I 
114TH CONGRESS 
2D SESSION 
H. R. 5462 
To amend title XIX of the Social Security Act to provide for a State Medicaid 
option to enhance administrative matching funds to support statewide 
behavioral health access program activities for children under 21 years 
of age, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 13, 2016 
Mr. LOEBSACK (for himself, Mr. TONKO, Mrs. DINGELL, Mr. KENNEDY, Mr. 
HASTINGS, Ms. CLARKE of New York, and Mr. ENGEL) introduced the 
following bill; which was referred to the Committee on Energy and Com-
merce 
A BILL 
To amend title XIX of the Social Security Act to provide 
for a State Medicaid option to enhance administrative 
matching funds to support statewide behavioral health 
access program activities for children under 21 years 
of age, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 
1. 
COVERAGE 
OF 
STATEWIDE 
BEHAVIORAL 
HEALTH ACCESS PROGRAM ACTIVITIES FOR 
CHILDREN UNDER AGE 21. 
(a) CHILD BEHAVIORAL HEALTH ACCESS PROGRAM 
ACTIVITIES FOR CHILDREN UNDER AGE 21.—Title XIX 
of the Social Security Act is amended by adding at the 
end the following new section: 
‘‘SEC. 
1947. 
COVERAGE 
OF 
STATEWIDE 
BEHAVIORAL 
HEALTH ACCESS PROGRAM ACTIVITIES FOR 
CHILDREN UNDER AGE 21. 
‘‘(a) 
IN
GENERAL.—Notwithstanding 
section 
1902(a)(10)(B) (relating to comparability) and any other 
provision of this title for which the Secretary determines 
it is necessary to waive in order to implement this section, 
beginning January 1, 2017, a State, at its option as a 
State plan amendment, may provide for medical assistance 
under this title for child behavioral health access program 
activities. 
‘‘(b) DEFINITIONS.—In this section: 
‘‘(1) CHILD BEHAVIORAL HEALTH ACCESS AD-
MINISTRATIVE
PROGRAM
ACTIVITIES.—The term 
‘child behavioral health access administrative pro-
gram activities’ means administrative activities that 
are carried out with respect to a child behavioral 
health access administrative program. 
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‘‘(2) CHILD BEHAVIORAL HEALTH ACCESS AD-
MINISTRATIVE
PROGRAM.—The term ‘child behav-
ioral health access administrative program’ means a 
program that, with respect to behavioral health serv-
ices furnished to individuals under 21 years of age— 
‘‘(A) designs, develops, and implements an 
organized statewide or regional network of men-
tal health professionals that may include child 
and adolescent psychiatrists, psychologists, so-
cial workers, psychiatric nurses, nurse practi-
tioners, and substance abuse counselors to ex-
pand the capacity of pediatric primary care pro-
viders to deliver family-centered behavioral 
health care; 
‘‘(B) conducts an assessment of critical 
child behavioral health consultation needs 
among pediatric primary care providers and 
their preferred mechanisms for receiving con-
sultation and training and technical assistance; 
‘‘(C) develops an online database and com-
munication mechanisms, including telehealth, to 
facilitate consultation support to pediatric pri-
mary care providers, to track referrals for be-
havioral evaluation made by such providers, and 
to facilitate follow-up visits to such providers; 
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‘‘(D) conducts training and provides tech-
nical assistance to pediatric primary care pro-
viders to support the prevention, early identi-
fication, diagnosis, treatment, and referral of 
children with mental or behavioral health condi-
tions; 
‘‘(E) informs and assists pediatric pro-
viders in accessing child and adolescent psychi-
atry or behavioral health consultations, referral 
for behavioral evaluation and treatment, and in 
scheduling and conducting training and tech-
nical assistance; 
‘‘(F) informs children eligible to receive 
medical assistance under this title and their 
families about the availability of the assistance 
available through the program; 
‘‘(G) establishes mechanisms for meas-
uring and monitoring increased access to child 
and adolescent behavioral health activities by 
pediatric primary care providers and expanded 
capacity of pediatric primary care providers to 
identify, treat, and refer children with mental 
or behavioral health problems; and 
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‘‘(H) establishes mechanisms for coordina-
tion with other State mental or behavioral 
health resources for children and adolescents. 
‘‘(3) PEDIATRIC
PRIMARY
CARE
PROVIDER.— 
The term ‘pediatric primary care provider’ includes 
a provider who is a general practitioner, family med-
icine physician, internal medicine physician, or pedi-
atrician.’’. 
(b) ENHANCED FMAP.—Section 1903(a) of the So-
cial Security Act (42 U.S.C. 1396b(a)) is amended— 
(1) by redesignating paragraph (7) as para-
graph (8); and 
(2) by inserting after paragraph (6) the fol-
lowing new paragraph: 
‘‘(7) for each calendar quarter during— 
‘‘(A) 2016, an amount equal to 100 per-
cent, 
‘‘(B) 2017, an amount equal to 90 percent, 
‘‘(C) 2018, an amount equal to 80 percent, 
‘‘(D) 2019, an amount equal to 70 per-
cent, and 
‘‘(E) 2020 and each year thereafter, an 
amount equal to 60 percent, 
of so much of the sums expended by the State plan 
as are attributable to providing child behavioral 
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health access administrative program activities (as 
defined in section 1947); plus’’. 
(c) EFFECTIVE DATE.—The amendments made in 
this section shall apply to items and services furnished on 
or after the date that is 90 days after the date of the 
enactment of this Act. 
Æ 
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