Expanding Access to Inpatient Mental Health Act

Bill: 116-hr-5006
Sponsor: full_name: Rep. Emmer, Tom [R-MN-6]
Introduced: 2019-11-08
Policy area: Health
Subjects: Drug, alcohol, tobacco use

Health care coverage and access

Long-term, rehabilitative, and terminal care

Medicaid

Mental health
Latest action: action_date: 2019-11-12
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2019-11-08
action_desc: Introduced in House
text: <p><b>Expanding Access to Inpatient Mental Health Act</b></p> <p>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). </p> <p>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. </p>

tv_txt: I 116th CONGRESS 1st Session H. R. 5006 IN THE HOUSE OF REPRESENTATIVES November 8, 2019 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.

1. Short title This Act may be cited as the Expanding Access to Inpatient Mental Health Act . 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 Expanding Access to Inpatient Mental Health 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.