I

106TH CONGRESS

2D SESSION H. R. 5572

To amend title XIX of the Social Security Act to provide States with the

option of covering intensive community mental health treatment under

the Medicaid Program.

IN THE HOUSE OF REPRESENTATIVES

OCTOBER 26, 2000

Ms. KAPTUR (for herself and Mrs. CUBIN) introduced the following bill; which

was referred to the Committee on Commerce

A BILL

To amend title XIX of the Social Security Act to provide

States with the option of covering intensive community

mental health treatment under the Medicaid Program.

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled,

3 SECTION 1. SHORT TITLE.

4 This Act may be cited as the ‘‘Medicaid Intensive

5 Community Mental Health Treatment Act of 2000’’.
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1 SEC. 2. PROVIDING STATES WITH THE OPTION OF COV2 ERING INTENSIVE COMMUNITY MENTAL

3 HEALTH TREATMENT UNDER THE MEDICAID

4 PROGRAM.

5 (a) IN GENERAL.—Section 1905 of the Social Secu6 rity Act (42 U.S.C. 1396d) is amended—

7 (1) in subsection (a)—

8 (A) by striking ‘‘and’’ at the end of para9 graph (26);

10 (B) by redesignating paragraph (27) as

11 paragraph (28); and

12 (C) by inserting after paragraph (26) the

13 following new paragraph:

14 ‘‘(27) intensive community mental health treat15 ment (as defined in subsection (x)) for adults with

16 diagnosed severe and persistent mental illness, and

17 for children with diagnosed serious mental and emo18 tional disturbances (manifested by substantial func19 tional impairment), who—

20 ‘‘(A) have a history of repeated episodes of

21 psychiatric hospitalization or are high users of

22 emergency and inpatient hospital services;

23 ‘‘(B) have been arrested repeated times for

24 minor offenses;
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1 ‘‘(C) have a history of poor outcomes from

2 provision of, or lack of access to, less intensive

3 mental health services;

4 ‘‘(D) cannot meet their own basic needs

5 and live in substandard housing situations, in6 cluding being homeless; or

7 ‘‘(E) have a history of coexisting substance

8 use of at least a 12-month duration;’’; and

9 (2) by adding at the end the following new sub10 section:

11 ‘‘(x)(1) The term ‘intensive community mental health

12 treatment’ means all of the following mental health serv13 ices provided in a coordinated manner:

14 ‘‘(A) 24-hour, 7-day-a-week intensive case man15 agement, including assertive community treatment.

16 ‘‘(B) Psychiatric rehabilitation.

17 ‘‘(C) Integrated treatment services for individ18 uals with co-occurring mental illness and substance

19 abuse disorders.

20 ‘‘(D) Crisis residential treatment (as defined in

21 paragraph (2)).

22 ‘‘(E) Psychiatric support services for individuals

23 residing in supported housing facilities.

24 ‘‘(F) Psychiatric hospital discharge planning

25 (as defined in paragraph (3)).
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1 ‘‘(G) Medication education and management.

2 ‘‘(H) Family psycho-education services.

3 ‘‘(I) Other evidenced-based intensive community

4 mental health treatment.

5 ‘‘(2) The term ‘crisis residential treatment’ means

6 services (other than inpatient psychiatric services) that

7 provide 24-hour a day intervention to individuals experi8 encing severe emotional distress.

9 ‘‘(3) The term ‘discharge planning’ means, with re10 spect to a psychiatric hospital, the process that includes—

11 ‘‘(A) identification of an individual’s needs for

12 treatment, housing, and support services in the com13 munity after discharge from the hospital;

14 ‘‘(B) establishment of a plan to develop appro15 priate linkages between the hospital and the commu16 nity to meet such needs; and

17 ‘‘(C) implementation of the plan at the point of

18 discharge from the hospital.’’.

19 (b) EFFECTIVE DATE.—The amendments made by

20 this section apply to treatment furnished on or after Janu21 ary 1, 2001.

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