H. R. 2617—1487 
‘‘(V) information regarding— 
‘‘(aa) the provider’s cultural and linguistic 
capabilities, including languages (including 
American Sign Language) offered by the pro-
vider or by a skilled medical interpreter who 
provides interpretation services at the pro-
vider’s office; 
‘‘(bb) whether the provider is accepting 
as new patients, individuals who receive med-
ical assistance under this title; 
‘‘(cc) whether the provider’s office or 
facility has accommodations for individuals 
with physical disabilities, including offices, 
exam rooms, and equipment; 
‘‘(dd) the Internet website of such pro-
vider, if applicable; and 
‘‘(ee) whether the provider offers covered 
services via telehealth; and 
‘‘(VI) other relevant information, as required 
by the Secretary. 
‘‘(ii) 
NETWORK
PROVIDER
DEFINED.—In 
this 
subparagraph, the term ‘network provider’ includes any 
provider, group of providers, or entity that has a net-
work provider agreement with a managed care 
organization, a prepaid inpatient health plan (as 
defined by the Secretary), a prepaid ambulatory health 
plan (as defined by the Secretary), or a primary care 
case management entity (as defined by the Secretary) 
or a subcontractor of any such entity or plan, and 
receives payment under this title directly or indirectly 
to order, refer, or render covered services as a result 
of the State’s contract with the entity or plan. For 
purposes of this subparagraph, a network provider 
shall not be considered to be a subcontractor by virtue 
of the network provider agreement.’’. 
(b) CONFORMING
AMENDMENTS
TO
STATE
PLAN
REQUIRE-
MENTS.—Section 1902(a) of the Social Security Act (42 U.S.C. 1396a) 
is amended— 
(1) by striking paragraph (83) and inserting the following: 
‘‘(83) provide that in the case of a State plan (or waiver 
of the plan) that provides medical assistance on a fee-for- 
service basis or through a primary care case-management 
system described in section 1915(b)(1), the State shall publish 
(and update on at least a quarterly basis or more frequently 
as required by the Secretary) on the public website of the 
State agency administering the State plan, a searchable direc-
tory of the providers described in subsection (mm) that, in 
addition to such other requirements as the Secretary may 
specify, such as making paper directories available to enrollees, 
includes with respect to each such provider— 
‘‘(A) the name of the provider; 
‘‘(B) the specialty of the provider; 
‘‘(C) the address at which the provider provides serv-
ices; 
‘‘(D) the telephone number of the provider; 
‘‘(E) information regarding—
H. R. 2617—1488 
‘‘(i) the provider’s cultural and linguistic capabili-
ties, including languages (including American Sign 
Language) offered by the provider or by a skilled med-
ical interpreter who provides interpretation services 
at the provider’s office; 
‘‘(ii) whether the provider is accepting as new 
patients individuals who receive medical assistance 
under this title; 
‘‘(iii) whether the provider’s office or facility has 
accommodations for individuals with physical disabil-
ities, including offices, exam rooms, and equipment; 
‘‘(iv) the Internet website of such provider, if 
applicable; and 
‘‘(v) whether the provider offers covered services 
via telehealth; and 
‘‘(F) other relevant information as required by the Sec-
retary;’’; and 
(2) by striking subsection (mm) and inserting the following: 
‘‘(mm) DIRECTORY PROVIDER DESCRIBED.— 
‘‘(1) IN GENERAL.—A provider described in this subsection, 
at a minimum, includes physicians, hospitals, pharmacies, pro-
viders of mental health services, providers of substance use 
disorder services, providers of long term services and supports 
as appropriate, and such other providers as required by the 
Secretary, and— 
‘‘(A) in the case of a provider or a provider type for 
which the State agency, as a condition of receiving payment 
for items and services furnished by the provider to individ-
uals eligible to receive medical assistance under the State 
plan (or a waiver of the plan), requires the enrollment 
of the provider with the State agency, includes a provider 
that— 
‘‘(i) is enrolled with the agency as of the date 
on which the directory is published or updated (as 
applicable) under subsection (a)(83); and 
‘‘(ii) received payment under the State plan in 
the 12-month period preceding such date; and 
‘‘(B) in the case of a provider or a provider type for 
which the State agency does not require such enrollment, 
includes a provider that received payment under the State 
plan (or a waiver of the plan) in the 12-month period 
preceding the date on which the directory is published 
or updated (as applicable) under subsection (a)(83). 
