,i #aai? ,,congress #a/ ,session ,h4 ,r4 #djbb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #ag1 #bjbe,mr4 ,c>bajal 7= himself & ,mr4 ,bacon7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d title ,,xix ( ! ,social ,security ,act to remove ! exclusion f m$ical assi/ance "u ! ,m$icaid ,program ( items & s]vices = pati5ts 9 an in/itution = m5tal diseases1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,increas+ ,behavioral ,heal? ,treatm5t ,act4 #b4 ,removal ( ,m$icaid exclusion f m$ical assi/ance ( items & s]vices furni%$ to pati5ts 9 an in/itution = m5tal diseases if ,/ate submits plan = provid+ appropriate outpati5t c>e to su* pati5ts 7a7 ,removal ( exclusion 7#a7 ,9 g5]al ,! fir/ s5t5ce ( section #aije7;a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77 is am5d$1 9 ! matt] foll[+ p>agraph 7#cb7-- 7,a7 by /rik+ su* t]m does n include-- & all t foll[s ?r\gh 7,a7 any & ins]t+ su* t]m does n include any2 7,b7 by /rik+ 2 or & ins]t+ a p]iod2 & 7,c7 by /rik+ subp>agraph 7,b74 7#b7 ,con=m+ am5dm5ts ,to p]mit m$ical assi/ance = ,,imd pati5ts "u #fe ye>s ( age ,! foll[+ provisions ( su* ,act are ea* am5d$ by /rik+ #fe ye>s ( age or old] & #fe ye>s ( age or ov] ea* place x appe>s3 7,a7 ,p>agraphs 7#bj7 & 7#ba7 ( 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 ,report+ & plan requirem5t ,section #aijb7;a77#bj7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#bj77 is am5d$-- 7#a7 9 subp>agraph 7,b71 by /rik+ & at ! end2 & 7#b7 by add+ at ! end ! foll[+ new subp>agraphs3 7,d7 provide = a plan to a*ieve 7& = ! annual submission to ! ,secret>y ( actions tak5 by ! ,/ate1 & progress ) respect to su* actions1 to a*ieve7-- 7i7 increas$ access to outpati5t & community-bas$ behavioral heal? c>e1 ) respect to individuals furni%$ s]vices 9 an in/itution = m5tal diseases1 especially = individuals transition+ f su* an in/itution2 7ii7 increas$ availability ( s]vices made available ?r\gh crisis call c5t]s1 mobile crisis units1 coord9at$ community crisis response t involves law en=cem5t & o!r fir/ respond]s1 obs]vation or assessm5t c5t]s1 & on-go+ community-bas$ s]vices 7su* z int5sive outpati5t s]vices1 ass]tive community treatm5t1 & s]vices 9 integrat$ c>e sett+s su* z ! ,c]tifi$ ,community ,behavioral ,heal? ,cl9ic model7 7su* s]vices ref]r$ to z crisis /abilization s]vices7 = individuals exp]i5c+ a s]i\s m5tal illness 7z su* t]m is def9$ = purposes ( title ,v ( ! ,public ,heal? ,s]vice ,act71 s]i\s emotional di/urbance1 or sub/ance use disord] crisis2 7iii7 improv$ data %>+ & coord9ation betwe5 physical heal?1 m5tal heal?1 & addiction treatm5t provid]s 7includ+ hospitals & community-bas$ behavioral heal? facilities7 & fir/ respond]s to improve heal? outcomes = individuals furni%$ s]vices 9 an in/itution = m5tal diseases1 :o are exp]i5c+ a s]i\s m5tal illness 7z s def9$71 s]i\s emotional di/urbance1 or sub/ance use disord] crisis2 7,e7 provide = ! demon/ration (-- 7i7 ,/ate policies to ensure individuals receiv+ m$ical assi/ance "u ! ,/ate plan :o receive c>e 9 psy*iatric hospitals & resid5tial treatm5t sett+s are consi/5tly scre5$ = co-morbid physical heal? conditions & sub/ance use disord]s prior to or ^u admission1 & t p>ticipat+ facilities h ! capacity to address co-morbid physical heal? conditions dur+ /ays 9 su* psy*iatric hospitals & resid5tial treatm5t sett+s ei!r ?r\gh on-site m$ical s]vices or ext]nal ref]rals & c>e coord9ation2 7ii7 e/abli%$ /rategies ( ! ,/ate = id5tify+ & engag+ individuals1 p>ticul>ly adolesc5ts & "y adults1 exp]i5c+ a s]i\s m5tal illness 7z su* t]m is def9$ = purposes ( title ,v ( ! ,public ,heal? ,s]vice ,act71 s]i\s emotional di/urbance1 or sub/ance use disord] crisis2 & 7iii7 e/abli%$ utilization review policies ( ! ,/ate ,m$icaid ag5cy or ,m$icaid manag$ c>e organizations1 z applicable1 to ensure individuals receiv+ m$ical assi/ance "u ! ,/ate plan receive treatm5t at cl9ically appropriate levels ( c>e & s]vices are g5]ally deliv]$ 9 ! lea/ re/rictive environm5t2 & 7,f7 report to ! ,secret>y 79 a =m & mann] specifi$ by ! ,secret>y71 ) respect to ea* ye> beg9n+ on or aft] ! date ( ! enactm5t ( ?is subp>agraph-- 7i7 9 ! aggregate & by facility type1 co/s & utilization = in/itutions = m5tal diseases & inpati5t psy*iatric hospitals t are n su* in/itutions2 7ii7 ! numb] ( individuals exp]i5c+ a s]i\s m5tal illness 7z su* t]m is def9$ = purposes ( title ,v ( ! ,public ,heal? ,s]vice ,act71 s]i\s emotional di/urbance1 or sub/ance use disord] crisis :o receiv$ m$ical assi/ance "u ! ,/ate plan dur+ ! ye>2 7iii7 ! l5g? ( ! /ay ( ea* su* individual 9 an in/itution = m5tal disease2 & 7iv7 ! type ( outpati5t treatm5t1 includ+ m$ication assi/$ treatm5t1 ea* su* individual receiv$ aft] be+ dis*>g$ f su* in/itution2 4 7c7 ,effective date 7#a7 ,9 g5]al ,subject to p>agraph 7#b71 ! am5dm5ts made by ?is section %all take effect on ! date ( ! enactm5t ( ?is ,act & %all apply to ,/ate plans beg9n+ on su* date4 7#b7 ,exception if ,/ate legislation requir$ ,9 ! case ( a ,/ate plan = m$ical assi/ance "u title ,,xix ( ! ,social ,security ,act :i* ! ,secret>y ( ,heal? & ,human ,s]vices det]m9es requires ,/ate legislation 7o!r ?an legislation appropriat+ funds7 9 ord] = ! plan to meet ! additional requirem5t impos$ by ! am5dm5ts made by ?is section1 ! ,/ate plan %all n be reg>d$ z fail+ to comply ) ! requirem5ts ( su* title solely on ! basis ( its failure to meet ?is additional requirem5t 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