,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #hdhg  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bc1 #bjbf,ms4 
,matsui 7= h]self1 ,mr4 ,pflug]1 ,ms4   
,craig1 ,mr4 ,al=d1 ,mr4 ,tonko1 ,mr4   
,fitzpatrick1 & ,mr4 ,goldman ( ,texas7 
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = 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 titles ,,xviii & ,,xix
 ( ! ,social ,security ,act to adju/    
cov]age & paym5t = c]tifi$ community    
behavioral heal? cl9ic s]vices "u !     
,m$ic>e & ,m$icaid programs1 & = o!r    
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,ensur+ ,excell5ce 9 ,m5tal
 ,heal? ,act4  #b4 ,table ( cont5ts ,!  
table ( cont5ts = ?is ,act is z foll[s3 
,sec4 #a4 ,%ort title4 ,sec4 #b4 ,table 
( cont5ts4 ,title ,i--,/r5g!n+ & provid+
 co/-relat$ paym5t = c]tifi$ community  

behavioral heal? cl9ics "u ! ,m$icaid   
program ,sec4 #aja4 ,coord9ation (      
,m$icaid c]tifi$ community behavioral   
heal? cl9ic s]vices ) ,,ccbhc op]at+    
grant program2 ,,ccbhc accr$itation     
option4 ,sec4 #ajb4 ,e/abli%+ a         
prospective paym5t sy/em = c]tifi$      
community behavioral heal? cl9ics4 ,sec4
 #ajc4 ,exp&+ ,,ccbhc s]vices )9        
,m$icaid demon/ration program4 ,sec4    
#ajd4 ,exp&+ scope ( ,,ccbhc s]vices    
cov]$ "u ! ,m$icaid program4 ,title     
,,ii--,cov]age ( c]tifi$ community      
behavioral heal? cl9ic s]vices "u !     
,m$ic>e program ,sec4 #bja4 ,cov]age (  
c]tifi$ community behavioral heal? cl9ic
 s]vices "u ! m$ic>e program4 ,sec4     
#bjb4 ,paym5t = c]tifi$ community       
behavioral heal? cl9ic s]vices "u !     
m$ic>e program4 ,sec4 #bjc4             
,non-application ( ,m$ic>e "p ,b        
d$uctible = ,,ccbhc s]vices4 ,sec4 #bjd4
 ,"r to seek review ( co/ reports f     
,provid] ,reimbursem5t ,review ,bo>d4   
,sec4 #bje4 ,ext5d+ safe h>bor "u       

,anti-,kickback ,/atute to waiv]s (     
,,ccbhc co9surance4 ,sec4 #bjf4         
,effective date4 ,title                 
,,iii--,community behavioral heal? cl9ic
 grants ,sec4 #cja4 ,op]at+ grants1     
te*nical assi/ance1 data infra/ructure1 
& accr$itation = community behavioral   
heal? cl9ics4 ,title ,,iv--,liability   
protection = c]tifi$ community          
behavioral heal? cl9ic cl9icians ,sec4  
#dja4 ,conf]r+ protection "u ! ,f$]al   
,tort ,claims ,act to cl9icians 9       
c]tifi$ community behavioral heal?      
cl9ics4  ,i ,/r5g!n+ & provid+          
co/-relat$ paym5t = c]tifi$ community   
behavioral heal? cl9ics "u ! ,m$icaid   
program  #aja4 ,coord9ation ( ,m$icaid  
c]tifi$ community behavioral heal? cl9ic
 s]vices ) ,,ccbhc op]at+ grant program2
 ,,ccbhc accr$itation option ,section   
#aije7;jj77#b7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;d7jj77#b77 is 
am5d$-- 7#a7 9 subp>agraph 7,b7--  7,a7 
by ins]t+ 7or provid+ or ref]r+ ?r\gh   
=mal relation%ips1 z applicable7 aft]   

furni%+2  7,b7 by /rik+ describ$ 9      
p>agraph 7#a7 & ins]t+ describ$ 9       
p>agraph 7#a77;,b72 &  7,c7 by /rik+ &  
at ! end2  7#b7 9 subp>agraph 7,c71 by  
/rik+ ! p]iod at ! end & ins]t+ 1 &     
includ+ any su* data z ! ,/ate1 by      
agreem5t ) ! ,secret>y1 %all access via 
! sy/em describ$ 9 section #cdj;,j-#c ( 
! ,public ,heal? ,s]vice ,act2 &2 &     
7#c7 by add+ at ! end ! foll[+ new      
subp>agraph3  7,d7 beg9n+ ,janu>y #a1   
#bjbf1 at ! option ( ! ,/ate1 has       
receiv$ accr$itation by an accr$itation 
body approv$ "u section #cdj;,j-#d ( !  
,public ,heal? ,s]vice ,act4  4  #ajb4  
,e/abli%+ a prospective paym5t sy/em =  
c]tifi$ community behavioral heal?      
cl9ics  7a7 ,9 g5]al ,section #aijb ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7 is am5d$ by add+ at ! end !    
foll[+ new subsection3  7yy7 ,paym5t =  
s]vices provid$ by c]tifi$ community    
behavioral heal? cl9ics  7#a7 ,9 g5]al  
,beg9n+ ) fiscal ye> #bjbf ) respect to 
s]vices furni%$ on or aft] ,janu>y #a1  

#bjbf1 & = ea* succe$+ fiscal ye>1 if a 
,/ate elects to make m$ical assi/ance   
available = c]tifi$ community behavioral
 heal? cl9ic s]vices "u section         
#aije7;a77#ca71 ! ,/ate plan %all       
provide = paym5t = su* s]vices furni%$  
by 7or "u arrangem5t )7 a c]tifi$       
community behavioral heal? cl9ic        
describ$ 9 section #aije7;jj77#b7 79 ?is
 subsection ref]r$ to z a cl9ic7 9      
accordance ) ! provisions ( ?is         
subsection4  7#b7 ,prospective paym5t   
sy/em  7,a7 ,9 g5]al ,subject to        
p>agraph 7#d71 a ,/ate %all provide =   
paym5t = c]tifi$ community behavioral   
heal? cl9ic s]vices furni%$ by 7or "u   
arrangem5t )7 a cl9ic 9 ! fir/ fiscal   
ye> 7or portion ( a fiscal ye>7 describ$
 9 p>agraph 7#a7 = :i* a ,/ate elects to
 provide m$ical assi/ance = su* s]vices 
"u section #aije7;a77#ca7 "u a          
prospective paym5t sy/em develop$ by !  
,/ate 9 accordance ) ?is p>agraph4  7,b7
 ,unit ( paym5t ,9 e/abli%+ ! sy/em "u  
subp>agraph 7,a71 ! ,/ate %all apply z !

