Us Congress 2023-2024 Regular Session

Us Congress House Bill HB7545 Compare Versions

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11 I
22 118THCONGRESS
33 2
44 DSESSION H. R. 7545
55 To amend title XIX of the Social Security Act to include certified community
66 behavioral health clinic services as a State plan option under the Med-
77 icaid program, and for other purposes.
88 IN THE HOUSE OF REPRESENTATIVES
99 MARCH5, 2024
1010 Ms. M
1111 ATSUI(for herself and Mr. BUCSHON) introduced the following bill;
1212 which was referred to the Committee on Energy and Commerce
1313 A BILL
1414 To amend title XIX of the Social Security Act to include
1515 certified community behavioral health clinic services as
1616 a State plan option under the Medicaid program, and
1717 for other purposes.
1818 Be it enacted by the Senate and House of Representa-1
1919 tives of the United States of America in Congress assembled, 2
2020 SECTION 1. CERTIFIED COMMUNITY BEHAVIORAL HEALTH 3
2121 CLINIC SERVICES UNDER MEDICAID. 4
2222 (a) D
2323 EFINITION OFMEDICALASSISTANCE.—Section 5
2424 1905 of the Social Security Act (42 U.S.C. 1396d) is 6
2525 amended— 7
2626 (1) in subsection (a)— 8
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3030 (A) in paragraph (30), by striking ‘‘; and’’ 1
3131 and inserting a semicolon; 2
3232 (B) by redesignating paragraph (31) as 3
3333 paragraph (32); and 4
3434 (C) by inserting after paragraph (30) the 5
3535 following new paragraph: 6
3636 ‘‘(31) certified community behavioral health 7
3737 clinic services, as defined in subsection (jj); and’’; 8
3838 and 9
3939 (2) by adding at the end the following new sub-10
4040 section: 11
4141 ‘‘(jj) C
4242 ERTIFIEDCOMMUNITYBEHAVIORALHEALTH 12
4343 C
4444 LINICSERVICES.— 13
4545 ‘‘(1) I
4646 N GENERAL.—The term ‘certified commu-14
4747 nity behavioral health services’ means any of the fol-15
4848 lowing services when furnished to an individual as a 16
4949 patient of a certified community behavioral health 17
5050 clinic (as defined in paragraph (2)), in a manner re-18
5151 flecting person-centered care and which, if not avail-19
5252 able directly through a certified community behav-20
5353 ioral health clinic, may be provided or referred 21
5454 through formal relationships with other providers: 22
5555 ‘‘(A) Crisis mental health services, includ-23
5656 ing 24-hour mobile crisis teams, emergency cri-24
5757 sis intervention services, and crisis stabilization. 25
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6161 ‘‘(B) Screening, assessment, and diagnosis, 1
6262 including risk assessment. 2
6363 ‘‘(C) Patient-centered treatment planning 3
6464 or similar processes, including risk assessment 4
6565 and crisis planning. 5
6666 ‘‘(D) Outpatient mental health and sub-6
6767 stance use services. 7
6868 ‘‘(E) Outpatient clinic primary care screen-8
6969 ing and monitoring of key health indicators and 9
7070 health risk. 10
7171 ‘‘(F) Intensive case management services. 11
7272 ‘‘(G) Psychiatric rehabilitation services. 12
7373 ‘‘(H) Peer support and counselor services 13
7474 and family supports. 14
7575 ‘‘(I) Intensive, community-based mental 15
7676 health care for members of the Armed Forces 16
7777 and veterans who are eligible for medical assist-17
7878 ance, particularly such members and veterans 18
7979 located in rural areas, provided the care is con-19
8080 sistent with minimum clinical mental health 20
8181 guidelines promulgated by the Veterans Health 21
8282 Administration, including clinical guidelines 22
8383 contained in the Uniform Mental Health Serv-23
8484 ices Handbook of such Administration. 24
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8888 ‘‘(2) CERTIFIED COMMUNITY BEHAVIORAL 1
8989 HEALTH CLINIC.—The term ‘certified community be-2
9090 havioral health clinic’ means an organization that— 3
9191 ‘‘(A) has been certified by a State as meet-4
9292 ing the criteria established by the Secretary 5
9393 pursuant to subsection (a) of section 223 of the 6
9494 Protecting Access to Medicare Act as of Janu-7
9595 ary 1, 2024, and any subsequent updates to 8
9696 such criteria, regardless of whether the State is 9
9797 carrying out a demonstration program under 10
9898 this title under subsection (d) of such section; 11
9999 ‘‘(B) is engaged in furnishing all of the 12
100100 services described in paragraph (1); and 13
101101 ‘‘(C) agrees, as a condition of the certifi-14
102102 cation described in subparagraph (A), to fur-15
103103 nish to the State or Secretary any data re-16
104104 quired as part of ongoing monitoring of the or-17
105105 ganization’s provision of services, including en-18
106106 counter data, clinical outcomes data, quality 19
107107 data, and such other data as the State or Sec-20
108108 retary may require.’’. 21
109109 (b) E
110110 FFECTIVEDATE.—The amendments made by 22
111111 this section shall apply with respect to medical assistance 23
112112 furnished on or after the date of enactment of this Act. 24
113113 Æ
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