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.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Medicaid Intensive
Community Mental Health Treatment Act of 2000’’.
SEC. 2. PROVIDING STATES WITH THE OPTION OF COV-
ERING 
INTENSIVE 
COMMUNITY 
MENTAL
HEALTH TREATMENT UNDER THE MEDICAID
PROGRAM.
(a) IN GENERAL.—Section 1905 of the Social Secu-
rity Act (42 U.S.C. 1396d) is amended—
(1) in subsection (a)—
(A) by striking ‘‘and’’ at the end of para-
graph (26);
(B) by redesignating paragraph (27) as
paragraph (28); and
(C) by inserting after paragraph (26) the
following new paragraph:
‘‘(27) intensive community mental health treat-
ment (as defined in subsection (x)) for adults with
diagnosed severe and persistent mental illness, and
for children with diagnosed serious mental and emo-
tional disturbances (manifested by substantial func-
tional impairment), who—
‘‘(A) have a history of repeated episodes of
psychiatric hospitalization or are high users of
emergency and inpatient hospital services;
‘‘(B) have been arrested repeated times for
minor offenses;
‘‘(C) have a history of poor outcomes from
provision of, or lack of access to, less intensive
mental health services;
‘‘(D) cannot meet their own basic needs
and live in substandard housing situations, in-
cluding being homeless; or
‘‘(E) have a history of coexisting substance
use of at least a 12-month duration;’’; and
(2) by adding at the end the following new sub-
section:
‘‘(x)(1) The term ‘intensive community mental health
treatment’ means all of the following mental health serv-
ices provided in a coordinated manner:
‘‘(A) 24-hour, 7-day-a-week intensive case man-
agement, including assertive community treatment.
‘‘(B) Psychiatric rehabilitation.
‘‘(C) Integrated treatment services for individ-
uals with co-occurring mental illness and substance
abuse disorders.
‘‘(D) Crisis residential treatment (as defined in
paragraph (2)).
‘‘(E) Psychiatric support services for individuals
residing in supported housing facilities.
‘‘(F) Psychiatric hospital discharge planning
(as defined in paragraph (3)).
‘‘(G) Medication education and management.
‘‘(H) Family psycho-education services.
‘‘(I) Other evidenced-based intensive community
mental health treatment.
‘‘(2) The term ‘crisis residential treatment’ means
services (other than inpatient psychiatric services) that
provide 24-hour a day intervention to individuals experi-
encing severe emotional distress.
‘‘(3) The term ‘discharge planning’ means, with re-
spect to a psychiatric hospital, the process that includes—
‘‘(A) identification of an individual’s needs for
treatment, housing, and support services in the com-
munity after discharge from the hospital;
‘‘(B) establishment of a plan to develop appro-
priate linkages between the hospital and the commu-
nity to meet such needs; and
‘‘(C) implementation of the plan at the point of
discharge from the hospital.’’.
(b) EFFECTIVE DATE.—The amendments made by
this section apply to treatment furnished on or after Janu-
ary 1, 2001.
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