Detailed Instructions: In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
Problem:SECTION 1. SHORT TITLE.

This Act may be cited as the ''National Mental Health Parity Act of
1999''.

TITLE I--PARITY FOR TREATMENT OF MENTAL ILLNESS

SEC. 101. PARITY FOR TREATMENT OF MENTAL ILLNESS.

(a) In General.--The Internal Revenue Code of 1986 is amended by
adding at the end the following:

''Subtitle L--Parity for Treatment of Mental Illness

''SEC. 9901. PARITY FOR TREATMENT OF MENTAL ILLNESS.

''(a) Imposition of Tax.--
''(1) Health insurance coverage.--
''(A) In general.--In the case of any health
insurance coverage offered by a health insurance issuer
that fails to meet the standard under subsection (c) at
any time during a calendar year, there is hereby
imposed a tax equal to 25 percent of the premiums
received under such plan during the calendar year.
''(B) Liability for tax.--The tax imposed under
subparagraph (A) shall be paid by the health insurance
issuer.
''(2) Group health plan.--
''(A) In general.--In the case of a group health
plan that fails to meet the standard under subsection
(c) at any time during a calendar year, there is hereby
imposed a tax equal to 25 percent of the health
coverage expenditures for such calendar year under such
plan.
''(B) Liability for tax.--The tax imposed under
subparagraph (A) shall be paid by the group health
plan.
''(C) Health coverage expenditures.--For purposes
of this paragraph, the health coverage expenditures of
any group health plan for any calendar year are the
aggregate expenditures for such year for health
coverage provided under such plan.
''(b) Limitation on Imposition of Tax.--
''(1) Failure not discovered exercising reasonable
diligence.--No tax shall be imposed under this section on any
failure to meet the standard under subsection (c) for which it
is established to the satisfaction of the Secretary that none
of the persons liable for the tax knew, or exercising
reasonable diligence would have known, that such failure
existed.
''(2) Certain failures corrected within 30 days.--No tax
shall be imposed under subsection (a) on any failure to meet
the standard under subsection (c) if--
''(A) such failure was due to reasonable cause and
not to willful neglect, and
''(B) such failure is corrected during the 30-day
period beginning on the first date any person liable
for the tax knew, or exercising reasonable diligence
would have known, that such failure existed.
''(3) Waiver by secretary.--In the case of a failure to
meet the standard under subsection (c) that is due to
reasonable cause and not to willful neglect, the Secretary may
waive part or all of the tax imposed by this section to the
extent that the payment of such tax would be excessive relative
to the failure involved.
''(c) Standard for Parity for Treatment of Mental Illness.--
''(1) In general.--A health insurance issuer with respect
to health insurance coverage that it offers or a group health
plan may not impose additional applications, preadmission
screenings, or other procedural restrictions for services, nor
impose treatment limitations or financial requirements on the
coverage of benefits provided with respect to mental illness if
similar limitations or requirements are not imposed on coverage
for benefits with respect to other conditions.
''(2) Rule of construction.--Nothing in paragraph (1) shall
be construed as prohibiting a health insurance issuer with
respect to health insurance coverage that it offers or a group
health plan from requiring preadmission screening prior to the
authorization of services covered under the plan or from
applying other limitations that restrict coverage for mental
illness to those services that are medically necessary to the
extent that such preadmission screening and authorization are
required for access to other services covered by the issuer or
plan.
''(d) Definitions.--For purposes of this section:
''(1) Mental illness.--The term 'mental illness' means all
of the clinical disorders and personality disorders, except for
mental retardation, diagnosed on Axis I or Axis II of the most
recent edition of the American Psychiatric Association's
'Diagnostic and Statistical Manual of Mental Disorders'.
''(2) Health insurance coverage.--The term 'health
insurance coverage' has the meaning given such term by section
9805(b)(1).
''(3) Health insurance issuer.--The term 'health insurance
issuer' has the meaning given such term by section 9805(b)(2).
''(4) Group health plan.--The term 'group health plan' has
the meaning given such term by section 5000(b)(1).''.
(b) Clerical Amendment.--The table of subtitles of such Code is
amended by adding at the end the following new item:

''Subtitle L. Parity for treatment of
mental illness.''

SEC. 102. EFFECTIVE DATE.

The amendment made by section 101 applies--
(1) with respect to health insurance coverage, to a
contract, policy, or certificate initiated or renewed after
December 31, 1999; and
(2) with respect to group health plans, to plan years
beginning after December 31, 1999.

