a mobile crisis team, or through crisis receiving 
and stabilization program),’’ after ‘‘paraprofes-
sional field’’; 
(2) in subsection (d)(2), by inserting ‘‘or that 
emphasize training in crisis management and meet-
ing the crisis needs of diverse populations specified 
in (b)(2), including effective outreach and engage-
ment’’ after ‘‘partnerships’’; and 
(3) by adding at the end the following: 
‘‘(g) ADDITIONAL FUNDING.— 
‘‘(1) IN
GENERAL.—For each of fiscal years 
2024 through 2028, in addition to funding made 
available under subsection (f), there are authorized 
to be appropriated $15,000,000 for workforce devel-
opment for crisis management, as specified in para-
graphs (1) through (4) of subsection (a). 
‘‘(2) PRIORITY.—In making grants for the pur-
pose specified in paragraph (1), the Secretary shall 
give priority to programs demonstrating effective re-
cruitment and retention efforts for individuals and 
groups from different racial, ethnic, cultural, geo-
graphic, religious, linguistic, and class backgrounds, 
and different genders and sexual orientations, as 
specified in subsection (b)(2).’’. 
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TITLE III—BEHAVIORAL HEALTH 
CRISIS SERVICES EXPANSION 
SEC. 301. COVERAGE OF CRISIS RESPONSE SERVICES. 
(a) COVERAGE UNDER THE MEDICARE PROGRAM.— 
(1) IN
GENERAL.—Section 1861(s)(2) of the 
Social Security Act (42 U.S.C. 1395x(s)(2)) is 
amended— 
(A) in subparagraph (II), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (JJ), by striking the 
period at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(KK) crisis response services as defined 
in subsection (nnn);’’. 
(2) CRISIS
RESPONSE
SERVICES
DEFINED.— 
Section 1861 of the Social Security Act (42 U.S.C. 
1395x) is amended by adding at the end the fol-
lowing new subsection: 
‘‘(nnn) CRISIS RESPONSE SERVICES.—The term ‘cri-
sis response services’ means mental health or substance 
use services that are furnished by a mobile crisis response 
team, a crisis receiving and stabilization facility, mental 
health or substance use urgent care facility, or other ap-
propriate provider, as determined by the Secretary, to an 
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individual, including children and adolescents, experi-
encing a mental health or substance use crisis.’’. 
(3) PAYMENT.— 
(A) IN GENERAL.—Section 1833(a)(1) of 
the Social Security Act (42 U.S.C. 1395l(a)(1)) 
is amended— 
(i) by striking ‘‘and (HH)’’ and in-
serting ‘‘(HH)’’; and 
(ii) by inserting before the semicolon 
at the end the following: ‘‘and (II) with re-
spect to crisis response services described 
in section 1861(s)(2)(KK), the amounts 
paid shall be 80 percent of the lesser of the 
actual charge for the service or the amount 
determined under the payment basis estab-
lished under section 1834(aa)’’. 
(B) 
ESTABLISHMENT
OF
PAYMENT 
BASIS.—Section 1834 of the Social Security Act 
(42 U.S.C. 1395m) is amended by adding at 
the end the following new subsection: 
‘‘(aa) PAYMENT FOR CRISIS RESPONSE SERVICES.— 
The Secretary shall establish a payment basis determined 
appropriate by the Secretary with respect to crisis re-
sponse services (as defined in section 1861(nnn)) fur-
nished by a provider of services or supplier.’’. 
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(4) AMBULANCE TRANSPORT OF INDIVIDUALS 
IN CRISIS.— 
(A) IN GENERAL.—Section 1834(l) of the 
Social Security Act (42 U.S.C. 1395m(l)) is 
amended by adding at the end the following 
new paragraph: 
‘‘(18) TRANSPORTATION
OF
INDIVIDUALS
IN 
CRISIS.—With respect to ambulance services fur-
nished on or after the date that is 3 years after the 
date of the enactment of the Behavioral Health Cri-
sis Services Expansion Act, the regulations described 
in section 1861(s)(7) shall provide coverage under 
such section for ambulance and other qualified emer-
gency transport services to transport an individual 
experiencing a mental health or substance crisis to 
an appropriate facility, such as a community mental 
health center (as defined in section 1861(ff)(3)(B)) 
or other facility or provider identified by the Sec-
retary, as appropriate, for crisis response services 
described in section 1861(s)(2)(KK).’’. 
(B) CONFORMING
AMENDMENT.—Section 
1861(s)(7) of such Act (42 U.S.C. 1395x(s)(7)) 
is amended by striking ‘‘section 1834(l)(14)’’ 
and inserting ‘‘paragraphs (14) and (18) of sec-
tion 1834(l)’’. 
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(5) EFFECTIVE DATE.—The amendments made 
by this subsection shall apply to services furnished 
on or after the date that is 3 years after the date 
of the enactment of this Act. 
(b) MANDATORY COVERAGE OF CRISIS RESPONSE 
SERVICES UNDER THE MEDICAID PROGRAM.—Title XIX 
of the Social Security Act (42 U.S.C. 1396 et seq.) is 
amended— 
(1) in section 1902(a)(10)(A), in the matter 
preceding clause (i), by striking ‘‘and (30)’’ and in-
serting ‘‘(30), and (31)’’; and 
(2) in section 1905— 
(A) in subsection (a)— 
(i) in paragraph (30), by striking ‘‘; 
and’’ and inserting a semicolon; 
(ii) by redesignating paragraph (31) 
as paragraph (32); and 
(iii) by inserting the following para-
graph after paragraph (30): 
‘‘(31) crisis response services (as defined in sec-
tion 1861(nnn)); and’’. 
(3) PRESUMPTIVE
ELIGIBILITY
DETERMINA-
TION BY CRISIS RESPONSE SERVICE PROVIDERS.— 
Section 1902(a)(47)(B) of the Social Security Act 
(42 U.S.C. 1396a(a)(47)(B)) is amended by insert-
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