 unit ( s]vice--  7i7 daily visits2 or  
7ii7 mon?ly visits 7exclud+ repeat      
visits f ! same individual74  7,c7      
,sy/em design ,"u ! sy/em "u subp>agraph
 7,a71 ! ,/ate may1 consi/5t ) !        
me?odology describ$ 9 guidance issu$ "u 
section #bbc7;b7 ( ! ,protect+ ,access  
to ,m$ic>e ,act ( #bjad-- 7i7 e/abli%   
sep>ate prospective paym5t sy/em rates =
 special populations2  7ii7 use a sy/em 
( outli] paym5ts = a portion ( co/s (   
furni%+ c]tifi$ community behavioral    
heal? cl9ic s]vices2 or  7iii7 ) respect
 to c]tifi$ community behavioral heal?  
cl9ic s]vices t are crisis s]vices--    
7,i7 require t ea* co/ report ( a cl9ic 
segregate co/s relat+ to mobile crisis  
teams1 em]g5cy crisis int]v5tion        
s]vices1 or crisis /abilization f o!r   
compon5ts ( ! s]vices describ$ 9 section
 #aije7;a77#ca72 &  7,,ii7 provide = a  
prospective paym5t sy/em rate = any or  
all ( su* crisis s]vices t is di/9ct f !
 rate encompass+ ! rema9d] ( ! s]vices  
describ$ 9 section #aije7;a77#ca74  7,d7

 ,paym5t basis ,subject to subp>agraph  
7,e71 ! ,/ate %all provide = computation
 ( a prospective paym5t am\nt = an      
individual c]tifi$ community behavioral 
heal? cl9ic "u ! sy/em "u subp>agraph   
7,a7 z foll[s3 7i7 ,= ! fir/ fiscal ye> 
7or portion ( a fiscal ye>7 = :i* a     
,/ate elects to provide m$ical assi/ance
 = su* s]vices "u section               
#aije7;a77#ca71 su* am\nt--  7,i7 9 !   
case ( a ,/ate t did n op]ate a         
demon/ration program "u section #bbc ( !
 ,protect+ ,access to ,m$ic>e ,act (    
#bjad dur+ a base ye> correspond+ to !  
fiscal ye> imm$iately prec$+ su* fir/   
fiscal ye> 7or portion ( a fiscal ye>71 
%all be equal to #ajj p]c5t ( ! co/s ( !
 cl9ic :i* are reasonable & relat$ to ! 
furni%+ ( su* s]vices dur+ su* base ye>2
 &  7,,ii7 9 ! case ( a ,/ate t did     
op]ate a demon/ration program "u section
 #bbc ( ! ,protect+ ,access to ,m$ic>e  
,act ( #bjad dur+ su* base ye>1 %all be 
equal to1 at ! option ( ! ,/ate--  7aa7 
! am\nt describ$ 9 subclause 7,i72 or   

7bb7 ! am\nt t w\ld h o!rwise appli$ )  
respect to su* s]vices "u su*           
demon/ration4  7ii7 ,= ea* subsequ5t    
fiscal ye> = :i* a ,/ate elects to      
provide m$ical assi/ance = su* s]vices  
"u section #aije7;a77#ca71 su* am\nt    
%all be1 subject to subp>agraph 7,f71 ! 
am\nt calculat$ "u ?is subp>agraph = !  
prec$+ fiscal ye>-- 7,i7 increas$ by !  
p]c5tage increase describ$ 9 section    
#ahcd7;aa77#c77;,c7 = ! cal5d> ye> 9 :i*
 su* prec$+ fiscal ye> began2 &  7,,ii7 
adju/$ to take into acc\nt any increase 
or decrease 9 ! scope ( su* s]vices     
furni%$ by ! cl9ic dur+ ! fiscal ye>    
involv$4  7,e7 ,e/abli%m5t ( initial    
fiscal ye> paym5t = new cl9ics ,=       
purposes ( subp>agraph 7,d7--  7i7 9 !  
case ( a c]tifi$ community behavioral   
heal? cl9ic t does n h available        
complete actual co/ data repres5t+ !    
provision ( all c]tifi$ community       
behavioral heal? cl9ic s]vices provid$ 9
 ! base ye> describ$ 9 clause 7i77,i7 ( 
su* subp>agraph1 ! ,/ate may use e/imat$

 or project$ data relat+ to specific    
s]vices = :i* ! cl9ics lack co/         
exp]i5ce2 &  7ii7 9 ! case ( an entity t
 fir/ enrolls "u ?is title z a c]tifi$  
community behavioral heal? cl9ic 9 a ye>
 aft] ! fir/ fiscal ye> 9 :i* ! ,/ate   
fir/ provides = paym5t = ! s]vices      
describ$ 9 section #aije7;a77#ca7 9     
accordance ) p>agraph 7#a7--  7,i7 = !  
fir/ fiscal ye> 9 :i* ! cl9ic furni%es  
su* s]vices1 ! am\nt det]m9$ by ! ,/ate 
= su* cl9ic %all be-- 7aa7 det]m9$ on ! 
basis ( ! am\nts e/abli%$ "u ?is        
p>agraph = o!r su* cl9ics locat$ 9 !    
same or adjac5t area 7z def9$ by !      
,secret>y7 ) a simil> case load2 or     
7bb7 9 ! abs5ce ( any su* cl9ic1 bas$ on
 ! reasonable project$ co/s p] visit ( !
 cl9ic2  7,,ii7 = ! second fiscal ye> 9 
:i* ! cl9ic furni%es su* s]vices1 !     
am\nt det]m9$ by ! ,/ate = su* cl9ic    
%all be det]m9$ "u clause 7i77,i7 ( su* 
subp>agraph on ! basis ( ! reasonable & 
relat$ co/s & visits f ! cl9ic's fir/   
fiscal ye> ( op]ation2 &  7,,iii7 = !   

