II 
115TH CONGRESS 
2D SESSION 
H. R. 7217 
IN THE SENATE OF THE UNITED STATES 
DECEMBER 12, 2018 
Received 
AN ACT 
To amend title XIX of the Social Security Act to provide 
States with the option of providing coordinated care for 
children with complex medical conditions through a 
health home, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Improving Medicaid 
Programs and Opportunities for Eligible Beneficiaries 
Act’’ or the ‘‘IMPROVE Act’’. 
TITLE I—ACE KIDS 
SEC. 101. STATE OPTION TO PROVIDE COORDINATED CARE 
THROUGH A HEALTH HOME FOR CHILDREN 
WITH MEDICALLY COMPLEX CONDITIONS. 
Title XIX of the Social Security Act (42 U.S.C. 1396 
et seq.) is amended by inserting after section 1945 the 
following new section: 
‘‘SEC. 1945A. STATE OPTION TO PROVIDE COORDINATED 
CARE THROUGH A HEALTH HOME FOR CHIL-
DREN WITH MEDICALLY COMPLEX CONDI-
TIONS. 
‘‘(a) 
IN
GENERAL.—Notwithstanding 
section 
1902(a)(1) (relating to statewideness) and section 
1902(a)(10)(B) (relating to comparability), beginning Oc-
tober 1, 2022, a State, at its option as a State plan 
amendment, may provide for medical assistance under this 
title to children with medically complex conditions who 
choose to enroll in a health home under this section by 
selecting a designated provider, a team of health care pro-
fessionals operating with such a provider, or a health team 
as the child’s health home for purposes of providing the 
child with health home services. 
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‘‘(b) HEALTH HOME QUALIFICATION STANDARDS.— 
The Secretary shall establish standards for qualification 
as a health home for purposes of this section. Such stand-
ards shall include requiring designated providers, teams 
of health care professionals operating with such providers, 
and health teams to demonstrate to the State the ability 
to do the following: 
‘‘(1) Coordinate prompt care for children with 
medically complex conditions, including access to pe-
diatric emergency services at all times. 
‘‘(2) Develop an individualized comprehensive 
pediatric family-centered care plan for children with 
medically complex conditions that accommodates pa-
tient preferences. 
‘‘(3) Work in a culturally and linguistically ap-
propriate manner with the family of a child with 
medically complex conditions to develop and incor-
porate into such child’s care plan, in a manner con-
sistent with the needs of the child and the choices 
of the child’s family, ongoing home care, community- 
based pediatric primary care, pediatric inpatient 
care, social support services, and local hospital pedi-
atric emergency care. 
‘‘(4) Coordinate access to— 
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