[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5572 Introduced in House (IH)]







106th CONGRESS
  2d Session
                                H. R. 5572

 To amend title XIX of the Social Security Act to provide States with 
  the option of covering intensive community mental health treatment 
                      under the Medicaid Program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 26, 2000

Ms. Kaptur (for herself and Mrs. Cubin) introduced the following bill; 
            which was referred to the Committee on Commerce

_______________________________________________________________________

                                 A BILL


 
 To amend title XIX of the Social Security Act to provide States with 
  the option of covering intensive community mental health treatment 
                      under the Medicaid Program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicaid Intensive Community Mental 
Health Treatment Act of 2000''.

SEC. 2. PROVIDING STATES WITH THE OPTION OF COVERING INTENSIVE 
              COMMUNITY MENTAL HEALTH TREATMENT UNDER THE MEDICAID 
              PROGRAM.

    (a) In General.--Section 1905 of the Social Security Act (42 U.S.C. 
1396d) is amended--
            (1) in subsection (a)--
                    (A) by striking ``and'' at the end of paragraph 
                (26);
                    (B) by redesignating paragraph (27) as paragraph 
                (28); and
                    (C) by inserting after paragraph (26) the following 
                new paragraph:
            ``(27) intensive community mental health treatment (as 
        defined in subsection (x)) for adults with diagnosed severe and 
        persistent mental illness, and for children with diagnosed 
        serious mental and emotional disturbances (manifested by 
        substantial functional impairment), who--
                    ``(A) have a history of repeated episodes of 
                psychiatric hospitalization or are high users of 
                emergency and inpatient hospital services;
                    ``(B) have been arrested repeated times for minor 
                offenses;
                    ``(C) have a history of poor outcomes from 
                provision of, or lack of access to, less intensive 
                mental health services;
                    ``(D) cannot meet their own basic needs and live in 
                substandard housing situations, including being 
                homeless; or
                    ``(E) have a history of coexisting substance use of 
                at least a 12-month duration;''; and
            (2) by adding at the end the following new subsection:
    ``(x)(1) The term `intensive community mental health treatment' 
means all of the following mental health services provided in a 
coordinated manner:
            ``(A) 24-hour, 7-day-a-week intensive case management, 
        including assertive community treatment.
            ``(B) Psychiatric rehabilitation.
            ``(C) Integrated treatment services for individuals with 
        co-occurring mental illness and substance abuse disorders.
            ``(D) Crisis residential treatment (as defined in paragraph 
        (2)).
            ``(E) Psychiatric support services for individuals residing 
        in supported housing facilities.
            ``(F) Psychiatric hospital discharge planning (as defined 
        in paragraph (3)).
            ``(G) Medication education and management.
            ``(H) Family psycho-education services.
            ``(I) Other evidenced-based intensive community mental 
        health treatment.
    ``(2) The term `crisis residential treatment' means services (other 
than inpatient psychiatric services) that provide 24-hour a day 
intervention to individuals experiencing severe emotional distress.
    ``(3) The term `discharge planning' means, with respect to a 
psychiatric hospital, the process that includes--
            ``(A) identification of an individual's needs for 
        treatment, housing, and support services in the community after 
        discharge from the hospital;
            ``(B) establishment of a plan to develop appropriate 
        linkages between the hospital and the community to meet such 
        needs; and
            ``(C) implementation of the plan at the point of discharge 
        from the hospital.''.
    (b) Effective Date.--The amendments made by this section apply to 
treatment furnished on or after January 1, 2001.
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