‘‘(2) STATE OPTION TO INCLUDE OTHER PARTICIPATING PRO-
VIDERS.—At State option, a provider described in this subsection 
may include any provider who furnishes services and is partici-
pating under the State plan under this title or under a waiver 
of such plan.’’. 
(c) GENERAL APPLICATION TO CHIP.—Section 2107(e)(1)(G) of 
the Social Security Act (42 U.S.C. 1397gg(e)(1)(G)) is amended 
by inserting ‘‘and subsection (a)(83) of section 1902 (relating to 
searchable directories of the providers described in subsection (mm) 
of such section)’’ before the period. 
(d) EFFECTIVE DATE.—The amendments made by this section 
shall take effect on July 1, 2025.
H. R. 2617—1489 
SEC. 5124. SUPPORTING ACCESS TO A CONTINUUM OF CRISIS 
RESPONSE SERVICES UNDER MEDICAID AND CHIP. 
(a) GUIDANCE.—Not later than July 1, 2025, the Secretary, 
in coordination with the Administrator of the Centers for Medicare 
& Medicaid Services and the Assistant Secretary for Mental Health 
and Substance Use, shall issue guidance to States regarding Med-
icaid and CHIP that includes the following: 
(1) Provides, in consultation with health care providers 
and stakeholders with expertise in mental health and substance 
use disorder crisis response services, recommendations for an 
effective continuum of crisis response services that— 
(A) includes crisis call centers, including 988 crisis 
services hotlines, mobile crisis teams, crisis response serv-
ices delivered in home, community, residential facility, and 
hospital settings, and coordination with follow-on mental 
health and substance use disorder services, such as inten-
sive outpatient and partial hospitalization programs, as 
well as connections to social services and supports; 
(B) promotes access to appropriate and timely mental 
health and substance use disorder crisis response services 
in the least restrictive setting appropriate to an individual’s 
needs; and 
(C) promotes culturally competent, trauma-informed 
care, and crisis de-escalation. 
(2) Outlines the Federal authorities through which States 
may finance and enhance under Medicaid and CHIP the avail-
ability of crisis response services across each stage of the con-
tinuum of crisis response services. 
(3) Addresses how States under Medicaid and CHIP may 
support the ongoing implementation of crisis call centers, 
including 988 crisis services hotlines, and how Medicaid 
administrative funding, including enhanced matching, and the 
Medicaid Information Technology Architecture 3.0 framework, 
may be used to establish or enhance regional or statewide 
crisis call centers, including 988 crisis services hotlines, that 
coordinate in real time. 
(4) Identifies how States under Medicaid and CHIP may 
support access to crisis response services that are responsive 
to the needs of children, youth, and families, including through 
CHIP health services initiatives, behavioral disorder-specific 
crisis response, trained peer support services, and establishing 
or enhancing crisis call centers that are youth-focused. 
(5) Identifies policies and practices to meet the need for 
crisis response services with respect to differing patient popu-
lations, including urban, rural, and frontier communities, dif-
fering age groups, cultural and linguistic minorities, individuals 
with co-occurring mental health and substance use disorder 
conditions, and individuals with disabilities. 
(6) Identifies policies and practices to promote evidence- 
based suicide risk screenings and assessments. 
(7) Identifies strategies to facilitate timely provision of 
crisis response services, including how States can enable access 
to crisis response services without requiring a diagnosis, the 
use of presumptive eligibility at different stages of the con-
tinuum of crisis response services, the use of telehealth to 
deliver crisis response services, strategies to make crisis 
response services available 24/7 in medically underserved
H. R. 2617—1490 
regions, and best practices used by States and health providers 
for maximizing capacity to deliver crisis response services, such 
as identifying and repurposing available beds, space, and staff 
for crisis response services. 
