Title: Medicaid Health HOME Act
Policy area: Health

Summary:
Medicaid Health Homes for Opioid-Use-Disorder Medicaid Enrollees Encouraged Act or the Medicaid Health HOME Act
This bill extends the enhanced federal matching rate for expenditures regarding substance-use disorder health-home services under Medicaid.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 3384 Introduced in Senate (IS)]

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115th CONGRESS
  2d Session
                                S. 3384

    To amend title XIX of the Social Security Act to provide for an 
 extension of the enhanced FMAP for certain Medicaid health homes for 
               individuals with substance use disorders.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            August 23, 2018

  Mr. Cardin introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
    To amend title XIX of the Social Security Act to provide for an 
 extension of the enhanced FMAP for certain Medicaid health homes for 
               individuals with substance use disorders.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicaid Health Homes for Opioid-
Use-Disorder Medicaid Enrollees Encouraged Act'' or the ``Medicaid 
Health HOME Act''.

SEC. 2. EXTENSION OF ENHANCED FMAP FOR CERTAIN HEALTH HOMES FOR 
              INDIVIDUALS WITH SUBSTANCE USE DISORDERS.

    Section 1945 of the Social Security Act (42 U.S.C. 1396w-4) is 
amended--
            (1) in subsection (c)--
                    (A) in paragraph (1), by inserting ``subject to 
                paragraph (4),'' after ``except that,''; and
                    (B) by adding at the end the following new 
                paragraph:
            ``(4) Special rule relating to substance use disorder 
        health homes.--
                    ``(A) In general.--In the case of a State with a 
                SUD-focused State plan amendment, the Secretary may, at 
                the request of the State, apply the Federal medical 
                assistance percentage described in paragraph (1) to 
                payments for the provision of health home services to 
                SUD-eligible individuals under such State plan 
                amendment, in addition to the first 8 fiscal year 
                quarters the State plan amendment is in effect, for the 
                subsequent 2 fiscal quarters that the State plan 
                amendment is in effect (or, in the case of a SUD-
                focused State plan amendment that has already been in 
                effect for more than 8 fiscal year quarters when the 
                State makes such request, for the next 2 fiscal year 
                quarters that begin after the State makes such request 
                and the State plan amendment is in effect). Nothing in 
                this section shall be construed as prohibiting a State 
                with a State plan amendment that is approved under this 
                section and that is not a SUD-focused State plan 
                amendment from additionally having approved a SUD-
                focused State plan amendment under this section, 
                including for purposes of application of this 
                paragraph.
                    ``(B) Report requirements.--In the case of a State 
                with a SUD-focused State plan amendment which has a 
                request approved under subparagraph (A), such State 
                shall, at the end of the period of such State plan 
                amendment, submit to the Secretary a report on the 
                following, with respect to SUD-eligible individuals 
                provided health home services under such State plan 
                amendment:
                            ``(i) The quality of health care provided 
                        to such individuals, with a focus on outcomes 
                        relevant to the recovery of each such 
                        individual.
                            ``(ii) The access of such individuals to 
                        health care.
                            ``(iii) The total expenditures of such 
                        individuals for health care.
                For purposes of this subparagraph, the Secretary shall 
                specify all applicable measures for determining 
                quality, access, and expenditures.
                    ``(C) Best practices.--Not later than October 1, 
                2020, the Secretary shall make publicly available on 
                the Internet website of the Centers for Medicare & 
                Medicaid Services best practices for designing and 
                implementing a SUD-focused State plan amendment, based 
                on the experiences of States that have State plan 
                amendments approved under this section that include 
                SUD-eligible individuals.
                    ``(D) Definitions.--For purposes of this paragraph:
                            ``(i) SUD-eligible individuals.--The term 
                        `SUD-eligible individual' means, with respect 
                        to a State, an individual who satisfies all of 
                        the following:
                                    ``(I) The individual is an eligible 
                                individual with chronic conditions.
                                    ``(II) The individual is an 
                                individual with a substance use 
                                disorder.
                            ``(ii) SUD-focused state plan amendment.--
                        The term `SUD-focused State plan amendment' 
                        means a State plan amendment under this section 
                        that is designed to provide health home 
                        services primarily to SUD-eligible individuals, 
                        as determined by the Secretary.''.
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