[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1988 Introduced in House (IH)]

114th CONGRESS
  1st Session
                                H. R. 1988

 To provide for the waiver of the Medicaid IMD limitation in order to 
permit Medicaid coverage for substance use disorder treatment services 
 furnished to certain individuals in a community-based institution for 
                            mental diseases.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             April 23, 2015

 Ms. Fudge (for herself, Mr. Ryan of Ohio, and Ms. Kaptur) introduced 
 the following bill; which was referred to the Committee on Energy and 
                                Commerce

_______________________________________________________________________

                                 A BILL


 
 To provide for the waiver of the Medicaid IMD limitation in order to 
permit Medicaid coverage for substance use disorder treatment services 
 furnished to certain individuals in a community-based institution for 
                            mental diseases.

    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 ``Breaking Addiction Act of 2015''.

SEC. 2. MEDICAID WAIVER FOR COMMUNITY-BASED INPATIENT SUBSTANCE USE 
              DISORDER TREATMENT.

    (a) In General.--The Secretary of Health and Human Services shall 
provide, under the authority of section 1115(a) of the Social Security 
Act (42 U.S.C. 1315(a)) and in accordance with the procedures for 
waivers sunder such section and upon application of a State, for the 
waiver of the IMD limitation (as defined in subsection (c)(2)) in order 
to permit the provision of medical assistance under title XIX of such 
Act for treatment of a substance use condition for a qualified 
individual in a community-based institution for mental diseases. To the 
maximum extent practicable, such a waiver shall be granted to each 
State that applies and qualifies for such a waiver.
    (b) Report to Congress.--Not later than 4 years after the date 
waivers are first implemented under subsection (a) and taking into 
account the evaluations conducted in connection with such waivers, the 
Secretary shall submit to Congress and make available to the public a 
report on such waivers. The report shall include--
            (1) the findings of such evaluations; and
            (2) recommendations regarding expanding and making 
        permanent the waiver of the IMD limitation to permit all States 
        to provide the medical assistance described in subsection (a) 
        to all qualified individuals.
    (c) Definitions.--In this section:
            (1) Community-based institution for mental diseases.--The 
        term ``community-based institution for mental diseases'' means 
        an institution for mental diseases (as defined in section 
        1905(i) of the Social Security Act (42 U.S.C. 1396d(i)) that 
        has not more than 60 beds.
            (2) IMD limitation.--The term ``IMD limitation'' means the 
        limitation under the subdivision (B) following paragraph (29) 
        of section 1905(a) of the Social Security Act (42 U.S.C. 
        1396d(a)) on medical assistance furnished to certain patients 
        in an institution for mental diseases.
            (3) Qualified individual.--The term ``qualified 
        individual'' means an individual who, because of the 
        individual's substance use condition, requires substance use 
        disorder treatment and who, but for the IMD limitation, would 
        be eligible for medical assistance under title XIX of the 
        Social Security Act (42 U.S.C. 1396 et seq.) for substance use 
        disorder treatment services furnished in a community-based 
        institution for mental diseases.
            (4) State.--The term ``State'' has the meaning given such 
        term for purposes of title XIX of the Social Security Act.
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