[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5789 Reported in House (RH)]

<DOC>





                                                 Union Calendar No. 565
115th CONGRESS
  2d Session
                                H. R. 5789

                          [Report No. 115-730]

 To amend title XIX of the Social Security Act to provide for Medicaid 
coverage protections for pregnant and post-partum women while receiving 
    inpatient treatment for a substance use disorder, and for other 
                               purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 15, 2018

Mr. Foster (for himself and Mr. Guthrie) introduced the following bill; 
       which was referred to the Committee on Energy and Commerce

                             June 12, 2018

   Additional sponsors: Mrs. Blackburn, Mr. Walden, and Ms. Herrera 
                                Beutler

                             June 12, 2018

Reported with amendments, committed to the Committee of the Whole House 
          on the State of the Union, and ordered to be printed
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]
[For text of introduced bill, see copy of bill as introduced on May 15, 
                                 2018]


_______________________________________________________________________

                                 A BILL


 
 To amend title XIX of the Social Security Act to provide for Medicaid 
coverage protections for pregnant and post-partum women while receiving 
    inpatient treatment for a substance use disorder, 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. GUIDANCE TO IMPROVE CARE FOR INFANTS WITH NEONATAL 
              ABSTINENCE SYNDROME AND THEIR MOTHERS; GAO STUDY ON GAPS 
              IN MEDICAID COVERAGE FOR PREGNANT AND POSTPARTUM WOMEN 
              WITH SUBSTANCE USE DISORDER.

    (a) Guidance.--Not later than one year after the date of the 
enactment of this Act, the Secretary of Health and Human Services shall 
issue guidance to improve care for infants with neonatal abstinence 
syndrome and their mothers. Such guidance shall include--
            (1) the types of services, including post-discharge 
        services and parenting supports, for mothers and fathers of 
        babies with neonatal abstinence syndrome that States may cover 
        under the Medicaid program under title XIX of the Social 
        Security Act;
            (2) best practices from States with respect to innovative 
        or evidenced-based payment models that focus on prevention, 
        screening, treatment, plans of safe care, and post-discharge 
        services for mothers and fathers with substance use disorders 
        and babies with neonatal abstinence syndrome that improve care 
        and clinical outcomes;
            (3) recommendations for States on available financing 
        options under the Medicaid program under title XIX of such Act 
        and under the Children's Health Insurance Program under title 
        XXI of such Act for Children's Health Insurance Program Health 
        Services Initiative funds for parents with substance use 
        disorders, infants with neonatal abstinence syndrome, and home 
        visiting services; and
            (4) guidance and technical assistance to State Medicaid 
        agencies regarding additional flexibilities and incentives 
        related to screening, prevention, and post-discharge services, 
        including parenting supports, under contracts with medicaid 
        managed care organizations.
    (b) GAO Study.--Not later than one year after the date of the 
enactment of this Act, the Comptroller General of the United States 
shall conduct a study, and submit to Congress a report, addressing gaps 
in coverage for pregnant women with substance use disorder under the 
Medicaid program under title XIX of the Social Security Act, and gaps 
in coverage for postpartum women with substance use disorder who had 
coverage during their pregnancy under the Medicaid program under such 
title.
            Amend the title so as to read: ``A bill to require the 
        Secretary of Health and Human Services to issue guidance to 
        improve care for infants with neonatal abstinence syndrome and 
        their mothers, and require the Comptroller General of the 
        United States to conduct a study on gaps in Medicaid coverage 
        for pregnant and postpartum women with substance use 
        disorder.''.
                                                 Union Calendar No. 565

115th CONGRESS

  2d Session

                               H. R. 5789

                          [Report No. 115-730]

_______________________________________________________________________

                                 A BILL

 To amend title XIX of the Social Security Act to provide for Medicaid 
coverage protections for pregnant and post-partum women while receiving 
    inpatient treatment for a substance use disorder, and for other 
                               purposes.

_______________________________________________________________________

                             June 12, 2018

Reported with amendments, committed to the Committee of the Whole House 
          on the State of the Union, and ordered to be printed