?ird & ea* subsequ5t fiscal ye> 9 :i* ! 
cl9ic furni%es su* s]vices1 ! am\nt     
det]m9$ by ! ,/ate = su* cl9ic %all be  
det]m9$ "u clause 7ii7 ( su*            
subp>agraph4  7,f7 ,rebas+ ,a ,/ate may 
p]iodically 7b no less frequ5tly ?an e  
?ird fiscal ye> aft] ! fir/ fiscal ye>  
describ$ 9 subp>agraph 7,d77 rebase !   
prospective paym5t am\nt det]m9$ "u     
subp>agraph 7,d7 su* t co/s f ! fiscal  
ye> prec$+ ! rebas+ ye>1 r ?an co/s f ! 
base ye> describ$ 9 clause 7i77,i7 ( su*
 subp>agraph1 %all be us$ 9 e/abli%+ a  
new co/-relat$ rate = ea* cl9ic4 ,su*   
rebas+ %all include ^? cl9ics ) initial 
rates det]m9$ "u subp>agraph 7,e74  7#c7
 ,adm9i/ration 9 ! case ( manag$ c>e    
7,a7 ,9 g5]al ,9 ! case ( s]vices       
furni%$ by a c]tifi$ community          
behavioral heal? cl9ic pursuant to a    
contract betwe5 ! cl9ic & a manag$ c>e  
entity 7z def9$ 9 section               
#aicb7;a77#a77;,b77 or o!r specifi$     
entity 7z def9$ 9                       
#aijc7m77#i77;,d77iii771 ! ,/ate %all   

provide = paym5t to ! cl9ic by ! ,/ate (
 a supplem5tal paym5t equal to ! am\nt  
7if any7 by :i* ! am\nt det]m9$ "u !    
prec$+ p>agraphs ( ?is subsection 7or   
p>agraph 7#d71 z applicable7 exce$s !   
am\nt ( paym5ts provid$ "u ! contract4  
,su* supplem5tal paym5t %all be made    
pursuant to a paym5t s*$ule agre$ to by 
! ,/ate & ! cl9ic1 b 9 no case less     
frequ5tly ?an e #d mon?s4  7,b7 ,option 
to delegate ,,pps paym5t to manag$ c>e  
entities ?r\gh an alt]native paym5t     
me?odology ,not)/&+ subp>agraph 7,a71   
no?+ 9 ?is subsection %all be int]pret$ 
to preclude a ,/ate f am5d+ its ,/ate   
plan to provide = an alt]native paym5t  
me?odology "u p>agraph 7#d71 "u :i* !   
,/ate may delegate to a manag$ c>e      
entity1 z def9$ 9 section               
#aicb7;a77#a77;,b71 ! responsibility to 
pay ! cl9ic at lea/ ! rate det]m9$ "u ! 
prec$+ subp>agraphs 7or p>agraph 7#d71 z
 applicable71 provid$ t ! ,/ate %all    
meet all requirem5ts describ$ 9 p>agraph
 7#d71 & %all use ov]sight processes to 

ensure t ea* cl9ic is paid at lea/ !    
am\nts requir$ "u ! prec$+ p>agraphs (  
?is subsection4  7#d7 ,alt]native paym5t
 me?odologies ,not)/&+ any o!r provision
 ( ?is subsection1 ! ,/ate plan may     
provide = paym5t 9 any fiscal ye> to a  
c]tifi$ community behavioral heal? cl9ic
 = s]vices describ$ 9 p>agraph 7#ca7 (  
section #aije7;a7 9 an am\nt :i* is     
det]m9$ "u an alt]native paym5t         
me?odology t-- 7,a7 is agre$ to by !    
,/ate & ! cl9ic2 &  7,b7 results 9      
paym5t to ! cl9ic ( an am\nt :i* is n   
less ?an ! am\nt o!rwise requir$ to be  
paid to ! cl9ic "u ?is subsection4  4   
7b7 ,requirem5t ,to use prospective     
paym5t sy/em "u b5*m>k or b5*m>k        
equival5t cov]age ,section #aicg7;b77#d7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acifu-#g7;b77#d77 is am5d$-- 
7#a7 9 ! p>agraph head+1 by ins]t+ 2    
cov]age ( ,,ccbhc s]vices aft] ,,fqhc   
s]vices2  7#b7 by r$esignat+            
subp>agraphs 7,a7 & 7,b7 z clauses 7i7 &
 7ii71 respectively1 & adju/+ ! m>g9s   

accord+ly2  7#c7 by /rik+ ?is section1 a
 ,/ate & ins]t+3 ?is section--  7,a7 a  
,/ate  2 &  7#d7 by add+ at ! end !     
foll[+ new subp>agraph3  7,b7 9 ! case t
 a ,/ate provides = m$ical assi/ance =  
c]tifi$ community behavioral heal? cl9ic
 s]vices 7z def9$ 9 section             
#aije7;jj77#a77 ?r\gh enrollm5t ( an    
individual ) b5*m>k cov]age or b5*m>k   
equival5t cov]age "u ?is section1 paym5t
 = su* s]vices %all be made 9 accordance
 ) ! requirem5ts ( section #aijb7yy74  4
  #ajc4 ,exp&+ ,,ccbhc s]vices )9       
,m$icaid demon/ration program  7a7      
,additional s]vices )9 demon/ration     
program ,section #bbc ( ! ,protect+     
,access to ,m$ic>e ,act ( #bjad 7#db    
,u4,s4,c4 #acif;a note7 is am5d$-- 7#a7 
9 section 7a77#b77;,d7--  7,a7 by       
r$esignat+ clauses 7i7 ?r\gh 7ix7 z     
subclauses 7,i7 ?r\gh 7,,ix71           
respectively1 & adju/+ ! m>g9s          
accord+ly2  7,b7 by /rik+ ,provision &  
all t foll[s ?r\gh relation%ips ) o!r   
provid]s3 & ins]t+3  7i7 ,9 g5]al       

,provision 79 a mann] reflect+          
p]son-c5t]$ c>e7 (-- 7,i7 ! requir$     
,,ccbhc s]vices 7z def9$ 9 clause 7ii772
 &  7,,ii7 ! additional ,,ccbhc s]vices 
7z def9$ 9 clause 7iii774  7ii7 ,requir$
 ,,ccbhc s]vices ,= purposes ( clause   
7i71 ! t]m requir$ ,,ccbhc s]vices means
 any ( ! foll[+ s]vices :i*1 if n       
available directly ?r\gh ! c]tifi$      
community behavioral heal? cl9ic1 are   
provid$ or ref]r$ ?r\gh =mal            
relation%ips ) o!r provid]s3  2 &  7,c7 
by add+ at ! end ! foll[+ new clause3   
7iii7 ,additional ,,ccbhc s]vices ,=    
purposes ( clause 7i71 ! t]m additional 
,,ccbhc s]vices means s]vices available 
directly ?r\gh ! c]tifi$ community      
behavioral heal? cl9ic--  7,i7 t are n  
requir$ ,,ccbhc s]vices 7z def9$ 9      
clause 7ii772  7,,ii7 t are appropriate 
to meet ! heal? ne$s ( ! population     
s]v$2 &  7,,iii7 :i* may include any ( !
 prim>y heal? s]vices def9$ 9 section   
#ccj 7b77#a77;,a7 ( ! ,public ,heal?    
,s]vice ,act4  2  7#b7 9 subsection     

