Title: Jim Ramstad Legacy of Recovery Act
Policy area: Health

Summary:
Jim Ramstad Legacy of Recovery Act
This bill allows states to receive federal Medicaid payment for psychiatric and substance-use disorder services provided in institutions for mental diseases (IMDs) to patients who are enrolled with a Medicaid managed care organization (MCO) or in a prepaid inpatient health plan (PIHP).
Current law generally prohibits federal payment under Medicaid for services provided in IMDs for individuals under the age of 65. However, states may receive federal Medicaid payment for monthly capitation payments to MCOs and PIHPs for services provided in IMDs to enrollees aged 21 to 64. Such services must be provided for no longer than 15 days per month and in lieu of other services covered under the state Medicaid program.

[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1495 Introduced in House (IH)]

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117th CONGRESS
  1st Session
                                H. R. 1495

To amend title XIX of the Social Security Act to provide coverage under 
 the Medicaid program for services for the treatment of psychiatric or 
    substance use disorders furnished to certain individuals in an 
        institution for mental diseases, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 2, 2021

  Mr. Emmer 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 coverage under 
 the Medicaid program for services for the treatment of psychiatric or 
    substance use disorders furnished to certain individuals in an 
        institution for mental diseases, 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 ``Jim Ramstad Legacy of Recovery 
Act''.

SEC. 2. MEDICAID COVERAGE FOR SERVICES FOR THE TREATMENT OF PSYCHIATRIC 
              OR SUBSTANCE USE DISORDERS FURNISHED TO CERTAIN 
              INDIVIDUALS IN AN INSTITUTION FOR MENTAL DISEASES.

    (a) In General.--Section 1905(a) of the Social Security Act (42 
U.S.C. 1396d(a)) is amended--
            (1) in paragraph (29), by striking ``; and'' at the end;
            (2) by redesignating paragraph (30) as paragraph (31);
            (3) by inserting after paragraph (29) the following new 
        paragraph:
            ``(30) services for the treatment of psychiatric or 
        substance use disorders furnished to any individual who is 
        eligible for medical assistance under the State plan (or a 
        waiver of such plan), enrolled with a medicaid managed care 
        organization (as defined in section 1903(m)(1)(A)) or a prepaid 
        inpatient health plan described in section 
        1903(m)(9)(D)(iii)(I), and is a patient in an institution for 
        mental diseases; and''; and
            (4) in the matter preceding the subdivision (A) following 
        paragraph (31), as redesignated by paragraph (2), by striking 
        ``as otherwise provided in paragraph (16)'' and inserting ``as 
        otherwise provided in paragraphs (16) and (30)''.
    (b) Conforming Amendment.--Section 1903(m)(7) of the Social 
Security Act (42 U.S.C. 1396b(m)(7)) is amended by inserting before the 
period at the end the following: ``, and made with respect to services 
described in such section provided before the date of enactment of the 
Jim Ramstad Legacy of Recovery Act''.
    (c) Effective Date.--The amendments made by subsection (a) shall 
apply with respect to medical assistance provided on or after the date 
of the enactment of this Act.
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