[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4569 Introduced in House (IH)]

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114th CONGRESS
  2d Session
                                H. R. 4569

To amend the Protecting Access to Medicare Act of 2014 (PAMA) to extend 
and expand the Medicaid community mental health services demonstration 
                                program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 12, 2016

 Ms. Matsui (for herself and Mr. Lance) introduced the following bill; 
       which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
To amend the Protecting Access to Medicare Act of 2014 (PAMA) to extend 
and expand the Medicaid community mental health services demonstration 
                                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 ``Extend Excellence in Mental Health 
Act of 2016''.

SEC. 2. EXTENSION AND EXPANSION OF MEDICAID COMMUNITY MENTAL HEALTH 
              SERVICES DEMONSTRATION PROGRAM.

    (a) In General.--Paragraph (3) of section 223(d) of the Protecting 
Access to Medicare Act of 2014 (Public Law 113-93; 42 U.S.C. 1396a 
note) is amended to read as follows:
            ``(3) Number and length of demonstration programs.--
                    ``(A) In general.--Except as provided in 
                subparagraphs (B) and (C), not more than 8 States shall 
                be selected for 2-year demonstration programs under 
                this subsection.
                    ``(B) Three-year extension.--A State selected to 
                participate in the demonstration project under this 
                subsection shall, upon the request of the State, be 
                permitted to continue to participate in the 
                demonstration project for an additional 3-year period, 
                if the Secretary makes the determination specified in 
                subparagraph (D) with respect to the State. The 
                Secretary shall provide each such State with notice of 
                that determination.
                    ``(C) Expansion to additional states.--
                            ``(i) In general.--The Secretary may expand 
                        the number of eligible States participating in 
                        the demonstration project, if, with respect to 
                        any such State, the Secretary makes the 
                        determination specified in subparagraph (D). 
                        The period of the participation of any such 
                        eligible State in the demonstration project 
                        shall end on December 31, 2022, regardless of 
                        the date on which the State begins 
                        participating in the demonstration project.
                            ``(ii) Notification.--The Secretary shall 
                        provide each State that applies to be added to 
                        the demonstration project under this subsection 
                        with notice of the determination under 
                        subparagraph (D) and the standards used to make 
                        such determination.
                    ``(D) Determination.--The determination specified 
                in this subparagraph is that the Secretary determines 
                that, in the case of a request under subparagraph (B) 
                or an expansion of the demonstration project under 
                subparagraph (C)--
                            ``(i) the continued participation of a 
                        State in the demonstration project under this 
                        subsection or an expansion of the project to 
                        any additional State (as applicable) will 
                        measurably improve access to, and participation 
                        in, services described in subsection (a)(2)(D) 
                        by individuals eligible for medical assistance 
                        under the State Medicaid program; and
                            ``(ii) any such State is in full compliance 
                        with the reporting requirements under paragraph 
                        (7) and any quality reporting requirements 
                        established by the Secretary.''.
    (b) Clarification Concerning Coverage of Clinical Visits.--Section 
223(b) of the Protecting Access to Medicare Act of 2014 is amended by 
adding at the end the following new paragraph:
            ``(3) Services included in clinical visits.--For purposes 
        of implementing the guidance under paragraph (1), a `clinical 
        visit' shall include--
                    ``(A) behavioral health services provided on-site;
                    ``(B) services authorized under subsection 
                (a)(2)(D) furnished outside the clinic in a community 
                setting, including a homeless shelter, penal facility, 
                or other community setting (as identified by the 
                Secretary); and
                    ``(C) telehealth services.''.
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