,,ii #aaith ,,congress #ast ,session ,s4 #bjej ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #ab1 #bjbe,mr4 ,warnock 7for himself1 ,mr4 ,padilla1 ,mr4 ,lujn1 ,ms4 ,smith1 ,ms4 ,alsobrooks1 ,mr4 ,welch1 and ,mr4 ,wyden7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend the ,social ,security ,act to provide for an increased ,federal medical assistance percentage for ,state expenditures on certain behavioral health services furnished under the ,medicaid program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,advancing ,student ,services ,in ,schools ,today ,act or the ,,assist ,act4 #b4 ,increasing the applicable ,,fmap for ,state expenditures attributable to certain behavioral health services ,section #aije of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is amended-- 7#a7 in subsection 7b71 by striking and 7ii7 and inserting 7ii71 and 7kk72 and 7#b7 by adding at the end the following new subsection3 7kk7 ,increased ,,fmap for medical assistance for services furnished by mental health and substance use disorder care providers in certain school-,based settings 7#a7 ,in general ,notwithstanding any preceding provision of this section1 with respect to ,state expenditures for medical assistance consisting of services provided by a mental health and substance use disorder care provider 7as defined in section #c of the ,advancing ,student ,services ,in ,schools ,today ,act7 and furnished at a school or at a school-based health center 7as defined in section #cii,z-#a7;a77#c7 of the ,public ,health ,service ,act7 on or after the first day of the first calendar quarter beginning on or after the date that is #ab months after the date of the enactment of this subsection1 the ,federal medical assistance percentage otherwise determined under subsection 7b7 shall1 subject to paragraph 7#b71 be equal to #ij percent4 7#b7 ,application of higher match ,paragraph 7#a7 shall not apply in the case of ,state expenditures described in such paragraph if application of such paragraph would result in a lower ,federal medical assistance percentage for such expenditures than would otherwise apply without application of such paragraph4 7#c7 ,exclusion of expenditures from territorial cap ,any payment made to a territory for expenditures for medical assistance described in paragraph 7#a7 that are subject to the ,federal medical assistance percentage specified under such paragraph shall not be taken into account for purposes of applying payment limits under subsections 7f7 and 7g7 of section #aajh to the extent that such payment exceeds the amount of the payment that would have been made to the territory for such expenditures without regard to this subsection4 4 #c4 ,program to increase mental health and substance use disorder care providers in schools and school-based health centers 7a7 ,findings ,congress finds that the lack of access to mental health and substance use disorder care in schools and school-based health centers has a negative impact on the health of children in the ,united ,states1 including children who are eligible for coverage under the ,medicaid and ,children's ,health ,insurance ,program4 7b7 ,grant authority ,not later than #ab months after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary71 in consultation with the ,administrator of the ,centers for ,medicare ,medicaid ,services and the ,secretary of ,education1 shall award grants1 contracts1 or cooperative agreements to eligible entities to increase the number of mental health and substance use disorder care providers in schools and school-based health centers served by such entities4 7c7 ,application ,an eligible entity seeking an award under this section shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require1 including a description of-- 7#a7 the mental health and substance use disorder needs of the student population served by the eligible entity2 and 7#b7 with respect to the student population served by the eligible entity1 how the eligible entity will ensure that the mental health and substance use disorder care providers supported by the eligible entity1 and the services administered by such providers1 are culturally competent and linguistically appropriate4 7d7 ,restriction ,no funds made available through an award under this section may be used for a threat assessment team4 7e7 ,reporting 7#a7 ,eligible entity reporting ,eligible entities receiving an award under this section shall submit an annual report to the ,secretary accompanied by such information as the ,secretary may require1 including-- 7,a7 the number of mental health and substance use disorder care providers working at the schools or school-based health centers served by the eligible entity1 and the number of such providers supported through the award2 7,b7 the types of services provided by the mental health and substance use disorder care providers and the efficacy of such services2 7,c7 the practices used by the schools or school-based health centers served by the eligible entity to recruit and retain mental health and substance use disorder care providers2 and 7,d7 the rates of retention of mental health and substance use disorder care providers at the school or school-based health center4 7#b7 ,secretary ,not later than #ah months after the date of enactment of this section1 and every #e years thereafter1 the ,secretary shall submit to ,congress a report on the effectiveness of the awards under this section4 7f7 ,definitions ,in this section3 7#a7 ,eligible entity ,the term eligible entity means-- 7,a7 a local educational agency1 as defined in section #haja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja72 7,b7 an institution of higher education1 as defined in section #aja of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajja72 7,c7 a school operated by the ,bureau of ,indian ,affairs2 or 7,d7 a school-based health center1 as defined in section #cii,z-#a7;a77#c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;h-#e7;a77#c774 7#b7 ,mental health and substance use disorder care provider ,the term mental health and substance use disorder care provider means an individual who is licensed or credentialed to provide mental health and substance use disorder services1 including-- 7,a7 a school counselor2 7,b7 a school psychologist or any other psychologist2 7,c7 a psychiatrist who specializes in child or adolescent psychiatry2 7,d7 a school social worker2 7,e7 a peer support specialist or peer recovery coach2 7,f7 a licensed clinical social worker2 7,g7 an addiction medicine specialist2 and 7,h7 other providers1 as the ,secretary determines appropriate4