7b77#a71 by /rik+ m5tal heal? s]vices & 
ins]t+ c]tifi$ community behavioral     
heal? cl9ic s]vices2 &  7#c7 9          
subsection 7e7-- 7,a7 by r$esignat+     
p>agraphs 7#a7 ?r\gh 7#d7 z p>agraphs   
7#b7 ?r\gh 7#e71 respectively2 &  7,b7  
by ins]t+ be=e p>agraph 7#b71 z s       
r$esignat$1 ! foll[+ new p>agraph3  7#a7
 ,c]tifi$ community behavioral heal?    
cl9ic s]vices ,! t]m c]tifi$ community  
behavioral heal? cl9ic s]vices means--  
7,a7 requir$ ,,ccbhc s]vices 7z def9$ 9 
subsection 7a77#b77;,d77ii772 &  7,b7   
additional ,,ccbhc s]vices 7z def9$ 9   
subsection 7a77#b77;,d77iii771 to !     
ext5t t a c]tifi$ community behavioral  
heal? cl9ic elects to furni% any su*    
s]vices4  4  7b7 ,effective date ,!     
am5dm5ts made by ?is section %all apply 
) respect to s]vices furni%$ on or aft] 
,octob] #a1 #bjbf4  #ajd4 ,exp&+ scope (
 ,,ccbhc s]vices cov]$ "u ! ,m$icaid    
program  7a7 ,additional s]vices )9     
,,ccbhc b5efit ,section #aije7;jj7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   

#acif;d7jj77 is am5d$--  7#a7 9 !       
subsection head+1 by ins]t+ 2 c]tifi$   
community behavioral heal? cl9ic aft]   
,c]tifi$ community behavioral heal?     
cl9ic s]vices2 &  7#b7 9 p>agraph 7#a7--
 7,a7 9 ! p>agraph head+1 by /rik+ ,9   
g5]al & ins]t+ ,c]tifi$ community       
behavioral heal? cl9ic s]vices2  7,b7 by
 r$esignat+ subp>agraphs 7,a7 ?r\gh 7,i7
 z clauses 7i7 ?r\gh 7ix71 respectively1
 & adju/+ ! m>g9s accord+ly2  7,c7 by   
/rik+ ,! t]m & all t foll[s ?r\gh       
relation%ips ) o!r provid]s3 & ins]t+3  
7,a7 ,9 g5]al ,! t]m c]tifi$ community  
behavioral heal? cl9ic s]vices means--  
7i7 ! requir$ ,,ccbhc s]vices 7z def9$ 9
 subp>agraph 7,b772 &  7ii7 ! additional
 ,,ccbhc s]vices 7z def9$ 9 subp>agraph 
7,c774  7,b7 ,requir$ ,,ccbhc s]vices ,=
 purposes ( subp>agraph 7,a71 ! t]m     
requir$ ,,ccbhc s]vices means any ( !   
foll[+ s]vices :5 furni%$ to an         
individual z a pati5t ( a c]tifi$       
community behavioral heal? cl9ic 7z     
def9$ 9 p>agraph 7#b771 9 a mann]       

reflect+ p]son-c5t]$ c>e & :i*1 if n    
available directly ?r\gh a c]tifi$      
community behavioral heal? cl9ic1 may be
 provid$ or ref]r$ ?r\gh =mal           
relation%ips ) o!r provid]s3  2 &  7,d7 
by add+ at ! end ! foll[+ new           
subp>agraph3  7,c7 ,additional ,,ccbhc  
s]vices ,= purposes ( subp>agraph 7,a71 
! t]m additional ,,ccbhc s]vices means  
s]vices furni%$ to an individual z a    
pati5t ( a c]tifi$ community behavioral 
heal? cl9ic 7z def9$ 9 p>agraph 7#b771 9
 a mann] reflect+ p]son-c5t]$ c>e--  7i7
 t are n requir$ ,,ccbhc s]vices "u     
subp>agraph 7,b72  7ii7 t are           
appropriate to meet ! heal? ne$s ( !    
population s]v$2 &  7iii7 :i* may       
include any ( ! prim>y heal? s]vices    
def9$ 9 section #ccj7;b77#a7 ( ! ,public
 ,heal? ,s]vice ,act4  4  7b7 ,effective
 date ,! am5dm5ts made by ?is section   
%all apply ) respect to s]vices furni%$ 
on or aft] ,octob] #a1 #bjbf4  ,,ii     
,cov]age ( c]tifi$ community behavioral 
heal? cl9ic s]vices "u ! ,m$ic>e program

  #bja4 ,cov]age ( c]tifi$ community    
behavioral heal? cl9ic s]vices "u !     
m$ic>e program  7a7 ,cov]age ,section   
#ahfa7s77#b7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$--
 7#a7 9 subp>agraph 7,,jj71 by add+ & at
 ! end2 &  7#b7 by add+ at ! end !      
foll[+ new subp>agraph3  7,,kk7 c]tifi$ 
community behavioral heal? cl9ic s]vices
 7z def9$ 9 subsection 7aa77#h77 furni%$
 on or aft] ,janu>y #a1 #bjbg4  4  7b7  
,def9itions ,section #ahfa7;aa7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7 is am5d$-- 7#a7 9 ! head+1 by   
/rik+ & ,f$]ally ,qualifi$ ,heal? ,c5t] 
,s]vices & ins]t+ 1 ,f$]ally qualifi$   
heal? c5t] s]vices1 & c]tifi$ community 
behavioral heal? cl9ic s]vices2 &  7#b7 
by add+ at ! end ! foll[+ new p>agraph3 
7#h7 ,! t]ms c]tifi$ community          
behavioral heal? cl9ic s]vices & c]tifi$
 community behavioral heal? cl9ic h !   
mean+ giv5 ea* su* t]m 9 section        
#aije7;jj74  4  #bjb4 ,paym5t = c]tifi$ 
community behavioral heal? cl9ic s]vices

