[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2239 Introduced in House (IH)]

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115th CONGRESS
  1st Session
                                H. R. 2239

 To amend title XIX of the Social Security Act to provide for a State 
   Medicaid option to provide coverage of community-based inpatient 
substance use disorder treatment for nonelderly adults, to remove such 
 services from the Medicaid exclusion from medical assistance of items 
 and services for patients in an institution for mental diseases, and 
                          for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             April 28, 2017

Ms. Fudge (for herself, Mr. Ryan of Ohio, Ms. Kaptur, and Mrs. Beatty) 
 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 provide for a State 
   Medicaid option to provide coverage of community-based inpatient 
substance use disorder treatment for nonelderly adults, to remove such 
 services from the Medicaid exclusion from medical assistance of items 
 and services for patients in an institution for mental diseases, and 
                          for other purposes.

    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 2017''.

SEC. 2. STATE OPTION TO PROVIDE MEDICAL ASSISTANCE FOR COMMUNITY-BASED 
              INPATIENT SUBSTANCE USE DISORDER TREATMENT SERVICES TO 
              NONELDERLY ADULTS.

    (a) In General.--Section 1905 of the Social Security Act (42 U.S.C. 
1396d) is amended--
            (1) in subsection (a)(16)--
                    (A) by striking ``, and, (B)'' and inserting ``, 
                (B)''; and
                    (B) by inserting before the semicolon at the end 
                the following: ``, and (C) community-based inpatient 
                substance use disorder treatment services for 
                individuals over 21 years of age and under 65 years of 
                age''; and
            (2) in subsection (h)--
                    (A) in paragraph (1)(B), by inserting ``(including 
                a substance use disorder)'' after ``mental health 
                conditions''; and
                    (B) by adding at the end the following new 
                paragraph:
    ``(3) For purposes of subsection (a)(16)(C), the term `community-
based inpatient substance use disorder treatment services' means 
services described in subparagraphs (A) and (B) of paragraph (1) that 
are furnished in 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.''.
    (b) Report to Congress.--Not later than 4 years after the date of 
the enactment of this Act, the Secretary of Health and Human Services 
shall submit to Congress, and make available to the public, a report on 
the availability of, and access to, community-based inpatient substance 
use disorder treatment services provided under State Medicaid plans 
under title XIX of the Social Security Act (or waivers of such plans) 
(42 U.S.C. 1396 et seq.) pursuant to the amendments made by subsection 
(a). The report shall include recommendations regarding a permanent and 
expanded waiver of the limitation on payment under the subdivision (B) 
following section 1905(a)(29) of the Social Security Act (42 U.S.C. 
1396d(a)(29)) to permit all States to provide such services to all 
individuals eligible to receive medical assistance under such State 
Medicaid plans.
    (c) Effective Date.--The amendments made by subsection (a) shall 
apply to calendar quarters beginning on or after the date that is 30 
days after the date of the enactment of this Act, but in no case shall 
such amendments apply earlier than October 1, 2017.
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