To amend title XIX of the Social Security Act to expand the application of Medicaid State programs to monitor antipsychotic medications to all Medicaid beneficiaries.

Bill: 118-hr-4096
Sponsor: full_name: Rep. Carter, Earl L. "Buddy" [R-GA-1]
Introduced: 2023-06-14
Policy area: Health
Subjects: Health information and medical records

Medicaid

Mental health

Prescription drugs

State and local government operations
Latest action: action_date: 2023-06-16
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2023-06-14
action_desc: Introduced in House
text: <p>This bill requires state Medicaid programs to monitor (through their drug utilization review programs) the use of antipsychotic medications by adults, particularly&nbsp;individuals over the age of 65, individuals who receive home- and community-based services, and individuals who are in institutional care settings (e.g., nursing facilities). (States are currently only required to monitor the use of antipsychotic medications by children.) </p><!--tinycomments|2.1|data:application/json;base64,eyJtY2UtY29udmVyc2F0aW9uXzg1NjQyNjUwMjIxNzE5ODczNjg2NjUzIjp7InVpZCI6Im1jZS1jb252ZXJzYXRpb25fODU2NDI2NTAyMjE3MTk4NzM2ODY2NTMiLCJjb21tZW50cyI6W3sidWlkIjoibWNlLWNvbnZlcnNhdGlvbl84NTY0MjY1MDIyMTcxOTg3MzY4NjY1MyIsImF1dGhvciI6InNzdWJyYW1hbmlhbUBsaWIubG9jLmdvdiIsImF1dGhvck5hbWUiOiJzc3VicmFtYW5pYW1AbGliLmxvYy5nb3YiLCJjb250ZW50IjoiQWRhcHRlZCBmcm9tIFNlYy4gMjAzIDExOCBINDM2NnY0OSIsImNyZWF0ZWRBdCI6IjIwMjQtMDctMDFUMjI6NDE6MjYuNjUzWiIsIm1vZGlmaWVkQXQiOiIyMDI0LTA3LTAxVDIyOjQxOjI2LjY1M1oifV19fQ==-->

tv_txt: I 118th CONGRESS 1st Session H. R. 4096 IN THE HOUSE OF REPRESENTATIVES June 14, 2023 Mr. Carter of Georgia (for himself and Ms. Schakowsky ) 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 expand the application of Medicaid State programs to monitor antipsychotic medications to all Medicaid beneficiaries.

1. Expanding application of Medicaid State programs to monitor antipsychotic medications to all Medicaid beneficiaries Section 1902(oo) of the Social Security Act ( 42 U.S.C. 1396a(oo) ) is amended— (1) in paragraph (1)(B)— (A) in the subparagraph header, by striking by children ; (B) by inserting , and, beginning January 1, 2024, by individuals (regardless of age) enrolled, after children enrolled ; and (C) by striking for individuals not more than the age of 18 years generally and children in foster care specifically and inserting , including for individuals not more than the age of 18 years generally, children in foster care specifically, and, beginning January 1, 2024, individuals over the age of 65, individuals receiving home and community-based services (as defined in section 9817(a)(2) of Public Law 117–2 ), and individuals residing in institutional care settings, including nursing facilities and intermediate care facilities for individuals with intellectual disabilities ; and (2) in paragraph (3)— (A) in subparagraph (A)(ii), by striking is a resident and inserting subject to subparagraph (C), is a resident ; and (B) by adding at the end the following new subparagraph: (C) Application in case of program to monitor antipsychotic medications Subparagraph (A)(ii) shall not apply to the drug review and utilization requirement described in subparagraph (1)(B) with respect to an individual 18 years of age or older. .