(8) Describes best practices for coordinating Medicaid and 
CHIP funding with other payors and sources of Federal funding 
for mental health and substance use disorder crisis response 
services, and best practices for Medicaid and CHIP financing 
when the continuum of crisis response services serves individ-
uals regardless of payor. 
(9) Describes best practices for establishing effective 
connections with follow-on mental health and substance use 
disorder services, as well as with social services and supports. 
(10) Describes best practices for coordinating and financing 
a continuum of crisis response services through Medicaid man-
aged care organizations, prepaid inpatient health plans, prepaid 
ambulatory health plans, and fee-for-service delivery systems, 
including when States carve-out from delivery through Med-
icaid managed care organizations, prepaid inpatient health 
plans, prepaid ambulatory health plans, or fee-for-service sys-
tems, mental health or substance use disorder benefits or a 
subset of such services. 
(11) Identifies strategies and best practices for measuring 
and monitoring utilization of, and outcomes related to, crisis 
response services. 
(b) TECHNICAL ASSISTANCE CENTER.— 
(1) IN GENERAL.—Not later than July 1, 2025, the Secretary, 
in coordination with the Administrator of the Centers for Medi-
care & Medicaid Services and the Assistant Secretary for 
Mental Health and Substance Use, shall establish a technical 
assistance center to help States under Medicaid and CHIP 
design, implement, or enhance a continuum of crisis response 
services for children, youth, and adults. Such technical assist-
ance shall, at least in part, provide support to States in— 
(A) leveraging the Federal authorities through which 
Medicaid and CHIP may finance mental health and sub-
stance use disorder crisis response services; 
(B) coordinating Medicaid and CHIP funds with other 
sources of Federal funding for mental health and substance 
use disorder crisis response services; and 
(C) after the guidance described in subsection (a) is 
issued, adopting the best practices and strategies identified 
in such guidance. 
(2) COMPENDIUM OF BEST PRACTICES.—The Secretary shall 
develop and maintain a publicly available compendium of best 
practices for the successful operation under Medicaid and CHIP 
of a continuum of crisis response services. The Secretary 
annually shall review the information available through the 
compendium and shall update such information when appro-
priate. 
(c) FUNDING.—There is appropriated to the Secretary, out of 
any funds in the Treasury not otherwise appropriated, to remain 
available until expended for purposes of carrying out subsections 
(a) and (b), $8,000,000. 
(d) DEFINITIONS.—In this section: 
(1) SECRETARY.—The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services.
H. R. 2617—1491 
(2) STATE.—The term ‘‘State’’ means each of the 50 States, 
the District of Columbia, Puerto Rico, the United States Virgin 
Islands, Guam, American Samoa, and the Commonwealth of 
the Northern Mariana Islands. 
Subtitle D—Transitioning From Medicaid 
FMAP Increase Requirements 
SEC. 
5131. 
TRANSITIONING 
FROM 
MEDICAID 
FMAP 
INCREASE 
REQUIREMENTS. 
(a) 
IN
GENERAL.—Section 
6008 
of 
the 
Families 
First 
Coronavirus Response Act (42 U.S.C. 1396d note) is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘Subject to subsection (b)’’ and inserting 
the following: 
‘‘(1) TEMPORARY FMAP INCREASE.—Subject to subsections 
(b) and (f)’’; 
(B) by striking ‘‘the last day of the calendar quarter 
in which the last day of such emergency period occurs’’ 
and inserting ‘‘December 31, 2023’’; 
(C) by striking ‘‘6.2 percentage points’’ and inserting 
‘‘the applicable number of percentage points for the quarter 
(as determined in paragraph (2))’’; and 
(D) by adding at the end the following new paragraph: 
‘‘(2) APPLICABLE NUMBER OF PERCENTAGE POINTS.—For pur-
poses of paragraph (1), the applicable number of percentage 
points for a calendar quarter is the following: 
‘‘(A) For each calendar quarter that occurs during the 
portion of the period described in paragraph (1) that ends 
on March 31, 2023, 6.2 percentage points. 
‘‘(B) For the calendar quarter that begins on April 
1, 2023, and ends on June 30, 2023, 5 percentage points. 
