I
118THCONGRESS
2
DSESSION H. R. 7545
To amend title XIX of the Social Security Act to include certified community
behavioral health clinic services as a State plan option under the Med-
icaid program, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
MARCH5, 2024
Ms. M
ATSUI(for herself and Mr. BUCSHON) introduced the following bill;
which was referred to the Committee on Energy and Commerce
A BILL
To amend title XIX of the Social Security Act to include
certified community behavioral health clinic services as
a State plan option under the Medicaid program, and
for other purposes.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. CERTIFIED COMMUNITY BEHAVIORAL HEALTH 3
CLINIC SERVICES UNDER MEDICAID. 4
(a) D
EFINITION OFMEDICALASSISTANCE.—Section 5
1905 of the Social Security Act (42 U.S.C. 1396d) is 6
amended— 7
(1) in subsection (a)— 8
VerDate Sep 11 2014 00:39 Mar 09, 2024 Jkt 049200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H7545.IH H7545
kjohnson on DSK7ZCZBW3PROD with $$_JOB 2
•HR 7545 IH
(A) in paragraph (30), by striking ‘‘; and’’ 1
and inserting a semicolon; 2
(B) by redesignating paragraph (31) as 3
paragraph (32); and 4
(C) by inserting after paragraph (30) the 5
following new paragraph: 6
‘‘(31) certified community behavioral health 7
clinic services, as defined in subsection (jj); and’’; 8
and 9
(2) by adding at the end the following new sub-10
section: 11
‘‘(jj) C
ERTIFIEDCOMMUNITYBEHAVIORALHEALTH 12
C
LINICSERVICES.— 13
‘‘(1) I
N GENERAL.—The term ‘certified commu-14
nity behavioral health services’ means any of the fol-15
lowing services when furnished to an individual as a 16
patient of a certified community behavioral health 17
clinic (as defined in paragraph (2)), in a manner re-18
flecting person-centered care and which, if not avail-19
able directly through a certified community behav-20
ioral health clinic, may be provided or referred 21
through formal relationships with other providers: 22
‘‘(A) Crisis mental health services, includ-23
ing 24-hour mobile crisis teams, emergency cri-24
sis intervention services, and crisis stabilization. 25
VerDate Sep 11 2014 00:39 Mar 09, 2024 Jkt 049200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H7545.IH H7545
kjohnson on DSK7ZCZBW3PROD with $$_JOB 3
•HR 7545 IH
‘‘(B) Screening, assessment, and diagnosis, 1
including risk assessment. 2
‘‘(C) Patient-centered treatment planning 3
or similar processes, including risk assessment 4
and crisis planning. 5
‘‘(D) Outpatient mental health and sub-6
stance use services. 7
‘‘(E) Outpatient clinic primary care screen-8
ing and monitoring of key health indicators and 9
health risk. 10
‘‘(F) Intensive case management services. 11
‘‘(G) Psychiatric rehabilitation services. 12
‘‘(H) Peer support and counselor services 13
and family supports. 14
‘‘(I) Intensive, community-based mental 15
health care for members of the Armed Forces 16
and veterans who are eligible for medical assist-17
ance, particularly such members and veterans 18
located in rural areas, provided the care is con-19
sistent with minimum clinical mental health 20
guidelines promulgated by the Veterans Health 21
Administration, including clinical guidelines 22
contained in the Uniform Mental Health Serv-23
ices Handbook of such Administration. 24
VerDate Sep 11 2014 01:47 Mar 12, 2024 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H7545.IH H7545
kjohnson on DSK7ZCZBW3PROD with $$_JOB 4
•HR 7545 IH
‘‘(2) CERTIFIED COMMUNITY BEHAVIORAL 1
HEALTH CLINIC.—The term ‘certified community be-2
havioral health clinic’ means an organization that— 3
‘‘(A) has been certified by a State as meet-4
ing the criteria established by the Secretary 5
pursuant to subsection (a) of section 223 of the 6
Protecting Access to Medicare Act as of Janu-7
ary 1, 2024, and any subsequent updates to 8
such criteria, regardless of whether the State is 9
carrying out a demonstration program under 10
this title under subsection (d) of such section; 11
‘‘(B) is engaged in furnishing all of the 12
services described in paragraph (1); and 13
‘‘(C) agrees, as a condition of the certifi-14
cation described in subparagraph (A), to fur-15
nish to the State or Secretary any data re-16
quired as part of ongoing monitoring of the or-17
ganization’s provision of services, including en-18
counter data, clinical outcomes data, quality 19
data, and such other data as the State or Sec-20
retary may require.’’. 21
(b) E
FFECTIVEDATE.—The amendments made by 22
this section shall apply with respect to medical assistance 23
furnished on or after the date of enactment of this Act. 24
Æ
VerDate Sep 11 2014 00:39 Mar 09, 2024 Jkt 049200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6301 E:\BILLS\H7545.IH H7545
kjohnson on DSK7ZCZBW3PROD with $$_JOB