,i #aaith ,,congress #ast ,session ,h4 ,r4 #djbb ,,in ,,the ,,house ,,of ,,representatives ,june #ag1 #bjbe,mr4 ,carbajal 7for himself and ,mr4 ,bacon7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend title ,,xix of the ,social ,security ,act to remove the exclusion from medical assistance under the ,medicaid ,program of items and services for patients in an institution for mental diseases1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,increasing ,behavioral ,health ,treatment ,act4 #b4 ,removal of ,medicaid exclusion from medical assistance of items and services furnished to patients in an institution for mental diseases if ,state submits plan for providing appropriate outpatient care to such patients 7a7 ,removal of exclusion 7#a7 ,in general ,the first sentence of section #aije7;a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 is amended1 in the matter following paragraph 7#cb7-- 7,a7 by striking such term does not include-- and all that follows through 7,a7 any and inserting such term does not include any2 7,b7 by striking 2 or and inserting a period2 and 7,c7 by striking subparagraph 7,b74 7#b7 ,conforming amendments ,to permit medical assistance for ,,imd patients under #fe years of age ,the following provisions of such ,act are each amended by striking #fe years of age or older and #fe years of age or over each place it appears3 7,a7 ,paragraphs 7#bj7 and 7#ba7 of section #aijb7;a7 7#db ,u4,s4,c4 #acif;a7a774 7,b7 ,section #aije7;a77#ad7 7#db ,u4,s4,c4 #acif;d7a77#ad774 7,c7 ,section #aiai7;e77#g77;,b77i77,i7 7#db ,u4,s4,c4 #acifr7e77#g77;,b77i77,i774 7b7 ,reporting and plan requirement ,section #aijb7;a77#bj7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#bj77 is amended-- 7#a7 in subparagraph 7,b71 by striking and at the end2 and 7#b7 by adding at the end the following new subparagraphs3 7,d7 provide for a plan to achieve 7and for the annual submission to the ,secretary of actions taken by the ,state1 and progress with respect to such actions1 to achieve7-- 7i7 increased access to outpatient and community-based behavioral health care1 with respect to individuals furnished services in an institution for mental diseases1 especially for individuals transitioning from such an institution2 7ii7 increased availability of services made available through crisis call centers1 mobile crisis units1 coordinated community crisis response that involves law enforcement and other first responders1 observation or assessment centers1 and on-going community-based services 7such as intensive outpatient services1 assertive community treatment1 and services in integrated care settings such as the ,certified ,community ,behavioral ,health ,clinic model7 7such services referred to as crisis stabilization services7 for individuals experiencing a serious mental illness 7as such term is defined for purposes of title ,v of the ,public ,health ,service ,act71 serious emotional disturbance1 or substance use disorder crisis2 7iii7 improved data sharing and coordination between physical health1 mental health1 and addiction treatment providers 7including hospitals and community-based behavioral health facilities7 and first responders to improve health outcomes for individuals furnished services in an institution for mental diseases1 who are experiencing a serious mental illness 7as so defined71 serious emotional disturbance1 or substance use disorder crisis2 7,e7 provide for the demonstration of-- 7i7 ,state policies to ensure individuals receiving medical assistance under the ,state plan who receive care in psychiatric hospitals and residential treatment settings are consistently screened for co-morbid physical health conditions and substance use disorders prior to or upon admission1 and that participating facilities have the capacity to address co-morbid physical health conditions during stays in such psychiatric hospitals and residential treatment settings either through on-site medical services or external referrals and care coordination2 7ii7 established strategies of the ,state for identifying and engaging individuals1 particularly adolescents and young adults1 experiencing a serious mental illness 7as such term is defined for purposes of title ,v of the ,public ,health ,service ,act71 serious emotional disturbance1 or substance use disorder crisis2 and 7iii7 established utilization review policies of the ,state ,medicaid agency or ,medicaid managed care organizations1 as applicable1 to ensure individuals receiving medical assistance under the ,state plan receive treatment at clinically appropriate levels of care and services are generally delivered in the least restrictive environment2 and 7,f7 report to the ,secretary 7in a form and manner specified by the ,secretary71 with respect to each year beginning on or after the date of the enactment of this subparagraph-- 7i7 in the aggregate and by facility type1 costs and utilization for institutions for mental diseases and inpatient psychiatric hospitals that are not such institutions2 7ii7 the number of individuals experiencing a serious mental illness 7as such term is defined for purposes of title ,v of the ,public ,health ,service ,act71 serious emotional disturbance1 or substance use disorder crisis who received medical assistance under the ,state plan during the year2 7iii7 the length of the stay of each such individual in an institution for mental disease2 and 7iv7 the type of outpatient treatment1 including medication assisted treatment1 each such individual received after being discharged from such institution2 4 7c7 ,effective date 7#a7 ,in general ,subject to paragraph 7#b71 the amendments made by this section shall take effect on the date of the enactment of this ,act and shall apply to ,state plans beginning on such date4 7#b7 ,exception if ,state legislation required ,in the case of a ,state plan for medical assistance under title ,,xix of the ,social ,security ,act which the ,secretary of ,health and ,human ,services determines requires ,state legislation 7other than legislation appropriating funds7 in order for the plan to meet the additional requirement imposed by the amendments made by this section1 the ,state plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet this 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 the 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 such session shall be deemed to be a separate regular session of the ,state legislature4