‘‘(C) For the calendar quarter that begins on July 1, 
2023, and ends on September 30, 2023, 2.5 percentage 
points. 
‘‘(D) For the calendar quarter that begins on October 
1, 2023, and ends on December 31, 2023, 1.5 percentage 
points.’’; 
(2) in subsection (b)— 
(A) in the matter preceding paragraph (1), by striking 
‘‘subsection (a)’’ and inserting ‘‘subsection (a)(1)’’; 
(B) in paragraph (2), by striking ‘‘, with respect to 
an individual enrolled under such plan (or waiver),’’; and 
(C) in paragraph (3)— 
(i) by striking ‘‘as of the date of enactment of 
this section’’ and inserting ‘‘as of March 18, 2020,’’; 
(ii) by striking ‘‘such date of enactment’’ and 
inserting ‘‘March 18, 2020,’’; 
(iii) by striking ‘‘the last day of the month in 
which the emergency period described in subsection 
(a) ends’’ and inserting ‘‘March 31, 2023,’’; and 
(iv) by striking ‘‘the end of the month in which 
such emergency period ends’’ and inserting ‘‘March 
31, 2023,’’;
H. R. 2617—1492 
(3) by redesignating the subsection (d) added by section 
11 of division X of the Consolidated Appropriations Act, 2021 
(Public Law 116–260) as subsection (e); and 
(4) by adding at the end the following new subsections: 
‘‘(f) 
ELIGIBILITY
REDETERMINATIONS
DURING
TRANSITION 
PERIOD.— 
‘‘(1) IN GENERAL.— For each calendar quarter occurring 
during the portion of the period described in subsection (a)(1) 
that begins on April 1, 2023, and ends on December 31, 2023 
(such portion to be referred to in this subsection as the ‘transi-
tion period’), if a State described in such subsection satisfies 
the conditions of subsection (b) and paragraph (2) of this sub-
section, the State shall receive the increase to the Federal 
medical assistance percentage of the State applicable under 
subsection (a). Nothing in this subsection shall be construed 
as prohibiting a State, following the expiration of the condition 
described in paragraph (3) of subsection (b), from initiating 
renewals, post-enrollment verifications, and redeterminations 
over a 12-month period for all individuals who are enrolled 
in such plan (or waiver) as of April 1, 2023. 
‘‘(2) CONDITIONS FOR FMAP INCREASE DURING TRANSITION 
PERIOD.—The conditions of this paragraph with respect to a 
State and the transition period are the following: 
‘‘(A) COMPLIANCE WITH FEDERAL REQUIREMENTS.—The 
State conducts eligibility redeterminations under title XIX 
of the Social Security Act in accordance with all Federal 
requirements 
applicable 
to 
such 
redeterminations, 
including renewal strategies authorized under section 
1902(e)(14)(A) of the Social Security Act (42 U.S.C. 
1396a(e)(14)(A)) or other alternative processes and proce-
dures approved by the Secretary of Health and Human 
Services. 
‘‘(B) MAINTENANCE OF UP-TO-DATE CONTACT INFORMA-
TION.—The State, using the National Change of Address 
Database Maintained by the United States Postal Service, 
State health and human services agencies, or other reliable 
sources of contact information, attempts to ensure that 
it has up-to-date contact information (including a mailing 
address, phone number, and email address) for each indi-
vidual for whom the State conducts an eligibility redeter-
mination. 
‘‘(C) REQUIREMENT
TO
ATTEMPT
TO
CONTACT
BENE-
FICIARIES PRIOR TO DISENROLLMENT.—The State does not 
disenroll from the State plan or waiver any individual 
who is determined ineligible for medical assistance under 
the State plan or waiver pursuant to such a redetermina-
tion on the basis of returned mail unless the State first 
undertakes a good faith effort to contact the individual 
using more than one modality. 
‘‘(g) APPLICABLE QUARTERS.—A State that ceases to meet the 
requirements of subsection (b) or (f) (as applicable) shall not qualify 
for the increase described in subsection (a) in the Federal medical 
assistance percentage for such State for the calendar quarter in 
which the State ceases to meet such requirements.’’. 