 "u ! m$ic>e program  7a7 ,9 g5]al      
,section #ahcc7;a77#a7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#aciel7a77#a77 is am5d$-- 7#a7 by /rik+ 
& 7,,hh7 & ins]t+ 7,,hh72 &  7#b7 by    
ins]t+ be=e ! semicolon at ! end !      
foll[+3 1 & 7,,ii7 ) respect to c]tifi$ 
community behavioral heal? cl9ic s]vices
 7z def9$ 9 section #ahfa7;aa77#h771 !  
am\nts paid %all be equal to #hj p]c5t (
 ! less] ( ! actual *>ge or ! am\nt     
det]m9$ "u section #ahcd7;aa74  7b7     
,developm5t & implem5tation (           
prospective paym5t sy/em ,section #ahcd 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #aciem7 is am5d$ by add+ at ! 
end ! foll[+ new subsection3  7aa7      
,developm5t & implem5tation (           
prospective paym5t sy/em = c]tifi$      
community behavioral heal? cl9ics  7#a7 
,9 g5]al ,! ,secret>y %all develop a    
prospective paym5t sy/em = paym5t to    
c]tifi$ community behavioral heal? cl9ic
 s]vices 7z def9$ 9 section             
#ahfa7;aa77#h77 furni%$ by c]tifi$      

community behavioral heal? cl9ics 7z    
def9$ 9 su* section7 "u ?is title4 ,9   
e/abli%+ su* sy/em1 ! ,secret>y-- 7,a7  
%all take into acc\nt ! type1 int5sity1 
& duration ( s]vices furni%$ by c]tifi$ 
community behavioral heal? cl9ics2 &    
7,b7 may incorporate su* adju/m5ts1     
includ+ geographic adju/m5ts1 z !       
,secret>y det]m9es appropriate4  7#b7   
,unit ( paym5t ,9 e/abli%+ a prospective
 paym5t am\nt "u ! sy/em "u ?is         
subsection1 ! ,secret>y %all consid] an 
appropriate unit ( s]vice & a g5]al     
sy/em design t provides = cont9u$ access
 to quality s]vices4  7#c7 ,paym5t basis
 ,"u ! sy/em "u ?is subsection1 !       
,secret>y %all provide = computation ( a
 prospective paym5t am\nt = s]vices     
furni%$ dur+ a ye> z foll[s3 7,a7 ,=    
#bjbg1 su* am\nt %all be bas$ on !      
av]age co/s ( su* cl9ics :i* are        
reasonable 7z det]m9$ )\t ! application 
( a p] visit paym5t limit or            
productivity scre5 & prior to !         
application ( section                   

#ahff7;a77#b77;,a77ii77 & relat$ to !   
furni%+ ( ! s]vices describ$ 9 section  
#aije7;jj77#a77;,b71 z det]m9$ on !     
basis ( ! mo/ curr5t audit$ co/ report  
data = #b consecutive fiscal ye>s       
available to ! ,secret>y4 ,9 ! abs5ce ( 
complete actual co/ data repres5t+ !    
provision ( su* s]vices dur+ ! relevant 
fiscal ye>s1 c]tifi$ community          
behavioral heal? cl9ics may1 at !       
,secret>y's discretion1 submit e/imat$  
or project$ data relat+ to specific     
s]vices4  7,b7 ,= #bjbh1 su* am\nt %all 
be equal to ! am\nt det]m9$ "u          
subp>agraph 7,a71 increas$ by ! p]c5tage
 increase 9 ! ,,mei 7z def9$ 9 section  
#ahdb7;i77#c77 = ! ye> involv$4  7,c7 ,=
 #bjbi & ea* subsequ5t ye>1 su* am\nt   
%all be equal to ! am\nt det]m9$ "u ?is 
p>agraph = ! prec$+ ye>1 increas$ by !  
p]c5tage increase 9 a m>ket basket (    
c]tifi$ community behavioral heal? cl9ic
 s]vices design$ by ! ,secret>y 7or1 if 
su* an index is n available1 by !       
p]c5tage increase 9 ! f$]ally-qualifi$  

heal? c5t] m>ket basket 7z describ$ 9   
section #ahcd7o77#b77;,b77ii77,,ii777 = 
! ye> involv$4  7#d7 ,p]iodic           
reevaluation ( rates ,! ,secret>y may1 f
 "t to "t1 adju/ ! am\nts t w\ld o!rwise
 be applicable "u p>agraph 7#c7 = a ye> 
by a p]c5tage det]m9$ appropriate by !  
,secret>y to reflect su* factors z      
*anges 9 ! int5sity ( s]vices furni%$ )9
 a unit ( s]vice1 ! av]age co/ ( provid+
 c>e p] unit ( s]vice1 & o!r factors t !
 ,secret>y consid]s to be relevant4 ,su*
 adju/m5t %all be made be=e ! update "u 
p>agraph 7#b77;,c7 has be5 appli$ = !   
ye>4  4  #bjc4 ,non-application (       
,m$ic>e "p ,b d$uctible = ,,ccbhc       
s]vices ,section #ahcc7;b77#d7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciel7b77#d77 is am5d$ by ins]t+ or    
c]tifi$ community behavioral heal? cl9ic
 s]vices aft] su* d$uctible %all n apply
 to ,f$]ally qualifi$ heal? c5t]        
s]vices4  #bjd4 ,"r to seek review ( co/
 reports f ,provid] ,reimbursem5t       
,review ,bo>d ,section #ahgh7;j7 ( !    

,social ,security ,act 7#db ,u4,s4,c4   
#acieoo7j77 is am5d$ by /rik+ & a       
,f$]ally qualifi$ heal? c5t] & ins]t+ 1 
a ,f$]ally qualifi$ heal? c5t]1 & a     
c]tifi$ community behavioral heal?      
cl9ic4  #bje4 ,ext5d+ safe h>bor "u     
,anti-,kickback ,/atute to waiv]s (     
,,ccbhc co9surance ,section             
#aabh;,b7b77#c77;,d7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acbj;a-#g;b7b77#c77;,d77 is am5d$ by   
ins]t+ or a c]tifi$ community behavioral
 heal? cl9ic aft] ,f$]ally qualifi$     
heal? c>e c5t]4  #bjf4 ,effective date  
,! am5dm5ts made by ?is title %all apply
 ) respect to s]vices furni%$ on or aft]
 ,janu>y #a1 #bjbf4  ,,iii ,community   
behavioral heal? cl9ic grants  #cja4    
,op]at+ grants1 te*nical assi/ance1 data
 infra/ructure1 & accr$itation =        
community behavioral heal? cl9ics ,"p ,d
 ( title ,,iii ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4 #bed;b et   
seq47 is am5d$ by add+ at ! end ! foll[+
 new subp>t3  ,,xiii ,community         

