[Congressional Record Volume 169, Number 172 (Thursday, October 19, 2023)]
[Senate]
[Page S5112]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
By Mr. THUNE (for himself, Ms. Hassan, and Mrs. Blackburn):
S. 3098. A bill to amend title XIX of the Social Security Act to make
permanent the Medicaid option to remove the IMD exclusion to provide
medical assistance for certain individuals who are patients in an
institution for mental diseases; to the Committee on Finance.
Mr. THUNE. Madam President, I ask unanimous consent that the text of
the bill be printed in the Record.
There being no objection, the text of the bill was ordered to be
printed in the Record, as follows:
S. 3098
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 ``Securing Advances and a
Variety of Evidence-Based IMD Options Act''.
SEC. 2. MAKING PERMANENT STATE PLAN AMENDMENT OPTION TO
PROVIDE MEDICAL ASSISTANCE FOR CERTAIN
INDIVIDUALS WHO ARE PATIENTS IN CERTAIN
INSTITUTIONS FOR MENTAL DISEASES.
(a) In General.--Section 1915(l)(1) of the Social Security
Act (42 U.S.C. 1396n(l)(1)) is amended by striking ``With
respect to calendar quarters beginning during the period
beginning October 1, 2019, and ending September 30, 2023,''
and inserting ``With respect to calendar quarters beginning
on or after October 1, 2019,''.
(b) Maintenance of Effort Revision.--Section 1915(l)(3)(A)
of the Social Security Act (42 U.S.C. 1396n(l)(3)(A)) is
amended--
(1) in the matter preceding clause (i), by striking ``other
than under this title''; and
(2) in clause (i), by striking ``or, if higher,'' and all
that follows through ``in accordance with this subsection''.
(c) Additional Requirements.--
(1) In general.--
(A) General requirements.--Section 1915(l)(4) of the Social
Security Act (42 U.S.C. 1396n(l)(4)) is amended--
(i) in subparagraph (A), by striking ``through (D)'' and
inserting ``through (F)'';
(ii) in subparagraph (C), by adding at the end the
following new clause:
``(iii) Medication-assisted treatment.--The State shall,
when appropriate, facilitate access to, and provide medical
assistance for, medication-assisted treatment for substance
use disorder treatment, irrespective of the setting in which
such treatment is provided.'';
(iii) in subparagraph (D), in the matter preceding clause
(i), by inserting ``have in place evidence-based, substance
use disorder-specific individual placement criteria and
utilization management approach to ensure placement of such
individual in an appropriate level of care and shall'' after
``State shall''; and
(iv) by adding at the end the following new subparagraph:
``(E) Review process.--The State shall have in place a
process to review the compliance of eligible institutions for
mental diseases with evidence-based, substance use disorder-
specific program standards of care for eligible individuals
specified by the State.''.
(B) Effective date.--The amendments made by subparagraph
(A) shall apply with respect to medical assistance furnished
in calendar quarters beginning on or after October 1, 2025.
(2) One-time assessment.--Section 1915(l)(4) of the Social
Security Act (42 U.S.C. 1396n(l)(4)), as amended by paragraph
(1), is further amended by adding at the end the following
new subparagraph:
``(F) Assessment.--The State shall, not later than 12
months after the approval of a State plan amendment described
in this subsection (or, in the case such State has such an
amendment approved as of the date of the enactment of this
subparagraph, not later than 12 months after such date),
commence an assessment of--
``(i) the availability of treatment for individuals
enrolled under a State plan under this title (or waiver of
such plan) in each level of care described in subparagraph
(C); and
``(ii) the availability of medication-assisted treatment
and medically supervised withdrawal management services for
such individuals.''.
(3) Clarification of levels of care.--Section 1915(l)(7)(A)
of the Social Security Act (42 U.S.C. 1396n(l)(7)(A)) is
amended by inserting ``(or any successor publication)''
before the period.
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