(b) REPORTING AND ENFORCEMENT AND CORRECTIVE ACTION.— 
Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended 
by adding at the end the following new subsection:
H. R. 2617—1493 
‘‘(tt) REQUIREMENTS RELATING TO TRANSITION FROM FAMILIES 
FIRST CORONAVIRUS RESPONSE ACT FMAP INCREASE REQUIRE-
MENTS; ENFORCEMENT AND CORRECTIVE ACTION.— 
‘‘(1) REPORTING REQUIREMENTS.—For each month occurring 
during the period that begins on April 1, 2023, and ends on 
June 30, 2024, each State shall submit to the Secretary, on 
a timely basis, a report, that the Secretary shall make publicly 
available, on the activities of the State relating to eligibility 
redeterminations conducted during such period, and which 
include, with respect to the month for which the report is 
submitted, the following information: 
‘‘(A) The number of eligibility renewals initiated, bene-
ficiaries renewed on a total and ex parte basis, and individ-
uals whose coverage for medical assistance, child health 
assistance, or pregnancy-related assistance was terminated. 
‘‘(B) The number of individuals whose coverage for 
medical assistance, child health assistance, or pregnancy- 
related assistance was so terminated for procedural rea-
sons. 
‘‘(C) Where applicable, the number of individuals who 
were enrolled in a State child health plan or waiver in 
the form described in paragraph (1) of section 2101(a). 
‘‘(D) Unless the Administrator of the Centers for Medi-
care & Medicaid Services reports such information on 
behalf of the State: 
‘‘(i) In a State with a Federal or State American 
Health Benefit Exchange established under title I of 
the Patient Protection and Affordable Care Act in 
which the systems used to determine eligibility for 
assistance under this title or title XXI are not 
integrated with the systems used to determine eligi-
bility for coverage under a qualified health plan with 
advance payment under section 1412(a) of the Patient 
Protection and Affordable Care Act of any premium 
tax credit allowed under section 36B of the Internal 
Revenue Code of 1986— 
‘‘(I) the number of individuals whose accounts 
were received via secure electronic transfer by the 
Federal 
or 
State 
American 
Health 
Benefit 
Exchange, or a basic health program established 
under section 1331 of the Patient Protection and 
Affordable Care Act; 
‘‘(II) the number of individuals identified in 
subclause (I) who were determined eligible for a 
qualified health plan, as defined in section 
1301(a)(1) of the Patient Protection and Affordable 
Care Act, or (if applicable) the basic health pro-
gram established under section 1331 of such Act; 
and 
‘‘(III) the number of individuals identified in 
subclause (II) who made a qualified health plan 
selection or were enrolled in a basic health pro-
gram plan (if applicable). 
‘‘(ii) In a State with a State American Health 
Benefit Exchange established under title I of the 
Patient Protection and Affordable Care Act in which 
the systems used to determine eligibility for assistance
H. R. 2617—1494 
under this title or title XXI are integrated with the 
systems used to determine eligibility for coverage 
under a qualified health plan with advance payment 
under section 1412(a) of the Patient Protection and 
Affordable Care Act of any premium tax credit allowed 
under section 36B of the Internal Revenue Code of 
1986— 
‘‘(I) the number of individuals who were deter-
mined eligible for a qualified health plan, as 
defined in section 1301(a)(1) of the Patient Protec-
tion and Affordable Care Act, or (if applicable) 
the basic health program established under section 
1331 of such Act; and 
‘‘(II) the number of individuals identified in 
subclause (I) who made a qualified health plan 
selection or were enrolled in a basic health pro-
gram plan (if applicable). 
‘‘(E) The total call center volume, average wait times, 
and average abandonment rate (as determined by the Sec-
retary) for each call center of the State agency responsible 
for administering the State plan under this title (or a 
waiver of such plan) during such month. 
‘‘(F) Such other information related to eligibility 
redeterminations and renewals during the period described 
in paragraph (1), as identified by the Secretary. 
