Michelle Alyssa Go Act

Bill: 117-hr-7803
Sponsor: full_name: Rep. Maloney, Carolyn B. [D-NY-12]
Introduced: 2022-05-17
Policy area: Health
Latest action: action_date: 2022-05-17
text: Referred to the House Committee on Energy and Commerce.

Summaries:
action_date: 2022-05-17
action_desc: Introduced in House
text: <p><b>Michelle Alyssa Go Act</b></p> <p>This bill removes certain limitations relating to Medicaid coverage of services provided in institutions for mental diseases (IMDs).</p> <p>Current law generally prohibits federal payment under Medicaid for services provided in IMDs with more than 16 beds for individuals under the age of 65 (although states may receive payment through certain mechanisms, such as through a Medicaid demonstration waiver). </p> <p>The bill removes the age limitation and allows any institution to qualify as an IMD, regardless of the number of beds, if it primarily treats individuals with mental diseases and meets nationally recognized standards for mental health or substance use disorder programs, as approved by the Centers for Medicare &amp; Medicaid Services.</p>

tv_txt: I 117th CONGRESS 2d Session H. R. 7803 IN THE HOUSE OF REPRESENTATIVES May 17, 2022 Mrs. Carolyn B. Maloney of New York 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 remove the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases, and for other purposes.

1. Short title This Act may be cited as the Michelle Alyssa Go Act . 2. Removal of age exclusion from medical assistance of items and services for patients 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, in the first sentence, in the matter following paragraph (31)— (1) by striking such term does not include— and all that follows through (A) any and inserting such term does not include any ; (2) by striking ; or and inserting a period; and (3) by striking subparagraph (B). (b) Conforming amendments To permit medical assistance for IMD patients under 65 years of age Title XIX of the Social Security Act ( 42 U.S.C. 1396a et seq. ) is amended— (1) in section 1902(a)— (A) in paragraph (20)— (i) in the matter preceding subparagraph (A), by striking 65 years of age or older ; and (ii) in subparagraph (C), by striking 65 years of age or older ; and (B) in paragraph (21) by striking 65 years of age or older ; (2) in section 1905(a)(14), by striking 65 years of age or over ; and (3) in section 1919(e)(7)(B)(i)(I), by striking 65 years of age or older . 3. Required standards for IMDs Section 1905(i) of the Social Security Act ( 42 U.S.C. 1396d(i) ) is amended to read as follows: (i) Institution for mental diseases The term institution for mental diseases means a hospital, nursing facility, or other institution that— (1) is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, including medical attention, nursing care, and related services; and (2) meets nationally recognized, evidence-based standards for mental health programs (and, in the case of an institution for mental diseases that provides treatment for substance use disorders, meets nationally recognized, evidence-based standards for substance use disorder programs, such as the latest standards set forth by the American Society of Addiction Medicine), approved by the Secretary, including standards that establish the types of services offered, hours of clinical care, and staffing credentials for such an institution, and any other standards as the Secretary may require. . 4. Effective date The amendments made by this Act shall take effect 180 days after the date of enactment of this Act and shall apply to State plans beginning on such date.