behavioral heal? cl9ics  #cdj;,j4       
,def9itions ,9 ?is subp>t3 7#a7 ,c]tifi$
 community behavioral heal? cl9ic ,! t]m
 c]tifi$ community behavioral heal?     
cl9ic has ! mean+ giv5 su* t]m 9 section
 #aije7;jj77#b7 ( ! ,social ,security   
,act4  7#b7 ,c]tifi$ community          
behavioral heal? cl9ic s]vices ,! t]m   
c]tifi$ community behavioral heal? cl9ic
 s]vices has ! mean+ giv5 su* t]m 9     
section #aije7;jj77#a7 ( ! ,social      
,security ,act4  #cdj;,j-#a4 ,op]at+    
grants = community behavioral heal?     
cl9ics  7a7 ,9 g5]al ,! ,secret>y %all  
e/abli% a grant program "u :i* !        
,secret>y %all aw>d grants to eligible  
community behavioral heal? cl9ics to    
provide 79 a mann] reflect+ p]son-c5t]$ 
c>e7 c]tifi$ community behavioral heal? 
cl9ic s]vices t are requir$ ,,ccbhc     
s]vices 7z def9$ 9 section              
#aije7;jj77#a77;,b7 ( ! ,social         
,security ,act74  7b7 ,eligibility2     
selection  7#a7 ,eligibility ,an entity 
is eligible to receive a grant "u       

subsection 7a7 if su* entity is-- 7,a7 a
 c]tifi$ community behavioral heal?     
cl9ic2 or  7,b7 a community behavioral  
heal? cl9ic t indicates 9 ! grant       
application t ! cl9ic w use ! grant     
funds to meet ! crit]ia e/abli%$ by !   
,secret>y "u section #bbc7;a7 ( !       
,protect+ ,access to ,m$ic>e ,act (     
#bjad z ( ,m>* #bjbc1 & any subsequ5t   
updates to su* crit]ia4  7#b7 ,selection
 ,9 select+ eligible entities to receive
 a grant "u subsection 7a71 !           
,secret>y--  7,a7 may elect to impose z 
a condition = ! receipt ( a grant "u ?is
 section t ! entity be accr$it$1 p]     
section #cdj;,j-#d7;a72  7,b7 may aw>d a
 grant to an entity describ$ 9 p>agraph 
7#a77;,b7 t specializes 9 provid+       
s]vices to *ildr51 y\?1 or vet]ans1 if  
su* entity demon/rates to ! satisfaction
 ( ! ,secret>y t ! entity c ensure      
access to c>e = all individuals 9 !     
relevant community s]v$ by ! entity     
?r\gh ref]ral or o!r =mal arrangem5ts ) 
o!r provid]s ( s]vices2 &  7,c7 may     

e/abli% additional conditions = !       
receipt ( a grant "u ?is section to--   
7i7 ensure improv$ geographic           
di/ribution ( community behavioral heal?
 cl9ics2  7ii7 prioritize ! aw>d+ (     
grants to eligible entities t s]ve      
communities ) elevat$ behavioral heal?  
ne$s2  7iii7 prioritize eligible        
entities t are prep>$ to (f] all requir$
 ,,ccbhc s]vices 7z def9$ 9 section     
#aije7;jj77#a77;,b7 ( ! ,social         
,security ,act72 &  7iv7 ensure         
consi/5cy 9 plann+ ) ,/ate ,,ccbhc      
programs4  7c7 ,use ( funds ,an eligible
 entity t receives a grant "u subsection
 7a7--  7#a7 %all use ! grant funds--   
7,a7 to provide c]tifi$ community       
behavioral heal? cl9ic s]vices2 &  7,b7 
9 ! case ( an entity describ$ 9         
subp>agraph 7,b7 ( subsection 7b77#a71  
to meet ! crit]ia describ$ 9 su*        
subp>agraph2 &  7#b7 may use ! grant    
funds--  7,a7 to c>ry out o!r activities
 t-- 7i7 r$uce co/s associat$ ) !       
provision ( c]tifi$ community behavioral

 heal? cl9ic s]vices2  7ii7 improve     
access to1 & availability (1 c]tifi$    
community behavioral heal? cl9ic s]vices
 provid$ to individuals 9 ! relevant    
community s]v$ by ! community behavioral
 heal? cl9ic2  7iii7 enhance ! quality &
 coord9ation ( c]tifi$ community        
behavioral heal? cl9ic s]vices2 or  7iv7
 o!rwise improve ! heal? /atus (        
communities2 &  7,b7 to pay =--  7i7 !  
co/s ( acquir+ & leas+ build+s &        
equipm5t 7includ+ ! co/s ( amortiz+ !   
pr9cipal (1 & pay+ int]e/ on1 loans72   
7ii7 co/s relat+ to ! pur*ase or lease (
 equipm5t1 includ+ data & in=mation     
sy/ems & behavioral heal? in=mation     
te*nology to facilitate data report+ &  
o!r purposes2  7iii7 ! co/s ( 9-s]vice  
/aff tra9+ & o!r op]ational or          
infra/ructure co/s z ! ,secret>y        
det]m9es appropriate2 or  7iv7 co/s     
associat$ ) exp&+ & mod]niz+ exi/+      
build+s or con/ruct+ new build+s        
7includ+ ! co/s ( amortiz+ ! pr9cipal (1
 & pay+ ! int]e/ on1 loans71 if su* co/s

 are specifically all[$ = 9 ! grant     
opportunity publi%$ by ! ,secret>y4  7d7
 ,use ( nongrant funds ,am\nts describ$ 
9 subsection 7g77#a77;,b71 includ+ any  
su* funds 9 excess ( ^? e/imat$ "u su*  
subsection1 %all be us$ z p]mitt$ "u ?is
 section1 & may be us$ = su* o!r        
purposes z are n specifically prohibit$ 
"u ?is section if su* use fur!rs !      
objectives ( ! grant4  7e7 ,t]m ,grants 
aw>d$ "u subsection 7a7 %all be = a     
p]iod ( n m ?an #e ye>s4  7f7 ,condition
 on receipt ( funds ,! ,secret>y may n  
aw>d a grant to an eligible entity "u   
subsection 7a7 unless ! entity provides 
assurances to ! ,secret>y t1 n lat] ?an 
#abj days aft] receiv+ notice t ! entity
 has be5 select$ "u subsection 7b77#b7  
to receive a grant1 ! entity w submit to
 ! ,secret>y = approval an implem5tation
 plan t describes h[ ! entity w-- 7#a7  
provide c]tifi$ community behavioral    
heal? cl9ic s]vices2 &  7#b7 9 ! case ( 
an entity describ$ 9 subp>agraph 7,b7 ( 
subsection 7b77#a71 to meet ! crit]ia   

