,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajbgj  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,septemb] #c1         
#bjbf,mr4 ,goldman ( ,new ,york 7=      
himself1 ,ms4 ,matsui1 ,mrs4 ,trahan1   
,mr4 ,smi? ( ,wa%+ton1 ,ms4 ,mc,clellan1
 & ,ms4 ,b>ragn7 introduc$ ! foll[+     
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d  
title ,,xix ( ! ,social ,security ,act  
to revise ! ,,imd exclusion "u ,m$icaid4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,support+ #i-h-h ,crisis            
,/abilization ,act4  #b4 ,revisions to !
 ,,imd exclusion "u ,m$icaid  7a7 ,9    
g5]al ,section #aije ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is am5d$--  7#a7 9 subsection 7i7-- 7,a7
 by /rik+ ,! t]m & ins]t+ ! foll[+3     
7#a7 ,subject to p>agraph 7#b71 ! t]m  2
 &  7,b7 by add+ at ! end ! foll[+ new  
p>agraph3  7#b7 ,beg9n+ ! day aft] !    
date ( ! enactm5t ( ?is p>agraph1 ! t]m 
in/itution = m5tal diseases does n      
include-- 7,a7 a cl9ic c]tifi$ by !     

,/ate z a c]tifi$ community behavioral  
heal? cl9ic = purposes ( p>ticipat+ 9 a 
demon/ration program conduct$ "u section
 #bbc7;d7 ( ! ,protect+ ,access to      
,m$ic>e ,act ( #bjad2  7,b7 a community 
m5tal heal? c5t] t meets ! crit]ia      
specifi$ 9 section #aiac7;c7 ( ! ,public
 ,heal? ,s]vice ,act2  7,c7 a crisis    
receiv+ & /abilization facility 7z def9$
 9 subsection 7ll77#a772 or  7,d7 a     
m5tal heal? & sub/ance use urg5t c>e    
facility 7z def9$ 9 subsection          
7ll77#b774  2 &  7#b7 by add+ at ! end !
 foll[+ new subsection3  7ll7 ,crisis   
receiv+ & /abilization facility2 m5tal  
heal? & sub/ance use urg5t c>e facility 
7#a7 ,crisis receiv+ & /abilization     
facility ,= purposes ( subsection       
7i77#b71 ! t]m crisis receiv+ &         
/abilization facility means a facility  
t-- 7,a7 is lic5s$ or c]tifi$ to furni% 
crisis response s]vices "u applicable   
,/ate law2  7,b7 is available to provide
 s]vices #bd h\rs a day & #g days a     
week2  7,c7 provides pati5ts )1 at a    

m9imum1 #bc h\rs ( obs]vation &         
assessm5t s]vices1 foll[$ by #dh h\rs ( 
crisis /abilization s]vices 7includ+    
)drawal managem5t & #bd-;h\r m$ical     
monitor+72  7,d7 does n d5y or limit    
s]vices on ! basis ( a pati5t's ability 
to pay1 place ( resid5ce1 prior         
engagem5t ) ! crim9al ju/ice sy/em1     
acuity ( m5tal heal? or sub/ance use    
condition1 intellectual or developm5tal 
disability1 age1 or relat$ factors2     
7,e7 applies a s*$ule ( disc\nts to !   
paym5t ( fees or *>ges = ! provision (  
its s]vices1 :i* are adju/$ on ! basis (
 ! pati5t's ability to pay2  7,f7       
accepts pati5t ref]rals f law en=cem5t  
(fic]s1 em]g5cy m$ical p]sonnel1 &      
family memb]s2 &  7,g7 ma9ta9s an av]age
 l5g? ( /ay ( less ?an #aej h\rs4  7#b7 
,m5tal heal? & sub/ance use urg5t c>e   
facility ,= purposes ( subsection       
7i77#b71 ! t]m m5tal heal? & sub/ance   
use urg5t c>e facility means a 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$ication1 & connection to o!r          
appropriate s]vices4  4  7b7 ,guidance  
,n lat] ?an #ahj days aft] ! date (     
enactm5t ( ?is section1 ! ,secret>y (   
,heal? & ,human ,s]vices %all issue     
guidance to ,/ates relat+ to !          
implem5tation ( ! am5dm5ts made by      
subsection 7a74  7c7 ,report  7#a7 ,9   
g5]al ,n lat] ?an #a ye> aft] ! date ( !
 enactm5t ( ?is section1 ! ,secret>y1 9 
collaboration ) ! ,attorney ,g5]al & any
 o!r relevant ,f$]al (ficials 7z det]m9$
 by ! ,secret>y71 %all submit to        
,congress a report t includes ! foll[+3 
7,a7 ,in=mation ) respect to !          
utilization ( crisis receiv+ &          
/abilization facilities dur+ ! p]iod    
foll[+ su* date ( enactm5t1 includ+--   
7i7 ! numb] ( pati5ts s]v$2  7ii7 ! type
 & duration ( facility-bas$ s]vices2    
7iii7 ! numb] ( ref]rals to             
community-bas$ outpati5t c>e2  7iv7 any 
tr5ds obs]v$ 9 ref]rals made by law     

en=cem5t ag5cies to su* facilities2 &   
7v7 any o!r data relevant to assess+ !  
ability = ^! facilities to div]t m5tal  
heal? & sub/ance use disord] em]g5cies f
 law en=cem5t response4  7,b7 ,an       
analysis ( ! ext5t to :i* access to     
crisis receiv+ & /abilization facilities
 is associat$ )--  7i7 r$uc$ admissions 
to hospital em]g5cy rooms2  7ii7 adv]t$ 
admissions & readmissions to psy*iatric 
hospitals & o!r facilities def9$ z      
,in/itutions = ,m5tal ,diseases2 &      
7iii7 decreas$ rates ( inc>c]ation 9    
p5al facilities op]at$ by a ,/ate or    
c\nty4  7#b7 ,crisis receiv+ &          
/abilization facility def9$ ,9 ?is      
subsection1 ! t]m crisis receiv+ &      
/abilization facility has ! mean+ giv5  
su* t]m 9 subsection 7ll7 ( section     
#aije ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif;d74