‘‘(2) ENFORCEMENT AND CORRECTIVE ACTION.— 
‘‘(A) IN GENERAL.—For each fiscal quarter that occurs 
during the period that begins on July 1, 2023, and ends 
on June 30, 2024, if a State does not satisfy the require-
ments of paragraph (1), the Federal medical assistance 
percentage determined for the State for the quarter under 
section 1905(b) shall be reduced by the number of percent-
age points (not to exceed 1 percentage point) equal to 
the product of 0.25 percentage points and the number 
of fiscal quarters during such period for which the State 
has failed to satisfy such requirements. 
‘‘(B) 
CORRECTIVE
ACTION
PLAN; 
ADDITIONAL 
AUTHORITY.— 
‘‘(i) IN
GENERAL.—The Secretary may assess a 
State’s compliance with all Federal requirements 
applicable to eligibility redeterminations and the 
reporting requirements described in paragraph (1), 
and, if the Secretary determines that a State did not 
comply with any such requirements during the period 
that begins on April 1, 2023, and ends on June 30, 
2024, the Secretary may require the State to submit 
and implement a corrective action plan in accordance 
with clause (ii). 
‘‘(ii) CORRECTIVE
ACTION
PLAN.—A State that 
receives a written notice from the Secretary that the 
Secretary has determined that the State is not in 
compliance with a requirement described in clause (i) 
shall— 
‘‘(I) not later than 14 days after receiving such 
notice, submit a corrective action plan to the Sec-
retary;
H. R. 2617—1495 
‘‘(II) not later than 21 days after the date 
on which such corrective action plan is submitted 
to the Secretary, receive approval for the plan 
from the Secretary; and 
‘‘(III) begin implementation of such corrective 
action plan not later than 14 days after such 
approval. 
‘‘(iii) EFFECT OF FAILURE TO SUBMIT OR IMPLEMENT 
A CORRECTIVE ACTION PLAN.—If a State fails to submit 
or implement an approved corrective action plan in 
accordance with clause (ii), the Secretary may, in addi-
tion to any reduction applied under subparagraph (A) 
to the Federal medical assistance percentage deter-
mined for the State and any other remedy available 
to the Secretary for the purpose of carrying out this 
title, require the State to suspend making all or some 
terminations of eligibility for medical assistance from 
the State plan under this title (including any waiver 
of such plan) that are for procedural reasons until 
the State takes appropriate corrective action, as deter-
mined by the Secretary, and may impose a civil money 
penalty of not more than $100,000 for each day a 
State is not in compliance.’’. 
(c) EFFECTIVE DATE.—The amendments made by this section 
take effect on April 1, 2023. 
Subtitle E—Medicaid Improvement Fund 
SEC. 5141. MEDICAID IMPROVEMENT FUND. 
Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C. 
1396w–1(b)(3)(A)) is amended by striking ‘‘for fiscal year 2025 and 
thereafter, $0’’ and inserting ‘‘for fiscal year 2028 and thereafter, 
$7,000,000,000’’. 
TITLE VI—HUMAN SERVICES 
SEC. 6101. JACKIE WALORSKI MATERNAL AND CHILD HOME VISITING 
REAUTHORIZATION ACT OF 2022. 
(a) SHORT TITLE.—This section may be cited as the ‘‘Jackie 
Walorski Maternal and Child Home Visiting Reauthorization Act 
of 2022’’. 
(b) OUTCOMES DASHBOARD.—Section 511(d)(1) of the Social 
Security Act (42 U.S.C. 711(d)(1)) is amended— 
(1) in the paragraph heading, by striking ‘‘BENCHMARK 
AREAS’’ and inserting ‘‘BENCHMARK
AREAS
RELATED
TO
INDI-
VIDUAL FAMILY OUTCOMES’’; 
(2) in subparagraph (D)(i), by striking ‘‘(B)’’ and inserting 
‘‘(C)’’; and 
(3) by redesignating subparagraphs (B) through (D) as sub-
paragraphs (C) through (E), respectively, and inserting after 
subparagraph (A) the following: 
‘‘(B) OUTCOMES
DASHBOARDS.—The Secretary shall, 
directly or by grant or contract, establish and operate a 
website accessible to the public that includes an annually 
updated dashboard that—