TITLE II--MEDICARE MENTAL HEALTH IMPROVEMENT

SEC. 201. REFERENCES IN TITLE.

Whenever in this title an amendment is expressed in terms of an
amendment to or repeal of a section or other provision, the reference
shall be considered to be made to that section or other provision of
the Social Security Act.

SEC. 202. INPATIENT PSYCHIATRIC HOSPITAL SERVICES.

(a) Services Covered.--Section 1812(a) (42 U.S.C. 1395d(a)) is
amended--
(1) by striking ''and'' at the end of paragraph (3);
(2) by striking the period at the end of paragraph (4) and
inserting ''; and''; and
(3) by adding at the end the following new paragraph:
''(5) inpatient hospital services furnished primarily for
the diagnosis or treatment of mental illness or substance abuse
for up to 60 days during a year.''.
(b) Limitation on Coverage.--Section 1812(b)(3) (42 U.S.C.
1395d(b)) is amended to read as follows:
''(3) inpatient hospital services furnished primarily for
the diagnosis or treatment of mental illness or substance abuse
that are furnished to the individual during a year after such
services have been furnished to the individual for a total of
60 days during the year.''.
(c) Conforming Amendments.--(1) Section 1812(a)(1) (42 U.S.C.
1395d(a)(1)) is amended by inserting ''(other than services described
in paragraph (5))'' after ''inpatient hospital services'' the first
place it appears.
(2) Section 1812(b)(1) (42 U.S.C. 1395d(b)(1)) is amended by
inserting ''(other than services described in paragraph (3))'' after
''inpatient hospital services'' the first place it appears.
(3) Section 1812 (42 U.S.C. 1395d) is amended by striking
subsection (c).
(4) Section 1814(a) (42 U.S.C. 1395f(a)) is amended--
(A) in paragraph (2), by striking subparagraph (A);
(B) in paragraph (3), by striking ''(other than inpatient
psychiatric hospital services)''; and
(C) by striking paragraph (4).
(5) Section 1861 (42 U.S.C. 1395x) is amended by striking
subsection (c).
(d) Effective Date; Transition.--The amendments made by this
section shall take effect January 1, 2000, except that--
(1) an individual who at any time prior to such date has
been furnished inpatient psychiatric hospital services (as
defined for purposes of title XVIII of the Social Security Act
as of the date of the enactment of this Act) for 190
consecutive days is not entitled to any services under section
1812(a)(5) of such Act (as added by subsection (a)(3)); and
(2) in the case of an individual who is not described in
paragraph (1) and is receiving inpatient psychiatric hospital
services (as defined for purposes of title XVIII of the Social
Security Act as of the date of the enactment of this Act) on
December 31, 1999, for which payment may be made under
section 1812 of such Act, the number of days of services for which the
individual is entitled under section 1812(a)(5) of such Act (and the
number of days applicable under section 1812(b)(3) of such Act) shall
be equal to the greater of 60 or the difference between 190 days and
the number of days of such inpatient psychiatric hospital services
furnished to the individual prior to January 1, 2000.

SEC. 203. INTENSIVE RESIDENTIAL SERVICES.

(a) Coverage Under Part A.--Section 1812(a) (42 U.S.C. 1395d(a)),
as amended by section 202(a), is amended--
(1) by striking ''and'' at the end of paragraph (4);
(2) by striking the period at the end of paragraph (5) and
inserting ''; and''; and
(3) by adding at the end the following new paragraph:
''(6) intensive residential services (as described in
section 1861(uu)) furnished to an individual for up to 120 days
during any calendar year, except that such services may be
furnished to the individual for additional days during the year
if necessary for the individual to complete a course of
treatment to the extent that the number of days of inpatient
hospital services described in paragraph (5) that may be
furnished to the individual during the year (as reduced under
such paragraph) is not less than 15.''.
(b) Services Described.--Section 1861 (42 U.S.C. 1395x) is amended
by adding at the end the following new subsection:

''Intensive Residential Services

''(uu)(1) Subject to paragraph (2), the term 'intensive residential
services' means inpatient services provided in any of the following
facilities:
''(A) Residential detoxification centers.
''(B) Crisis residential programs or mental illness
residential treatment programs.
''(C) Therapeutic family or group treatment homes.
''(D) Residential centers for substance abuse treatment.
''(2) No service may be treated as an intensive residential service
under paragraph (1) unless the facility at which the service is
provided--
''(A) is legally authorized to provide such service under
the law of the State (or under a State regulatory mechanism
provided by State law) in which the facility is located or is
certified to provide such service by an appropriate
accreditation entity approved by the State in consultation with
the Secretary; and
''(B) meets such other requirements as the Secretary may
impose to assure the quality of the intensive residential
services provided.
''(3) No service may be treated as an intensive residential service
under paragraph (1) unless the service is furnished in accordance with
standards established by the Secretary for the management of such
services.''.
(3) Reduction in days of coverage for inpatient services.--
Section 1812(a)(5) and section 1812(b)(3), as amended by
section 202, are each amended by striking the period at the end
and inserting the following: '', reduced by a number of days
determined by the Secretary so that the actuarial value of
providing such number of days of services under this paragraph
to the individual is equal to the actuarial value of the days
of inpatient residential services furnished to the individual
under paragraph (6) during the year after such services have
been furnished to the individual for 120 days during the year
(rounded to the nearest day).''.
(4) Amount of payment.--Section 1814 (42 U.S.C. 1395f) is
amended--
(A) in subsection (b) in the matter preceding
paragraph (1), by inserting ''other than intensive
residential services,'' after ''hospice care,''; and
(B) by adding at the end the following new
subsection:

''Payment for Intensive Residential Services

''(m) The amount of payment under this part for intensive
residential services under section 1812(a)(6) shall be equal to--
''(1) the lesser of--
''(A) the reasonable cost of such services, as
determined under section 1861(v), or
''(B) the customary charges with respect to such
services,
less the amount a provider may charge as described in clause
(ii) of section 1866(a)(2)(A):
''(2) if such services are furnished by a public provider
of services or by another provider which demonstrates to the
satisfaction of the Secretary that a significant portion of its
patients are low-income (and requests that payment be made
under this clause), free of charge or at nominal charges to the
public, the amount determined in accordance with subsection
(b)(2); and
''(3) if (and for so long as) the conditions described in
subsection (b)(3) are met, the amounts determined under the
reimbursement system described in such section.''.

SEC. 204. LOWERING COINSURANCE FOR CERTAIN OUTPATIENT MENTAL HEALTH AND
SUBSTANCE ABUSE SERVICES.

(a) In General.--Section 1833(c) (42 U.S.C. 1395l(c)) is amended by
striking ''mental, psychoneurotic, and personality disorders'' and all
that follows through ''are incurred'' and inserting the following:
''mental illness or substance abuse of an individual who, at the time
such expenses are incurred, is over 18 years of age, is not an
inpatient of a hospital, and has received 5 or more sessions of such
treatment during the calendar year,''.
(b) Requiring Services To Be Furnished in Accordance With
Management Standards.--Section 1862(a) (42 U.S.C. 1395y(a)) is
amended--
(1) by striking ''or'' at the end of paragraph (20);
(2) by striking the period at the end of paragraph (21) and
inserting ''; or''; and
(3) by inserting after paragraph (21) the following new
paragraph:
''(22) in the case of any items or services furnished under
part B for the treatment of mental illness or emotional
disturbance (including substance abuse), if the services are
not furnished in accordance with standards established by the
Secretary for the management of such services.''.

SEC. 205. EFFECTIVE DATE.

Except as otherwise provided in this title, the amendments made by
this title shall apply to items and services furnished on or after
January 1, 2000.
Solution:
Title II: Medicare Mental Health Improvement
- Amends title XVIII (Medicare) of the Social Security Act to restructure the mental health benefit, including: (1) coverage under Medicare part A (Hospital Insurance) of inpatient hospital services furnished primarily for the diagnosis or treatment of mental illness or substance abuse for up to 60 days during a year, as well as coverage of intensive residential services furnished to an individual for up to 120 days during a year; (2) lower co-payments for certain outpatient mental health and substance abuse services; (3) waiver of co-payment for case management services furnished to a seriously mentally ill adult, a seriously emotionally disturbed child, or an adult or child with serious substance abuse disorder; (4) case management services for an unlimited duration for such individuals; and (5) provision of items and services furnished under Medicare part B (Supplementary Medical Insurance) for the treatment of mental illness or emotional disturbances according to standards established by the Secretary of Health and Human Services.