1 | 1 | | I |
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2 | 2 | | 118THCONGRESS |
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3 | 3 | | 2 |
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4 | 4 | | DSESSION H. R. 7545 |
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5 | 5 | | To amend title XIX of the Social Security Act to include certified community |
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6 | 6 | | behavioral health clinic services as a State plan option under the Med- |
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7 | 7 | | icaid program, and for other purposes. |
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8 | 8 | | IN THE HOUSE OF REPRESENTATIVES |
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9 | 9 | | MARCH5, 2024 |
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10 | 10 | | Ms. M |
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11 | 11 | | ATSUI(for herself and Mr. BUCSHON) introduced the following bill; |
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12 | 12 | | which was referred to the Committee on Energy and Commerce |
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13 | 13 | | A BILL |
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14 | 14 | | To amend title XIX of the Social Security Act to include |
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15 | 15 | | certified community behavioral health clinic services as |
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16 | 16 | | a State plan option under the Medicaid program, and |
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17 | 17 | | for other purposes. |
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18 | 18 | | Be it enacted by the Senate and House of Representa-1 |
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19 | 19 | | tives of the United States of America in Congress assembled, 2 |
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20 | 20 | | SECTION 1. CERTIFIED COMMUNITY BEHAVIORAL HEALTH 3 |
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21 | 21 | | CLINIC SERVICES UNDER MEDICAID. 4 |
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22 | 22 | | (a) D |
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23 | 23 | | EFINITION OFMEDICALASSISTANCE.—Section 5 |
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24 | 24 | | 1905 of the Social Security Act (42 U.S.C. 1396d) is 6 |
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25 | 25 | | amended— 7 |
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26 | 26 | | (1) in subsection (a)— 8 |
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27 | 27 | | VerDate Sep 11 2014 00:39 Mar 09, 2024 Jkt 049200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H7545.IH H7545 |
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28 | 28 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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29 | 29 | | •HR 7545 IH |
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30 | 30 | | (A) in paragraph (30), by striking ‘‘; and’’ 1 |
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31 | 31 | | and inserting a semicolon; 2 |
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32 | 32 | | (B) by redesignating paragraph (31) as 3 |
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33 | 33 | | paragraph (32); and 4 |
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34 | 34 | | (C) by inserting after paragraph (30) the 5 |
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35 | 35 | | following new paragraph: 6 |
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36 | 36 | | ‘‘(31) certified community behavioral health 7 |
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37 | 37 | | clinic services, as defined in subsection (jj); and’’; 8 |
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38 | 38 | | and 9 |
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39 | 39 | | (2) by adding at the end the following new sub-10 |
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40 | 40 | | section: 11 |
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41 | 41 | | ‘‘(jj) C |
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42 | 42 | | ERTIFIEDCOMMUNITYBEHAVIORALHEALTH 12 |
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43 | 43 | | C |
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44 | 44 | | LINICSERVICES.— 13 |
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45 | 45 | | ‘‘(1) I |
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46 | 46 | | N GENERAL.—The term ‘certified commu-14 |
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47 | 47 | | nity behavioral health services’ means any of the fol-15 |
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48 | 48 | | lowing services when furnished to an individual as a 16 |
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49 | 49 | | patient of a certified community behavioral health 17 |
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50 | 50 | | clinic (as defined in paragraph (2)), in a manner re-18 |
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51 | 51 | | flecting person-centered care and which, if not avail-19 |
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52 | 52 | | able directly through a certified community behav-20 |
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53 | 53 | | ioral health clinic, may be provided or referred 21 |
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54 | 54 | | through formal relationships with other providers: 22 |
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55 | 55 | | ‘‘(A) Crisis mental health services, includ-23 |
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56 | 56 | | ing 24-hour mobile crisis teams, emergency cri-24 |
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57 | 57 | | sis intervention services, and crisis stabilization. 25 |
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59 | 59 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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60 | 60 | | •HR 7545 IH |
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61 | 61 | | ‘‘(B) Screening, assessment, and diagnosis, 1 |
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62 | 62 | | including risk assessment. 2 |
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63 | 63 | | ‘‘(C) Patient-centered treatment planning 3 |
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64 | 64 | | or similar processes, including risk assessment 4 |
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65 | 65 | | and crisis planning. 5 |
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66 | 66 | | ‘‘(D) Outpatient mental health and sub-6 |
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67 | 67 | | stance use services. 7 |
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68 | 68 | | ‘‘(E) Outpatient clinic primary care screen-8 |
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69 | 69 | | ing and monitoring of key health indicators and 9 |
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70 | 70 | | health risk. 10 |
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71 | 71 | | ‘‘(F) Intensive case management services. 11 |
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72 | 72 | | ‘‘(G) Psychiatric rehabilitation services. 12 |
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73 | 73 | | ‘‘(H) Peer support and counselor services 13 |
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74 | 74 | | and family supports. 14 |
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75 | 75 | | ‘‘(I) Intensive, community-based mental 15 |
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76 | 76 | | health care for members of the Armed Forces 16 |
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77 | 77 | | and veterans who are eligible for medical assist-17 |
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78 | 78 | | ance, particularly such members and veterans 18 |
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79 | 79 | | located in rural areas, provided the care is con-19 |
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80 | 80 | | sistent with minimum clinical mental health 20 |
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81 | 81 | | guidelines promulgated by the Veterans Health 21 |
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82 | 82 | | Administration, including clinical guidelines 22 |
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83 | 83 | | contained in the Uniform Mental Health Serv-23 |
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84 | 84 | | ices Handbook of such Administration. 24 |
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86 | 86 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 |
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87 | 87 | | •HR 7545 IH |
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88 | 88 | | ‘‘(2) CERTIFIED COMMUNITY BEHAVIORAL 1 |
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89 | 89 | | HEALTH CLINIC.—The term ‘certified community be-2 |
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90 | 90 | | havioral health clinic’ means an organization that— 3 |
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91 | 91 | | ‘‘(A) has been certified by a State as meet-4 |
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92 | 92 | | ing the criteria established by the Secretary 5 |
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93 | 93 | | pursuant to subsection (a) of section 223 of the 6 |
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94 | 94 | | Protecting Access to Medicare Act as of Janu-7 |
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95 | 95 | | ary 1, 2024, and any subsequent updates to 8 |
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96 | 96 | | such criteria, regardless of whether the State is 9 |
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97 | 97 | | carrying out a demonstration program under 10 |
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98 | 98 | | this title under subsection (d) of such section; 11 |
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99 | 99 | | ‘‘(B) is engaged in furnishing all of the 12 |
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100 | 100 | | services described in paragraph (1); and 13 |
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101 | 101 | | ‘‘(C) agrees, as a condition of the certifi-14 |
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102 | 102 | | cation described in subparagraph (A), to fur-15 |
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103 | 103 | | nish to the State or Secretary any data re-16 |
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104 | 104 | | quired as part of ongoing monitoring of the or-17 |
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105 | 105 | | ganization’s provision of services, including en-18 |
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106 | 106 | | counter data, clinical outcomes data, quality 19 |
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107 | 107 | | data, and such other data as the State or Sec-20 |
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108 | 108 | | retary may require.’’. 21 |
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109 | 109 | | (b) E |
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110 | 110 | | FFECTIVEDATE.—The amendments made by 22 |
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111 | 111 | | this section shall apply with respect to medical assistance 23 |
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112 | 112 | | furnished on or after the date of enactment of this Act. 24 |
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113 | 113 | | Æ |
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115 | 115 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB |
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