,i #aai? ,,congress #b;d ,session ,h4 ,r4 #ajhgf ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,octob] #bb1 #bjbf,mr4 ,kelly ( ,p5nsylvania introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,ways & ,means1 & 9 addition to ! ,committee on ,en]gy & ,comm]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 am5d title ,,xviii ( ! ,social ,security ,act to ensure appropriate access to m5tal heal? c>e "u ! ,m$ic>e program4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,behavioral ,heal?c>e ,d]egulation ,act4 #b4 ,s5se ( ,congress ,x is ! s5se ( ,congress t-- 7#a7 ! behavioral heal? crisis 9 ,am]ica is driv5 by misguid$ de9/itutionalization1 outdat$ ,f$]al regulations1 unev5 en=cem5t ( m5tal heal? p>ity laws1 & excessive adm9i/rative requirem5ts t div]t res\rces away f pati5t c>e2 7#b7 ,f$]al policy too (t5 re/ricts access1 disc\rages inve/m5t1 & imposes unique burd5s on behavioral heal?c>e pati5ts & provid]s2 7#c7 accord+ to ! ,national ,in/itute ( ,m5tal ,heal? ,:ile m5tal disord]s are common 9 ! ,unit$ ,/ates1 _! burd5 ( illness is p>ticul>ly conc5trat$ among ^? :o exp]i5ce disability due to s]i\s m5tal illness 7,,smi72 7#d7 pati5ts ) s]i\s m5tal illness are held = h\rs1 sometimes days & ev5 weeks 9 em]g5cy dep>tm5ts because a psy*iatric b$ _c be f\nd2 7#e7 "o 9 e f\r homeless p 9 ,am]ica h a s]i\s m5tal illness2 7#f7 e #aa m9utes an ,am]ican dies by suicide2 7#g7 pati5ts ) behavioral heal? conditions acc\nt = #bg p]c5t ( ! ,unit$ ,/ates population b acc\nt = #ef p]c5t ( heal?c>e sp5d+2 7#h7 only #d4d p]c5t ( sp5d+ on pati5ts ) behavioral heal? conditions is = treat+ a behavioral heal? condition2 7#i7 elevat$ physical comorbidity & premature mortality 9 p]sons ) s*izophr5ia result 9 a #ae-bj ye> %ort] life expectancy comp>$ to ! g5]al population2 & 7#aj7 ?is ,act %all support individuals1 _! families & _! c>egiv]s 9 a*iev+ access1 c>e1 & recov]y = s]i\s m5tal illness by remov+ ,f$]al b>ri]s4 #c4 #aij-;day lifetime limit 7a7 ,9 g5]al ,section #ahab ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;d7 is am5d$-- 7#a7 9 subsection 7b7-- 7,a7 9 p>agraph 7#a71 by ins]t+ or at ! end2 7,b7 9 p>agraph 7#b71 by /rik+ 2 or at ! end & ins]t+ a p]iod2 & 7,c7 by /rik+ p>agraph 7#c72 & 7#b7 9 subsection 7c71 by /rik+ 7b %all n be includ$ & all t foll[s be=e ! p]iod at ! end4 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all apply to items & s]vices furni%$ on or aft] ,octob] #a1 #bjbg4 #d4 ,f9ancial protections = pati5ts :o are involunt>ily committ$ ,section #ahac7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;e7a77#a77 is am5d$1 9 ! matt] at ! end1 by add+ at ! end ! foll[+ new s5t5ce3 ,no r$uction %all be made "u ! prec$+ s5t5ce ) respect to inpati5t psy*iatric hospital s]vices furni%$ to an individual on or aft] ,octob] #a1 #bjbg1 if su* individual 0 admitt$ to su* hospital foll[+ an involunt>y commitm5t ord] "u applicable ,/ate law44 #e4 ,regulatory mod]nization & relief = behavioral heal? c>e provid]s 7a7 ,9 g5]al ,section #ahfa7;f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7f77 is am5d$-- 7#a7 9 p>agraph 