,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #dgde  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #bc1 #bjbe,mr4  
,tonko 7= himself & ,mr4 ,fitzpatrick7  
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to provide a high]      
,f$]al mat*+ rate = increas$ exp5ditures
 "u ,m$icaid = behavioral heal? s]vices 
7includ+ ^? relat$ to m5tal heal? &     
sub/ance use71 & = o!r purposes4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,m$icaid ,bump ,act4  #b4 ,high] ,f$]al 
mat* = increas$ exp5ditures "u ,m$icaid 
= behavioral heal? s]vices  7a7 ,9 g5]al
 ,section #aijc ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acif;b7 is am5d$-- 
7#a7 9 subsection 7a77#e7-- 7,a7 by     
/rik+ an am\nt equal & ins]t+ 7,a7 an   
am\nt equal2 &  7,b7 by add+ at ! end ! 
foll[+3 &  7,b7 subject to subsection   
7b77#f71 an am\nt equal to #ij p]c5t ( !
 am\nt by :i*-- 7i7 ! sum ( ! am\nts    
exp5d$ dur+ su* qu>t] :i* are           

attributable to ! (f]+1 arrang+1 &      
furni%+ 7directly or on a contract      
basis7 "u ! ,/ate plan 7or "u a waiv] ( 
! plan7 ( behavioral heal? s]vices      
7includ+ ^? relat$ to m5tal heal? &     
sub/ance use71 exce$s  7ii7 ! sum ( !   
am\nts exp5d$ dur+ ! correspond+ qu>t] 9
 ! #d-qu>t] p]iod end+ on ,m>* #ca1     
#bjai1 :i* are attributable to ! (f]+1  
arrang+1 & furni%+ 7directly or on a    
contract basis7 "u ! ,/ate plan 7or "u a
 waiv] ( ! plan7 ( su* s]vices1 plus  2 
&  7#b7 9 subsection 7b71 by add+ at !  
end ! foll[+ new p>agraph3  7#f7        
,acc\ntability & ma9t5ance ( ef=t       
requirem5ts = additional f$]al fund+ =  
increas$ exp5ditures = behavioral heal? 
s]vices ,z a condition = receiv+ ! funds
 ! ,secret>y is o!rwise obligat$ to pay 
to a ,/ate "u subsection 7a77#e77;,b71 a
 ,/ate %all meet ! foll[+ requirem5ts3  
7,a7 ,supplem5t1 n supplant ,! ,/ate    
%all use ! funds receiv$ "u su*         
subsection to supplem5t1 n supplant1 !  
level ( ,/ate funds exp5d$ = ! (f]+1    

arrang+1 & furni%+ 7directly or on a    
contract basis7 "u ! ,/ate plan 7or "u a
 waiv] ( ! plan7 ( behavioral heal?     
s]vices 7includ+ ^? relat$ to m5tal     
heal? & sub/ance use7 ?r\gh programs &  
activities 9 effect z ( ,april #a1      
#bjba4  7,b7 ,use ( funds = activities t
 improve deliv]y ( behavioral heal?     
s]vices ,! ,/ate %all use ! funds       
receiv$ "u su* subsection = activities t
 increase ! capacity1 effici5cy1 &      
quality 9 ! provision ( behavioral heal?
 s]vices 7includ+ ^? relat$ to m5tal    
heal? & sub/ance use7 deliv]$ by        
provid]s1 includ+ ?r\gh increases 9     
paym5t rates = provid]s ( ^? s]vices & !
 adoption ( o!r measures t ensure a     
r$uction 9 /aff turnov]4  4  7b7        
,sub-,regulatory guidance ,n lat] ?an   
#ahj days aft] ! date ( enactm5t ( ?is  
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all issue sub-regulatory      
guidance to ,/ates specify+ ! s]vices t 
are behavioral heal? s]vices = purposes 
( subp>agraph 7,b7 ( section            

#aijc7;a77#e7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif;b7a77#e771 z add$ 
by subsection 7a74  7c7 ,effective date 
,! am5dm5ts made by ?is section %all    
apply ) respect to cal5d> qu>t]s beg9n+ 
on or aft] ,janu>y #a ( ! ye> beg9n+ #a 
ye> aft] ! date ( ! enactm5t ( ?is ,act4
  #c4 ,report reg>d+ behavioral heal?   
s]vice ,n lat] ?an #a ye> aft] ! date ( 
enactm5t ( ?is ,act1 & annually !reaft]1
 ! ,secret>y ( ,heal? & ,human ,s]vices 
%all submit to ! ,committee on ,en]gy & 
,comm]ce ( ! ,h\se ( ,repres5tatives & !
 ,committee on ,f9ance ( ! ,s5ate a     
report reg>d+ behavioral heal? s]vices  
7includ+ ^? relat$ to m5tal heal? &     
sub/ance use7 provid$ "u title ,,xix ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif et seq47 9 ea* ,/ate1 specify+ !  
paym5t rates = su* s]vices1 ! rationale 
= d]iv+ su* paym5t rates1 & utilization 
( su* s]vices1 z su* data are available4