describ$ 9 su* subp>agraph4  7g7 ,am\nt 
( grant  7#a7 ,9 g5]al ,subject to      
p>agraph 7#b71 9 det]m9+ ! am\nt ( a    
grant made 9 any fiscal ye> to an       
eligible entity "u subsection 7a71 !    
,secret>y %all take into acc\nt         
in=mation provid$ by ! entity ) respect 
to ! foll[+3  7,a7 ,! total ,/ate1      
local1 & o!r op]ational fund+ provid$ to
 ! entity = su* fiscal ye>4  7,b7 ,!    
fees1 premiums1 & ?ird-p>ty             
reimbursem5ts t ! entity reasonably     
expects to receive = items & s]vices    
furni%$ dur+ su* fiscal ye>4  7,c7 ,!   
co/s to ! entity ( meet+ ! purposes &   
requirem5ts ( ! grant program "u ?is    
section dur+ su* fiscal ye>1 z e/imat$  
by ! ,secret>y bas$ ^u ! anticipat$ co/s
 to ! entity (-- 7i7 provid+ c]tifi$    
community behavioral heal? cl9ic        
s]vices1 includ+ ! anticipat$ co/s (    
provid+ any individual c]tifi$ community
 behavioral heal? s]vice t ! entity does
 n h exp]i5ce provid+ at ! "t ( submitt+
 an application = su* grant2 &  7ii7 9 !

 case ( an entity describ$ 9 subp>agraph
 7,b7 ( subsection 7b77#a71 meet+ !     
crit]ia describ$ 9 su* subp>agraph4     
7#b7 ,paym5ts ,! ,secret>y may aw>d     
grants "u subsection 7a7 9 su* =m &     
mann] z ! ,secret>y det]m9es appropriate
 7includ+ by mak+ grant am\nts available
 9 advance or ?r\gh reimbursem5t1 &     
includ+ by mak+ su* am\nts available 9  
in/allm5ts71 & may adju/ grant am\nts to
 acc\nt = ov]paym5ts or und]paym5ts4    
7h7 ,use ( accr$itation 9 monitor+ grant
 progress ,reg>dless ( :e!r ! ,secret>y 
elects "u subsection 7b7 to use         
accr$itation "u section #cdj;,j-#d7;a7 z
 a condition = ! aw>d ( a grant "u      
subsection 7a71 ! ,secret>y may take su*
 accr$itation into acc\nt 9 det]m9+ :e!r
 an entity receiv+ su* a grant is       
provid+ ! s]vices describ$ 9 subsection 
7a7 &1 if applicable1 meet+ su* crit]ia 
z are describ$ 9 subsection 7b77#b74    
7i7 ,au?orization ( appropriations  7#a7
 ,9 g5]al ,!re is au?oriz$ to be        
appropriat$ to c>ry out ?is section     

#eeb1ejj1jjj = ea* ( fiscal ye>s #bjbf  
?r\gh #bjcj4  7#b7 ,ma9t5ance ( fund+ ,!
 am\nt made available "u p>agraph 7#a7  
%all supplem5t 7& n supplant7 any o!r   
,f$]al fund+ made available = c]tifi$   
community behavioral heal? cl9ics4  7j7 
,guidance = cl9ics s]v+ specializ$      
populations ,n lat] ?an #a ye> aft] !   
date ( enactm5t ( ?is section1 !        
,secret>y %all publi% guidance cl>ify+  
h[ c]tifi$ community behavioral heal?   
cl9ics t focus on di/9ct populations1   
su* z *ildr51 y\?1 or vet]ans1 may meet 
any relevant requirem5t to furni%       
appropriate treatm5t to all individuals4
 ,su* guidance %all n affect su* cl9ics'
 qualification to p>ticipate 9 !        
demon/ration program "u section #bbc7;d7
 ( ! ,protect+ ,access to ,m$ic>e ,act (
 #bjad or to furni% ! s]vices describ$  
"u section #aije7;a77#ca7 ( ! ,social   
,security ,act4  #cdj;,j-#b4 ,te*nical  
assi/ance  7a7 ,9 g5]al ,n lat] ?an #ahj
 days aft] ! date ( enactm5t ( ! ,ensur+
 ,excell5ce 9 ,m5tal ,heal? ,act1 !     

,secret>y %all e/abli% a program or     
programs ?r\gh :i* ! ,secret>y %all     
provide 7ei!r ?r\gh ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices or by grant or       
contract7 te*nical assi/ance1 & su* o!r 
assi/ance z ! ,secret>y det]m9es        
appropriate1 to any ( ! foll[+3 7#a7    
,entities receiv+ a grant "u section    
#cdj;,j-#a4  7#b7 ,entities p>ticipat+ 9
 a demon/ration program "u section      
#bbc7;d7 ( ! ,protect+ ,access to       
,m$ic>e ,act ( #bjad4  7#c7 ,c]tifi$    
community behavioral heal? cl9ics 7z    
def9$ 9 sections #ahfa7;aa77#h7 &       
#aije7;jj77#b7 ( ! ,social ,security    
,act7 furni%+ s]vices "u title ,,xviii  
or title ,,xix ( su* ,act4  7#d7 ,heal? 
or social s]vice provid] organizations  
pursu+ or consid]+ c]tifi$ community    
behavioral heal? cl9ic /atus or p>tn]+ )
 c]tifi$ community behavioral heal?     
cl9ics4  7#e7 ,/ates & t]ritories1 = !  
purpose ( assi/+ 9 ! consid]ation (     
demon/ration programs c>ri$ out "u      
section #bbc7;d7 ( ! ,protect+ ,access  

to ,m$ic>e ,act ( #bjad1 ! plann+ &     
developm5t ( new ,/ate c]tifi$ community
 behavioral heal? cl9ic programs1 or !  
ongo+ implem5tation & improvem5t (      
e/abli%$ ,/ate c]tifi$ community        
behavioral heal? cl9ic programs4  7#f7  
,o!r /akehold]s1 = ! purpose (          
facilitat+ ! successful implem5tation ( 
! c]tifi$ community behavioral heal?    
cl9ic model4  7b7 ,inclusions ,assi/ance
 provid$ by ! ,secret>y "u subsection   
7a7 may include te*nical & nonf9ancial  
assi/ance1 includ+1 b n limit$ to--     
7#a7 fiscal & program managem5t         
assi/ance2  7#b7 op]ational &           
adm9i/rative support2 &  7#c7 !         
provision ( in=mation to ! entities ab\t
 ! v>iety ( res\rces available "u ?is "p
 & h[ ^? res\rces c be be/ us$ to meet !
 heal? & behavioral heal? ne$s ( !      
communities s]v$ by ! entities4  7c7    
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #h1jjj1jjj = ea* ( fiscal   
ye>s #bjbf ?r\gh #bjcj4  #cdj;,j-#c4    

