232 
‘‘(c) RESEARCH PROGRAM.—In coordination with the 
Institute and other national research institutes and cen-
ters, and utilizing the National Institutes of Health’s proc-
ess of scientific peer review, the Director of the National 
Institutes of Health shall fund an expanded research pro-
gram on the health and developmental effects of media 
on infants, children, and adolescents. 
‘‘(d) REPORT TO CONGRESS.—Not later than 1 year 
after the date of enactment of this Act, the Director of 
the National Institutes of Health shall submit a report to 
Congress on the progress made in gathering data and ex-
panding research on the health and developmental effects 
of media on infants, children, and adolescents in accord-
ance with this section. Such report shall summarize the 
grants and research funded, by year, under this section.’’. 
TITLE V—MEDICAID AND CHIP 
SEC. 501. MEDICAID AND CHIP REQUIREMENTS FOR 
HEALTH SCREENINGS AND REFERRALS FOR 
ELIGIBLE JUVENILES IN PUBLIC INSTITU-
TIONS. 
(a) MEDICAID STATE PLAN REQUIREMENT.—Section 
1902 of the Social Security Act (42 U.S.C. 1396a) is 
amended— 
(1) in subsection (a)(84)—
233 
(A) in subparagraph (A), by inserting ‘‘, 
subject to subparagraph (D),’’ after ‘‘but’’; 
(B) in subparagraph (B), by striking 
‘‘and’’ at the end; 
(C) in subparagraph (C), by adding ‘‘and’’ 
at the end; and 
(D) by adding at the end the following new 
subparagraph: 
‘‘(D) beginning on the first day of the first 
calendar quarter that begins two years after the 
date of enactment of this subparagraph, in the 
case of individuals who are eligible juveniles de-
scribed in subsection (nn)(2), are within 30 
days of the date on which such eligible juvenile 
is scheduled to be released from a public insti-
tution following adjudication, the State shall 
have in place a plan to ensure, and in accord-
ance with such plan, provide— 
‘‘(i) for, in the 30 days prior to the 
release of such an eligible juvenile from 
such public institution (or not later than 
one week after release from the public in-
stitution), and in coordination with such 
institution—
234 
‘‘(I) any screening or diagnostic 
service which meets reasonable stand-
ards of medical and dental practice, 
as determined by the State, or as in-
dicated as medically necessary, in ac-
cordance with paragraphs (1)(A) and 
(5) of section 1905(r); and 
‘‘(II) a mental health or other be-
havioral health screening that is a 
screening service described under sec-
tion 1905(r)(1), or a diagnostic serv-
ice described under paragraph (5) of 
such section, if such screening or di-
agnostic service was not otherwise 
conducted pursuant to this clause; 
‘‘(ii) for, not later than one week after 
release from the public institution, refer-
rals for such eligible juvenile to the appro-
priate care and services available under the 
State plan (or waiver of such plan) in the 
geographic region of the home or residence 
of such eligible juvenile, based on such 
screenings; and 
‘‘(iii) for, following the release of such 
eligible juvenile from such institution, not
235 
less than 30 days of targeted case manage-
ment services furnished by a provider in 
the geographic region of the home or resi-
dence of such eligible juvenile.’’; and 
(2) in subsection (nn)(3), by striking ‘‘(30)’’ 
and inserting ‘‘(31)’’. 
(b) AUTHORIZATION OF FEDERAL FINANCIAL PAR-
TICIPATION.—The subdivision (A) of section 1905(a) of 
the Social Security Act (42 U.S.C. 1396d(a)) following 
paragraph (31) of such section is amended by inserting 
‘‘, or in the case of an eligible juvenile described in section 
1902(a)(84)(D) with respect to the screenings, diagnostic 
services, referrals, and case management required under 
such subparagraph (D)’’ after ‘‘(except as a patient in a 
medical institution’’. 
(c) CHIP CONFORMING AMENDMENTS.— 
(1) Section 2103(c) of the Social Security Act 
(42 U.S.C. 1397cc(c)) is amended by adding at the 
end the following new paragraph: 
‘‘(12) REQUIRED COVERAGE OF SCREENINGS, 
DIAGNOSTIC SERVICES, REFERRALS, AND CASE MAN-
AGEMENT FOR CERTAIN INMATES PRE-RELEASE.— 
With respect to individuals described in section 
2110(b)(7), the State shall provide screenings, diag-
nostic services, referrals, and case management oth-
236 
erwise covered under the State child health plan (or 
waiver of such plan) during the period described in 
such section with respect to such screenings, serv-
ices, referrals, and case management.’’. 
