XXI of the Social Security Act (42 U.S.C. 1396 et seq., 
1397aa et seq.). 
(b) CONTENTS OF GUIDANCE.—The guidance issued 
pursuant to subsection (a) shall— 
(1) include proposed revisions to the May 2003 
Medicaid 
School-Based 
Administrative 
Claiming 
Guide, the 1997 Medicaid and Schools Technical As-
sistance Guide, and other guidance in effect on the 
date of enactment of this Act; 
(2) provide information on payment under titles 
XIX and XXI of the Social Security Act (42 U.S.C. 
1396 et seq., 1397aa et seq.) for the provision of med-
ical assistance, including such assistance provided in 
accordance with an individualized education program 
or under the ‘‘free care’’ policy described in the State 
Medicaid Director letter on payment for services 
issued on December 15, 2014 (#14-006); 
(3) take into account reasons why small and 
rural local education agencies may not provide med-
ical assistance, and consider approaches to encourage 
such agencies to provide such assistance; and 
(4) include best practices and examples of meth-
ods that State Medicaid agencies and local education 
agencies have used to pay for, and increase the avail-
ability of, medical assistance. 
VerDate Sep 11 2014 
20:50 Jun 16, 2022
Jkt 029200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6203
E:\BILLS\H7233.RH
H7233
pamtmann on DSKBC07HB2PROD with BILLS
(c) DEFINITIONS.—In this Act: 
(1) INDIVIDUALIZED EDUCATION PROGRAM.—The 
term ‘‘individualized education program’’ has the 
meaning given such term in section 602(14) of the In-
dividuals with Disabilities Education Act (20 U.S.C. 
1401(14)). 
(2) SCHOOL-BASED HEALTH CENTER.—The term 
‘‘school-based health center’’ has the meaning given 
such term in section 2110(c)(9) of the Social Security 
Act (42 U.S.C. 1397jj(c)(9)). 
SEC. 4. GUIDANCE TO STATES ON SUPPORTING MENTAL, 
EMOTIONAL, 
AND 
BEHAVIORAL 
HEALTH 
SERVICES, AND ON THE AVAILABILITY OF 
TELEHEALTH UNDER MEDICAID. 
Not later than January 1, 2024, the Secretary of 
Health and Human Services shall issue guidance to States 
on how to expand the provision of mental, emotional, and 
behavioral health services covered under State plans (or 
waivers of such plans) under title XIX of the Social Secu-
rity Act (42 U.S.C. 1396 et seq.), including a description 
of best practices for— 
(1) effective programs for the provision of such 
services; 
(2) provision of such services to underserved 
communities; 
VerDate Sep 11 2014 
20:50 Jun 16, 2022
Jkt 029200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6203
E:\BILLS\H7233.RH
H7233
pamtmann on DSKBC07HB2PROD with BILLS
(3) flexibilities for children’s hospitals and other 
providers to expand access to such services while en-
suring high quality and safety; and 
(4) recruitment and retention of providers of 
such services. 
SEC. 5. ENSURING CHILDREN RECEIVE TIMELY ACCESS TO 
CARE. 
(a) GUIDANCE TO STATES ON FLEXIBILITIES TO EN-
SURE PROVIDER CAPACITY TO PROVIDE PEDIATRIC MEN-
TAL, EMOTIONAL, AND BEHAVIORAL CRISIS CARE.—Not 
later than July 1, 2024, the Secretary of Health and 
Human Services shall provide guidance to States on exist-
ing flexibilities under State plans (or waivers of such plans) 
under title XIX of the Social Security Act (42 U.S.C. 1396 
et seq.) to support children in crisis or in need of intensive 
mental, emotional, or behavioral health services. 
(b) ENSURING CONSISTENT REVIEW AND STATE IM-
PLEMENTATION OF EARLY AND PERIODIC SCREENING, DI-
AGNOSTIC, AND TREATMENT SERVICES.—Section 1905(r) of 
the Social Security Act (42 U.S.C. 1396d(r)) is amended 
by adding at the end the following: ‘‘Not later than January 
1, 2025, and not later than each January 1 thereafter, the 
Secretary shall review implementation of the requirements 
of this subsection by States, including such requirements 
relating to services provided by a managed care entity, 
VerDate Sep 11 2014 
20:50 Jun 16, 2022
Jkt 029200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6203
E:\BILLS\H7233.RH
H7233
pamtmann on DSKBC07HB2PROD with BILLS
identify and disseminate best practices for ensuring com-
prehensive coverage of services, identify gaps and defi-
ciencies in meeting Federal requirements, and provide guid-
ance to States on addressing identified gaps and disparities 
and meeting Federal coverage requirements in order to en-
sure children have access to behavioral health services.’’. 
SEC. 6. STRATEGIES TO INCREASE ACCESS TO TELEHEALTH 
UNDER MEDICAID AND CHILDREN’S HEALTH 
INSURANCE PROGRAM. 
Not later than 1 year after the date of the enactment 
of this Act, and not less frequently than once every five 
years thereafter, the Secretary of Health and Human Serv-
ices shall update guidance issued by the Centers for Medi-
care & Medicaid Services to States, the State Medicaid & 
CHIP Telehealth Toolkit, to clarify strategies to overcome 
existing barriers and increase access to telehealth services 
under the Medicaid program under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.) and the Children’s 
Health Insurance Program under title XXI of such Act (42 
U.S.C. 1397aa et seq.). Such updated guidance shall include 
examples of and promising practices regarding— 
(1) telehealth delivery of covered services; 
(2) recommended voluntary billing codes, modi-
fiers, and place-of-service designations for telehealth 
and other virtual health care services; 
VerDate Sep 11 2014 
20:50 Jun 16, 2022
Jkt 029200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6203
E:\BILLS\H7233.RH
H7233
pamtmann on DSKBC07HB2PROD with BILLS
(3) the simplification or alignment (including 
through 
reciprocity) 
of 
provider 
licensing, 
credentialing, and enrollment protocols with respect 
to telehealth across States, State Medicaid plans 
under such title XIX, and Medicaid managed care or-
ganizations, including during national public health 
emergencies; 
(4) strategies States can use to integrate tele-
health and other virtual health care services into 
value-based health care models; and 
(5) waivers under the Medicaid program to test 
expanded access to telehealth, including during the 
emergency period described in section 1135(g)(1)(B) 
of the Social Security Act (42 U.S.C. 1320b– 
5(g)(1)(B)). 
SEC. 7. REMOVAL OF INMATE LIMITATIONS ON BENEFITS 
UNDER MEDICAID. 
(a) IN GENERAL.—The subdivision (A) of section 
1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) 
following paragraph (31) of such section, as amended by 
section 2(b), is further amended by striking ‘‘and individ-
uals as a patient in a medical institution’’ and inserting 
‘‘individuals as a patient in a medical institution, or, at 
the option of the State, for an individual who is a juvenile, 
VerDate Sep 11 2014 
20:50 Jun 16, 2022
Jkt 029200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6203
E:\BILLS\H7233.RH
H7233
pamtmann on DSKBC07HB2PROD with BILLS