IB 
Union Calendar No. 569 
115TH CONGRESS 
2D SESSION 
H. R. 3192 
[Report No. 115–734] 
To amend title XXI of the Social Security Act to ensure access to mental 
health services for children under the Children’s Health Insurance Pro-
gram, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 12, 2017 
Mr. KENNEDY (for himself and Mrs. NAPOLITANO) introduced the following 
bill; which was referred to the Committee on Energy and Commerce 
JUNE 12, 2018 
Additional sponsors: Ms. KELLY of Illinois, Mr. BEN RAY LUJA´N of New Mex-
ico, Mr. TONKO, Mr. RUSH, Ms. BARRAGA´N, Mr. COHEN, Mr. ENGEL, 
Mr. KHANNA, Ms. MATSUI, Ms. CLARK of Massachusetts, Mr. MEEHAN, 
Ms. TSONGAS, Mr. SOTO, Mr. RYAN
of Ohio, Mr. LANCE, Mr. 
DESAULNIER, Mr. SEAN PATRICK MALONEY of New York, Ms. SHEA- 
PORTER, Mrs. BLACKBURN, Mr. WALDEN, and Mr. MITCHELL 
JUNE 12, 2018 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on July 12, 2017] 
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A BILL 
To amend title XXI of the Social Security Act to ensure 
access to mental health services for children under the 
Children’s Health Insurance Program, and for other pur-
poses. 
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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 ‘‘CHIP Mental Health 
Parity Act’’. 
SEC. 2. ENSURING ACCESS TO MENTAL HEALTH AND SUB-
STANCE USE DISORDER SERVICES FOR CHIL-
DREN AND PREGNANT WOMEN UNDER THE 
CHILDREN’S HEALTH INSURANCE PROGRAM. 
(a) IN GENERAL.—Section 2103(c)(1) of the Social Se-
curity Act (42 U.S.C. 1397cc(c)(1)) is amended by adding 
at the end the following new subparagraph: 
‘‘(E) Mental health and substance use dis-
order services (as defined in paragraph (5)).’’. 
(b) MENTAL HEALTH AND SUBSTANCE USE DISORDER 
SERVICES.— 
(1) IN GENERAL.—Section 2103(c) of the Social 
Security Act (42 U.S.C. 1397cc(c)) is amended— 
(A) by redesignating paragraphs (5), (6), 
(7), and (8) as paragraphs (6), (7), (8), and (9), 
respectively; and 
(B) by inserting after paragraph (4) the fol-
lowing new paragraph: 
‘‘(5) MENTAL HEALTH AND SUBSTANCE USE DIS-
ORDER SERVICES.—In the case of a State that pro-
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vides child health assistance for targeted low-income 
children or targeted low-income pregnant women (as 
defined in section 2112(d)) in the form of providing 
any health benefits coverage described in subsection 
(a), such child health assistance shall— 
‘‘(A) include coverage of mental health serv-
ices (including behavioral health treatment) nec-
essary to prevent, diagnose, and treat a broad 
range of mental health symptoms and disorders, 
including substance use disorders; and 
‘‘(B) be delivered in a culturally and lin-
guistically appropriate manner.’’. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 2103(a) of the Social Security 
Act (42 U.S.C. 1397cc(a)) is amended, in the 
matter before paragraph (1), by striking ‘‘para-
graphs (5), (6), and (7)’’ and inserting ‘‘para-
graphs (5), (6), (7), and (8)’’. 
(B) Section 2110(a) of the Social Security 
Act (42 U.S.C. 1397jj(a)) is amended— 
(i) in paragraph (18), by striking 
‘‘substance abuse’’ each place it appears and 
inserting ‘‘substance use’’; and 
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(ii) in paragraph (19), by striking 
‘‘substance abuse’’ and inserting ‘‘substance 
use’’. 
(C) Section 2110(b)(5)(A)(i) of the Social 
Security Act (42 U.S.C. 1397jj(b)(5)(A)(i)) is 
amended by striking ‘‘subsection (c)(5)’’ and in-
serting ‘‘subsection (c)(6)’’. 
(c) 
ASSURING
ACCESS
TO
CARE.—Section 
2102(a)(7)(B) of the Social Security Act (42 U.S.C. 
1397bb(c)(2)) is amended by striking ‘‘section 2103(c)(5)’’ 
and inserting ‘‘paragraphs (5) and (6) of section 2103(c)’’. 
(d) MENTAL HEALTH SERVICES PARITY.—Subpara-
graph (A) of paragraph (7) of section 2103(c) of the Social 
Security Act (42 U.S.C. 1397cc(c)) (as redesignated by sub-
section (b)(1)) is amended to read as follows: 
‘‘(A) IN
GENERAL.—A State child health 
plan shall ensure that the financial requirements 
and treatment limitations applicable to mental 
health and substance use disorder services (as de-
scribed in paragraph (5)) provided under such 
plan comply with the requirements of section 
2726(a) of the Public Health Service Act in the 
same manner as such requirements or limita-
tions apply to a group health plan under such 
section.’’. 
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(e) EFFECTIVE DATE.— 
(1) IN GENERAL.—Subject to paragraph (2), the 
amendments made by this section shall take effect 
with respect to child health assistance provided on or 
after the date that is one year after the date of the 
enactment of this Act. 
(2) EXCEPTION
FOR
STATE
LEGISLATION.—In 
the case of a State child health plan under title XXI 
of the Social Security Act (or a waiver of such plan), 
which the Secretary of Health and Human Services 
determines requires State legislation in order for the 
respective plan (or waiver) to meet any requirement 
imposed by the amendments made by this section, the 
respective plan (or waiver) shall not be regarded as 
failing to comply with the requirements of such title 
solely on the basis of its failure to meet such an addi-
tional requirement before the first day of the first cal-
endar quarter beginning after the close of the first 
regular session of the State legislature that begins 
after the date of enactment of this section. For pur-
poses of the previous sentence, in the case of a State 
that has a 2-year legislative session, each year of the 
session shall be considered to be a separate regular 
session of the State legislature. 
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Union Calendar No. 569 
115TH CONGRESS 
2D SESSION 
H. R. 3192 
[Report No. 115–734] 
A BILL 
To amend title XXI of the Social Security Act to 
ensure access to mental health services for chil-
dren under the Children’s Health Insurance Pro-
gram, and for other purposes. 
JUNE 12, 2018 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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