,data infra/ructure = community         
behavioral heal? cl9ic report+  7a7 ,9  
g5]al ,n lat] ?an #ahj days aft] ! date 
( enactm5t ( ! ,ensur+ ,excell5ce 9     
,m5tal ,heal? ,act1 ! ,secret>y %all    
e/abli% a sy/em "u :i* ! ,secret>y %all 
collect & analyze data on community     
behavioral heal? cl9ics4  7b7 ,scope (  
data collection ,! sy/em e/abli%$ "u    
subsection 7a7 %all be us$ by !         
,secret>y to collect & analyze data f-- 
7#a7 entities t receive a grant "u      
section #cdj;,j-#a2 &  7#b7 c]tifi$     
community behavioral heal? cl9ics 7z    
def9$ 9 sections #ahfa7;aa77#h7 &       
#aije7;jj77#b7 ( ! ,social ,security    
,act7 furni%+ s]vices "u title ,,xviii  
or title ,,xix ( su* ,act4  7c7         
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #ea1jjj1jjj = ea* ( fiscal  
ye>s #bjbf ?r\gh #bjcj4  #cdj;,j-#d4    
,c]tifi$ community behavioral heal?     
cl9ic accr$itation  7a7 ,accr$itation   
/&>ds ,a cl9ic is accr$it$ z a c]tifi$  

community behavioral heal? cl9ic "u ?is 
section if ! cl9ic--  7#a7 is accr$it$  
by an accr$itation body approv$ by !    
,secret>y "u subsection 7b72 &  7#b7    
au?orizes ! accr$itation body to submit 
to ! ,secret>y 7or su* ag5cy z !        
,secret>y may designate7 su* records or 
o!r in=mation z ! ,secret>y may require4
  7b7 ,approval ( accr$itation bodies ,!
 ,secret>y may approve a private        
nonpr(it organization to be an          
accr$itation body = ! accr$itation (    
c]tifi$ community behavioral heal?      
cl9ics "u subsection 7a7 if-- 7#a7 !    
accr$itation body agrees to inspect !   
cl9ic1 us+ inspectors qualifi$ to       
evaluate quality ( c>e 9 a behavioral   
heal? s]vice sett+1 ) su* frequ5cy !    
,secret>y det]m9es appropriate2  7#b7 ! 
,secret>y det]m9es t ! /&>ds appli$ by !
 accr$itation body 9 det]m9+ :e!r or n  
to accr$it a cl9ic correspond to 7& are 
n less re/rictive ?an7 ! crit]ia        
describ$ 9 section                      
#cdj;,j-#a7;b77#a77;,b72  7#c7 !        

accr$itation body has made adequate     
assurances t ! /&>ds ( ! accr$itation   
body cont9ue to be met by ea* cl9ic t x 
accr$it$2  7#d7 ! accr$itation body     
agrees t1 = ! #c-ye> p]iod foll[+       
accr$itation ( a cl9ic1 9 ! case t !    
accr$itation body susp5ds1 )draws1 or   
revokes su* accr$itation1 d5ies an      
application to r5ew su* accr$itation1 or
 takes any o!r discipl9>y action )      
respect to su* cl9ic1 ! accr$itation    
body %all submit to ! ,secret>y ! "n (  
su* cl9ic n lat] ?an #cj days aft] su*  
action is tak52  7#e7 ! accr$itation    
body agrees t1 9 ! case t its approval  
is )drawn by ! ,secret>y1 ! body w      
notify ea* cl9ic accr$it$ by ! body ( ! 
)drawal )9 #aj days ( ! )drawal2 &  7#f7
 ! accr$itation body complies ) su* o!r 
requirem5ts z ! ,secret>y det]m9es      
appropriate4  7c7 ,ov]sight (           
accr$itation bodies ,! ,secret>y may    
provide ongo+ ov]sight ( accr$it+ bodies
 approv$ "u subsection 7b74 ,su* ongo+  
ov]sight may include ! foll[+ actions3  

7#a7 ,provid+ cont9ual ov]sight & review
 ( approv$ accr$itation processes ?r\gh 
regul> communication ) su* bodies4  7#b7
 ,provid+ additional review ( individual
 c]tifi$ community behavioral heal?     
cl9ic accr$itations to assure alignm5t )
 ! crit]ia e/abli%$ by ! ,secret>y "u   
section #bbc7;a7 ( ! ,protect+ ,access  
to ,m$ic>e ,act ( #bjad &1 9 cases :]e  
pot5tial issues are id5tifi$ )          
individual c]tifi$ community behavioral 
heal? cl9ic accr$itations1 to provide   
review ( su* issues4  7#c7 ,m$iat+      
disputes betwe5 provid]s seek+ c]tifi$  
community behavioral heal? cl9ic        
accr$itation & approv$ accr$itation     
bodies4  7#d7 ,provid+ ongo+ support &  
coord9ation across approv$ accr$itation 
bodies4  7#e7 ,9 cases :]e an approv$   
accr$itation body is f\nd to n provide  
accr$itation 9 alignm5t ) ! crit]ia     
e/abli%$ by ! ,secret>y "u section      
#bbc7;a7 ( ! ,protect+ ,access to       
,m$ic>e ,act ( #bjad1 develop+ a process
 to t]m9ate ! approval provid$ "u       

subsection 7b7 ) respect to su* body4   
7#f7 ,p]iodically review+ accr$itation  
body processes & r5ew+ ! approval       
provid$ "u subsection 7b7 ) respect to  
su* bodies4  7#g7 ,su* o!r activities z 
! ,secret>y det]m9es necess>y = !       
ov]sight ( accr$itation bodies approv$  
"u subsection 7b74  4  ,,iv ,liability  
protection = c]tifi$ community          
behavioral heal? cl9ic cl9icians  #dja4 
,conf]r+ protection "u ! ,f$]al ,tort   
,claims ,act to cl9icians 9 c]tifi$     
community behavioral heal? cl9ics       
,section #bbd7;g77#d7 ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            
#bcc7;g77#d77 is am5d$ by ins]t+ or a   
c]tifi$ community behavioral heal? cl9ic
 7z def9$ 9 section #aije7;jj77#b7 ( !  
,social ,security ,act7 be=e ! p]iod at 
! end4