Title: Medicaid Bump Act
Policy area: Health

Summary:
Medicaid Bump Act
This bill increases the Federal Medical Assistance Percentage to 90% with respect to increased state Medicaid program expenditures for mental and behavioral health services.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1920 Introduced in House (IH)]

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116th CONGRESS
  1st Session
                                H. R. 1920

   To amend title XIX of the Social Security Act to provide a higher 
  Federal matching rate for increased expenditures under Medicaid for 
     mental and behavioral health services, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 27, 2019

 Mr. Kennedy (for himself, Mr. Lujan, Mr. Tonko, Mr. Cardenas, and Ms. 
   Matsui) introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
   To amend title XIX of the Social Security Act to provide a higher 
  Federal matching rate for increased expenditures under Medicaid for 
     mental and behavioral health services, and for other purposes.

    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 Bump Act''.

SEC. 2. HIGHER FMAP FOR INCREASED EXPENDITURES UNDER MEDICAID FOR 
              MENTAL AND BEHAVIORAL HEALTH SERVICES.

    (a) In General.--Section 1903(a)(5) of the Social Security Act (42 
U.S.C. 1396b(a)(5)) is amended--
            (1) by striking ``an amount equal'' and inserting ``(A) an 
        amount equal''; and
            (2) by adding at the end the following: ``and
            ``(B) an amount equal to 90 percent of the amounts by 
        which--
                    ``(i) the sum of the amounts expended which are 
                attributable to the offering, arranging, and furnishing 
                (directly or on a contract basis) under the State plan 
                of mental and behavioral health services (including 
                those related to substance use) for such quarter, 
                exceeds
                    ``(ii) the sum of the amounts expended which are 
                attributable to the offering, arranging, and furnishing 
                (directly or on a contract basis) under the State plan 
                of such services for the corresponding quarter in the 
                four-quarter period ending on March 31, 2019, plus''.
    (b) Effective Date.--The amendments made by this section shall 
apply with respect to calendar quarters beginning on or after January 1 
of the year beginning after one year after the date of the enactment of 
this Act.

SEC. 3. MACPAC REPORT REGARDING MENTAL AND BEHAVIORAL HEALTH SERVICES.

    Section 1900(b)(6) of the Social Security Act (42 U.S.C. 
1396(b)(6)) is amended by adding at the end the following new 
subparagraph:
                    ``(C) Annual reports regarding mental and 
                behavioral health services.--
                            ``(i) In general.--For each year (beginning 
                        with the first year of enactment), MACPAC shall 
                        submit to Congress a report on mental and 
                        behavioral health services under this title in 
                        each State selected under clause (iii) for such 
                        year. Such report shall include information on 
                        the following under this title for each such 
                        State:
                                    ``(I) Payment rates for such 
                                services.
                                    ``(II) The rationale for deriving 
                                such payment rates.
                                    ``(III) Utilization of such 
                                services.
                            ``(ii) Availability of dhhs information.--
                        The Secretary shall periodically provide to 
                        MACPAC such information on mental and 
                        behavioral health services furnished to 
                        individuals receiving benefits under this title 
                        as MACPAC may request for purposes of preparing 
                        a report required under this subparagraph.
                            ``(iii) Selection of states.--
                                    ``(I) In general.--For each year 
                                (beginning with the first year 
                                beginning after the date of the 
                                enactment of this subparagraph), MACPAC 
                                shall select, subject to subclause 
                                (II), for purposes of the report 
                                required under clause (i) for such year 
                                not fewer than five States that, to the 
                                greatest extent possible, vary with 
                                respect to geography, demography, and 
                                the manner in which mental and 
                                behavioral health services are 
                                furnished under this title.
                                    ``(II) Ensuring eventual selection 
                                of all states.--A State that has been 
                                selected for a year may not be selected 
                                for a subsequent year unless all other 
                                States have been selected during the 
                                period beginning with such year and 
                                ending with such subsequent year.''.
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