,i #aaith ,,congress #b;d ,session ,h4 ,r4 #ajcca ,,in ,,the ,,house ,,of ,,representatives ,september #aj1 #bjbf,mr4 ,de,saulnier introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to provide payment for patient navigator services under title ,,xix of the ,social ,security ,act1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,patient ,navigation ,assistance ,act4 #b4 ,medicaid coverage for patient navigator services 7a7 ,in general ,section #aijb7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77 is amended-- 7#a7 in paragraph 7#hi71 by striking and at the end2 7#b7 in paragraph 7#ij71 by striking at the end the period and inserting 2 and2 7#c7 by inserting after paragraph 7#ij7 the following new paragraph3 7#ia7 provide that the ,state shall reimburse an eligible entity 7as defined in subsection 7zz77#a77 for any patient navigator service 7as defined in subsection 7zz77#c77 that is provided-- 7,a7 to an individual who is eligible for medical assistance under the ,state plan2 and 7,b7 by a patient navigator 7as defined in subsection 7zz77#b77 through the eligible entity4 2 and 7#d7 by adding at the end the following new subsection3 7zz7 ,patient navigator services definitions ,for purposes of this section3 7#a7 ,eligible entity ,the term eligible entity means an entity that-- 7,a7 is an eligible entity 7as defined in subsection 7l77#a7 of section #cdj;,a of the ,public ,health ,service ,act72 and 7,b7 complies with the following requirements of such section 7insofar as they apply to a grant recipient under such section73 7i7 ,subsection 7b7 7relating to patient navigator duties and community knowledge74 7ii7 ,subsection 7c7 7relating to prohibitions74 7iii7 ,subsection 7e7 7relating to applications74 7iv7 ,subsection 7j77#c7 7relating to reports74 7#b7 ,patient navigator 7,a7 ,in general ,the term patient navigator means an individual who-- 7i7 is employed by a health care or community-based organization and provides individualized education and resources to facilitate informed decision-making and timely access to quality health and psychosocial care2 and 7ii7 has obtained and complies with education1 licensure1 or certification1 including at least-- 7,i7 a bachelor's degree in nursing from an accredited university1 master's degree in social work from an accredited university1 or bachelor's degree in a health-related field from an accredited university2 7,,ii7 licensing and certification requirements for a registered nurse1 social work1 or clinical practitioner1 as applicable1 and scope of practice requirements1 as defined by the ,state or jurisdiction in which the individual is licensed or certified2 7,,iii7 completion of competency-based navigation training sessions or courses for clinical or non-clinical professionals1 as applicable2 or 7,,iv7 subject to subparagraph 7,b71 completion of a training program approved by the ,secretary for purposes of section #cdj;,a7l77#c7 of the ,public ,health ,service ,act4 7,b7 ,transitional limitation ,the training described in subclause 7,,iv7 of subparagraph 7,a77ii7 shall not satisfy the requirement of subparagraph 7,a77ii7 after the date that is #c years after the date on which the provisions of this subsection apply to patient navigator services pursuant to section #b7;c7 of the ,patient ,navigator ,assistance ,act4 7#c7 ,patient navigator services ,the term patient navigator service means a service provided by a patient navigator to an individual1 including-- 7,a7 referrals and related activities to help the individual obtain needed services1 including activities that help link the individual with medical1 social1 logistical1 financial1 or other programs or services to address identified or specified needs of the individual2 7,b7 services specified under paragraphs 7#a7 through 7#f7 of subsection 7b7 of section #cdj;,a of the ,public ,health ,service ,act2 and 7,c7 other services specified by the ,secretary4 4 7b7 ,treatment as medical assistance for purposes of ,,fmap ,section #aije7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 is amended-- 7#a7 in paragraph 7#ca71 by striking and at the end2 7#b7 by redesignating paragraph 7#cb7 as paragraph 7#cc72 and 7#c7 by inserting after paragraph 7#ca7 the following new paragraph3 7#cb7 patient navigator services 7as defined in section #aijb7zz77#c77 that are provided in a manner that meets the requirements of section #aijb7;a77#ia72 and 4 7c7 ,effective date 7#a7 ,in general ,subject to paragraph 7#b71 the amendments made by this section shall apply to patient navigator services provided after the first day of the first calendar year that begins after the date of enactment of this ,act4 7#b7 ,exception for ,state legislation ,in the case of a ,state plan under title ,,xix of the ,social ,security ,act1 which the ,secretary of ,health and ,human ,services determines requires ,state legislation in order for the respective plan to meet any requirement imposed by amendments made by this ,act1 the respective plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet such an additional requirement before the first day of the first calendar quarter beginning after the close of the first regular session of the ,state legislature that begins after the date of enactment of this ,act4 ,for purposes of the previous sentence1 in the case of a ,state that has a #b-year legislative session1 each year of the session shall be considered to be a separate regular session of the ,state legislature4