?is section1 ! 
t]m ,,tric>e program has ! mean+ giv5 ! 
t]m 9 section #ajgb ( title #aj1 ,unit$ 
,/ates ,code4  7e7 ,reimbursem5t =      
crisis response s]vices = vet]ans       
,section #agbe7;f77#a7 ( title #ch1     
,unit$ ,/ates ,code1 is am5d$1 9 ! matt]
 prec$+ subp>agraph 7,a71 by ins]t+ 1   
includ+ crisis response s]vices 7z def9$
 9 subsection 7ooo7 ( section #ahfa ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#aciex771 aft] s]vices4  7f7 ,cov]age "u
 ,,fehb  7#a7 ,9 g5]al ,section #hijb ( 
title #e1 ,unit$ ,/ates ,code1 is am5d$ 
by add+ at ! end ! foll[+3  7p7 ,ea*    
contract = a plan "u ?is *apt] %all     
require ! c>ri] to provide cov]age =    
crisis response s]vices1 z t t]m is     
def9$ 9 subsection 7ooo7 ( section #ahfa
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciex74  4  7#b7 ,effective  

date ,! am5dm5t made by p>agraph 7#a7   
%all apply beg9n+ ) respect to ! ?ird   
contract ye> = *apt] #hi ( title #e1    
,unit$ ,/ates ,code1 t beg9s on or aft] 
! date t is #c ye>s aft] ! date (       
enactm5t ( ?is ,act4  7g7 ,cov]age "u   
,,*ip ,section #bajc7;c77#e7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acig;cc7c77#e77 is am5d$-- 7#a7 9      
subp>agraph 7,a71 by /rik+ & at ! end2  
7#b7 9 subp>agraph 7,b71 by /rik+ !     
p]iod & ins]t+ 2 &2 &  7#c7 by add+ at !
 end ! foll[+ new subp>agraph3  7,c7    
beg9n+ on ! date t is #c ye>s aft] !    
date ( ! enactm5t ( ?is subp>agraph1    
crisis response s]vices 7z def9$ 9      
section #ahfa7ooo774  4