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 CARES Act’’. 
SEC. 2. MEDICAID STATE PLAN REQUIREMENTS FOR 
HEALTH SCREENINGS AND REFERRALS FOR 
ELIGIBLE JUVENILES IN PUBLIC INSTITU-
TIONS. 
Section 1902(a)(84) of the Social Security Act (42 
U.S.C. 1936a(a)(84)) is amended— 
(1) in subparagraph (B), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (C), by adding ‘‘and’’ at 
the end; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(D) beginning October 1, 2023, in the 
case of individuals who are eligible juveniles de-
scribed in subsection (nn)(2), and who the 
State determines pursuant to subparagraph (B) 
or (C), as applicable, meet the eligibility re-
quirements for medical assistance under the 
State plan— 
‘‘(i) the State shall have in place a 
plan to ensure and, in accordance with 
such plan, provide— 
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‘‘(I) for, prior to release of such 
an eligible juvenile from such public 
institution (or not later than one week 
after release from the public institu-
tion), and in coordination with such 
institution, screenings of such eligible 
individual, including the screenings 
described under section 1905(r); and 
‘‘(II) for, not later than the lat-
ter of the date on which such eligible 
juvenile is released from such institu-
tion or the date on which the 
screenings pursuant to subclause (I) 
for such individual are completed, re-
ferrals for such eligible individual to 
the appropriate health care services 
based on such screenings; and 
‘‘(ii) at the option of the State, make 
medical assistance available under the 
State plan for screenings pursuant to 
clause (i) conducted prior to the release of 
such eligible juvenile from such public in-
stitution;’’. 
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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 proposed guidance to State 
Medicaid agencies, elementary and secondary schools, and 
school-based health centers on reducing administrative 
barriers to such schools and centers furnishing specified 
health services and obtaining reimbursement for such 
services 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 proposed revisions to the May 2003 
Medicaid School-Based Administrative Claiming 
Guide and other guidance in effect on the date of 
enactment of this Act; 
(2) provide information on reimbursement 
under titles XIX and XXI of the Social Security Act 
(42 U.S.C. 1396 et seq., 1397aa et seq.) for the pro-
vision of specified health services, including such 
services provided in accordance with an individual-
ized education program or under the ‘‘free care’’ pol-
icy described in the State Medicaid Director letter 
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on payment for services issued on December 15, 
2014 (#14–006); 
(3) take into account reasons why small and 
rural local education agencies may choose not to 
provide specified health services, and consider ap-
proaches to encourage such agencies to provide such 
services; and 
(4) include best practices and examples of 
methods that State Medicaid agencies and local edu-
cation agencies have used to reimburse for, and in-
crease the availability of, specified health services. 
(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)). 
(3) SPECIFIED HEALTH SERVICES.—The term 
‘‘specified health services’’ means health services (in-
cluding mental health services) for which medical as-
sistance may be provided under a State plan (or 
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waiver of such plan) under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.) or a State 
child health plan (or waiver of such plan) under title 
XXI of such Act (42 U.S.C. 1397aa et seq.). 
Æ 
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