IB 
Union Calendar No. 285 
117TH CONGRESS 
2D SESSION 
H. R. 7233 
[Report No. 117–374] 
To amend title XIX of the Social Security Act to provide for requirements 
under Medicaid State plans for health screenings and referrals for certain 
eligible juveniles in public institutions; and to require the Secretary 
of Health and Human Services to issue clear and specific guidance 
under the Medicaid and Children’s Health Insurance programs to im-
prove the delivery of health care services, including mental health serv-
ices, in elementary and secondary schools and school-based health centers. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 28, 2022 
Mr. HUDSON (for himself and Ms. KUSTER) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
JUNE 16, 2022 
Additional sponsors: Mrs. HINSON, Mrs. HAYES, Ms. HOULAHAN, and Mr. 
TRONE 
JUNE 16, 2022 
Reported with amendments, 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 March 28, 2022] 
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A BILL 
To amend title XIX of the Social Security Act to provide 
for requirements under Medicaid State plans for health 
screenings and referrals for certain eligible juveniles in 
public institutions; and to require the Secretary of 
Health and Human Services to issue clear and specific 
guidance under the Medicaid and Children’s Health In-
surance programs to improve the delivery of health care 
services, including mental health services, in elementary 
and secondary schools and school-based health centers. 
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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 ‘‘Keeping Incarceration 
Discharges Streamlined for Children and Accommodating 
Resources in Education Act’’ or the ‘‘KIDS CARE Act’’. 
SEC. 2. MEDICAID AND CHIP REQUIREMENTS FOR HEALTH 
SCREENINGS AND REFERRALS FOR ELIGIBLE 
JUVENILES IN PUBLIC INSTITUTIONS. 
(a) MEDICAID STATE PLAN REQUIREMENT.—Section 
1902 of the Social Security Act (42 U.S.C. 1396a) is 
amended— 
(1) in subsection (a)(84)— 
(A) in subparagraph (B), by striking ‘‘and’’ 
at the end; 
(B) in subparagraph (C), by adding ‘‘and’’ 
at the end; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(D) beginning October 1, 2023, in the case 
of individuals who are eligible juveniles described 
in subsection (nn)(2), are scheduled to be re-
leased from placement in a public institution fol-
lowing adjudication, and who the State deter-
mines pursuant to subparagraph (B) or (C), as 
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applicable, meet the eligibility requirements for 
medical assistance under the State plan, the 
State shall have in place a plan to ensure, and 
in accordance with such plan, provide— 
‘‘(i) for, prior to the release of such an 
eligible juvenile from such public institution 
(or not later than one week after release 
from the public institution), and in coordi-
nation with such institution— 
‘‘(I) any screening described in 
section 1905(r) for which such eligible 
juvenile qualifies based on the intervals 
established pursuant to such section; 
‘‘(II) any screening which such el-
igible juvenile did not receive in ac-
cordance with such intervals due to the 
incarceration of such eligible juvenile; 
and 
‘‘(III) a behavioral health or men-
tal health screening that is a screening 
service 
described 
under 
section 
1905(r)(1), if such screening was not 
otherwise conducted pursuant to this 
clause; 
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‘‘(ii) for, not later than the latter of the 
date on which such eligible juvenile is re-
leased from such institution, or the date on 
which the screenings pursuant to clause (i) 
for such eligible juvenile are conducted, re-
ferrals for such eligible juvenile to the ap-
propriate 
services, 
including 
necessary 
health care, diagnostic services, treatment, 
and other measures described in section 
1905(a), giving preference to providers of 
such services who are located in the geo-
graphic region of the home or residence of 
such eligible juvenile when available, based 
on such screenings; and 
‘‘(iii) for, following the release of such 
eligible juvenile from such institution, and 
the completion of the screenings conducted 
pursuant to clause (i), not less than 30 days 
of targeted case management services fur-
nished by a provider in the geographic re-
gion of the home or residence of such eligible 
juvenile.’’; and 
(2) in subsection (nn)(3), by striking ‘‘(30)’’ and 
inserting ‘‘(31)’’. 
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(b) CLARIFICATION OF FEDERAL FINANCIAL PARTICI-
PATION.—The subdivision (A) of section 1905(a) of the So-
cial Security Act (42 U.S.C. 1396d(a)) following paragraph 
(31) of such section is amended by striking ‘‘(except as a 
patient in a medical institution)’’ and inserting ‘‘(except 
in the case of eligible juveniles described in section 
1902(a)(84)(D), and individuals as a patient in a medical 
institution)’’. 
(c) CHIP REQUIREMENT.—Section 2107(e)(1) of the 
Social Security Act (42 U.S.C. 1397gg(e)(1)) is amended 
by adding at the end the following new subparagraph: 
‘‘(U) Section 1902(a)(84)(D) (relating to el-
igible juveniles scheduled to be released from 
placement in a public institution following adju-
dication).’’. 
SEC. 3. GUIDANCE ON REDUCING ADMINISTRATIVE BAR-
RIERS TO PROVIDING HEALTH CARE SERV-
ICES IN SCHOOLS. 
(a) IN GENERAL.—Not later than 180 days after the 
date of enactment of this Act, the Secretary of Health and 
Human Services shall issue guidance to State Medicaid 
agencies, elementary and secondary schools, and school- 
based health centers on reducing administrative barriers to 
such schools and centers furnishing medical assistance and 
obtaining payment for such assistance under titles XIX and 
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