7#a71 by add+ & at ! end2 7#b7 9 p>agraph 7#b71 by /rik+ ! semicolon & ins]t+ a p]iod2 7#c7 by /rik+ p>agraphs 7#c7 & 7#d72 & 7#d7 by /rik+ ! matt] at ! end4 7b7 ,additional modifications ,section #ahhf7s77#d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acieww7s77#d77 is am5d$-- 7#a7 9 subp>agraph 7,d71 by /rik+ clause 7iv72 & 7#b7 by /rik+ subp>agraphs 7,e7 & 7,f74 #f4 ,integrat+ m5tal heal?c>e ) physical heal?c>e 7a7 ,inc5tives 7#a7 ,9 g5]al ,section #ahdh7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;b77 is am5d$ by add+ at ! end ! foll[+ new p>agraph3 7#ac7 ,inc5tives = behavioral heal? integration 7,a7 ,9 g5]al ,= s]vices describ$ 9 subp>agraph 7,b7 t are furni%$ dur+ #bjbg1 #bjbh1 or #bjbi1 in/ead ( ! paym5t am\nt t w\ld o!rwise be det]m9$ "u ?is section = su* ye>1 ! paym5t am\nt %all be equal to ! applicable p]c5t 7z def9$ 9 subp>agraph 7,c77 ( su* paym5t am\nt = su* ye>4 7,b7 ,s]vices describ$ ,! s]vices describ$ 9 ?is subp>agraph are s]vices id5tifi$1 z ( ,janu>y #a1 #bjbd1 by ,,hcpcs codes #iidhd1 #iidib1 #iidic1 #iidid1 ,g#bbad1 & ,g#jcbc 7& any successor or simil> codes z det]m9$ appropriate by ! ,secret>y74 7,c7 ,applicable p]c5t ,9 ?is p>agraph1 ! t]m applicable p]c5t means1 ) respect to a s]vice describ$ 9 subp>agraph 7,a71 ! foll[+3 7i7 ,= s]vices furni%$ dur+ #bjbg1 #age p]c5t4 7ii7 ,= s]vices furni%$ dur+ #bjbh1 #aej p]c5t4 7iii7 ,= s]vices furni%$ dur+ #bjbi1 #abe p]c5t4 4 7#b7 ,waiv] ( budget neutrality ,section #ahdh7;c77#b77;,b77iv7 ( su* ,act 7#db ,u4,s4,c4 #aciew-#d7;c77#b77;,b77iv77 is am5d$-- 7,a7 9 subclause 7,v71 by /rik+ & at ! end2 7,b7 9 subclause 7,,vi71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new subclause3 7,,vii7 ! increase 9 paym5t am\nts z a result ( ! application ( subsection 7b77#ac7 %all n be tak5 into acc\nt 9 apply+ clause 7ii77,,ii7 = #bjbg1 #bjbh1 or #bjbi4 4 7b7 ,te*nical assi/ance = ! adoption ( behavioral heal? integration 7#a7 ,9 g5]al ,n lat] ?an ,janu>y #a1 #bjbg1 ! ,secret>y ( ,heal? & ,human ,s]vices 79 ?is subsection ref]r$ to z ! ,secret>y7 %all ent] into contracts or agreem5ts ) appropriate entities to (f] te*nical assi/ance to prim>y c>e practices t are seek+ to adopt behavioral heal? integration models 9 su* practices4 7#b7 ,behavioral heal? integration models ,= purposes ( p>agraph 7#a71 behavioral heal? integration models include ! ,collaborative ,c>e ,model 7) s]vices id5tifi$ z ( ,janu>y #a1 #bjbd1 by ,,hcpcs codes #iidib1 #iidic1 #iidid1 & ,g#bbad 7& any successor codes771 ! ,prim>y ,c>e ,behavioral ,heal? model 7) s]vices id5tifi$ z ( ,janu>y #a1 #bjbd1 by ,,hcpcs codes #iidhd & ,g#jcbc 7& any successor code771 & o!r models id5tifi$ by ! ,secret>y4 7#c7 ,implem5tation ,not)/&+ any o!r provision ( law1 ! ,secret>y may implem5t ! provisions ( ?is subsection by program in/ruction or o!rwise4 7#d7 ,fund+ ,9 addition to am\nts o!rwise available1 !re is appropriat$ to ! ,secret>y = ea* ( fiscal ye>s #bjbg ?r\gh #bjca1 out ( any money 9 ! ,treasury n o!rwise appropriat$1 su* sums z are necess>y1 to rema9 available until exp5d$1 = purposes ( c>ry+ out ?is subsection4