(2) Section 2110(b) of the Social Security Act 
(42 U.S.C. 1397jj(b)) is amended— 
(A) in paragraph (2)(A), by inserting ‘‘ex-
cept as provided in paragraph (7),’’ before ‘‘a 
child who is an inmate of a public institution’’; 
and 
(B) by adding at the end the following new 
paragraph: 
‘‘(7) EXCEPTION TO EXCLUSION OF CHILDREN 
WHO ARE INMATES OF A PUBLIC INSTITUTION.—A 
child shall not be considered to be described in para-
graph (2)(A) if such child is an eligible juvenile (as 
described in section 1902(a)(84)(D)) with respect to 
the screenings, diagnostic services, referrals, and 
case management otherwise covered under the State 
child health plan (or waiver of such plan) during the 
period with respect to which such screenings, serv-
ices, referrals, and case management is respectively 
required under such section.’’.
237 
SEC. 502. GUIDANCE ON REDUCING ADMINISTRATIVE BAR-
RIERS TO PROVIDING HEALTH CARE SERV-
ICES IN SCHOOLS. 
(a) IN GENERAL.—Not later than 12 months after 
the date of enactment of this Act, the Secretary of Health 
and Human Services shall issue guidance to State Med-
icaid agencies, elementary and secondary schools, and 
school-based health centers on reducing administrative 
barriers to such schools and centers furnishing medical as-
sistance and obtaining payment for such assistance under 
titles XIX and 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 revisions to the May 2003 Medicaid 
School-Based Administrative Claiming Guide, the 
1997 Medicaid and Schools Technical Assistance 
Guide, and other relevant 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 
medical assistance, including such assistance pro-
vided in accordance with an individualized education 
program or under the policy described in the State
238 
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 provide information on best prac-
tices to encourage such agencies to provide such as-
sistance; and 
(4) include best practices and examples of 
methods that State Medicaid agencies and local edu-
cation agencies have used to pay for, and increase 
the availability of, medical assistance. 
(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 Individuals 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)), and includes 
an entity that provides Medicaid-covered services in 
school-based settings for which Federal financial 
participation is permitted.
239 
SEC. 503. GUIDANCE TO STATES ON SUPPORTING PEDI-
ATRIC 
BEHAVIORAL 
HEALTH 
SERVICES 
UNDER MEDICAID AND CHIP. 
Not later than 18 months after the date of enactment 
of this Act, the Secretary of Health and Human Services 
shall issue guidance to States on how to expand the provi-
sion of, and access to, behavioral health services, including 
mental health services, for children covered under State 
plans (or waivers of such plans) under title XIX of the 
Social Security Act (42 U.S.C. 1396 et seq.), or State 
child health plans (or waivers of such plans) under title 
XXI of such Act (42 U.S.C. 1397aa et seq.), including 
a description of best practices for— 
(1) expanding access to such services; 
(2) expanding access to such services in under-
served communities; 
(3) flexibilities that States may offer for pedi-
atric hospitals and other pediatric behavioral health 
providers to expand access to services; and 
(4) recruitment and retention of providers of 
such services. 
SEC. 504. ENSURING CHILDREN RECEIVE TIMELY ACCESS 
TO CARE. 
(a) GUIDANCE TO STATES ON FLEXIBILITIES TO EN-
SURE PROVIDER CAPACITY TO PROVIDE PEDIATRIC BE-
HAVIORAL HEALTH, INCLUDING MENTAL HEALTH, CRI-
240 
SIS CARE.—Not later than 18 months after the date of 
enactment of this Act, 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.), or State child health plans under 
title XXI of such Act (42 U.S.C. 1397aa et seq.), to sup-
port children experiencing a behavioral health crisis or in 
need of intensive behavioral health, including mental 
health, services. 
(b) ENSURING CONSISTENT REVIEW AND STATE IM-
PLEMENTATION OF EARLY AND PERIODIC SCREENING, 
DIAGNOSTIC, 
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 every 5 years thereafter, the 
Secretary shall review implementation of the requirements 
of this subsection by States, including such requirements 
relating to services provided by managed care organiza-
tions, prepaid inpatient health plans, prepaid ambulatory 
health plans, and primary care case managers, to identify 
and disseminate best practices for ensuring comprehensive 
coverage of services, to identify gaps and deficiencies in 
meeting Federal requirements, and to provide guidance to 
States on addressing identified gaps and disparities and
241 
meeting Federal coverage requirements in order to ensure 
children have access to health services.’’. 
SEC. 505. STRATEGIES TO INCREASE ACCESS TO TELE-
HEALTH UNDER MEDICAID AND CHIP. 
Not later than 1 year after the date of the enactment 
of this Act, and in the event updates are available, once 
every five years thereafter, the Secretary of Health and 
Human Services shall update guidance issued by the Cen-
ters for Medicare & Medicaid Services to States, the State 
Medicaid & CHIP Telehealth Toolkit, or any successor 
guidance, to describe strategies States may use to over-
come 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 guid-
ance shall include examples of and promising practices re-
garding— 
(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; 
(3) strategies States can use for the simplifica-
tion or alignment of provider credentialing and en-
rollment protocols with respect to telehealth across