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SECTION 1. SHORT TITLE.

This Act may be cited as the ''Behavioral Health Infrastructure
Improvement Act''.

SEC. 2. BEHAVIORAL HEALTH INFRASTRUCTURE IMPROVEMENTS.

(a) Enhanced FMAP for Infrastructure Improvements.--
(1) In general.--Section 1903(a)(3) of the Social Security
Act (42 U.S.C. 1396b(a)(3)) is amended by adding at the end the
following:
''(I) for calendar quarters beginning during the 5-year
period beginning on or after the date of the enactment of this
subparagraph, 90 percent of the sums expended during the
quarter as are attributable to the design, development,
implementation, or improvement of infrastructure and systems
carried out for purposes of, with respect to behavioral health
services and substance abuse treatment services, providing for
enhanced data collection and reporting to the Secretary and
tracking and ensuring access to such services by individuals
eligible to receive medical assistance under the State plan
under this title (or under a waiver of the plan); plus''.
(2) Reports.--For each year during which subparagraph (I)
of section 1903(a)(3) of the Social Security Act (42 U.S.C.
1396b(a)(3)), as added by paragraph (1), applies, the Secretary
of Health and Human Services shall submit to Congress a report
on the affects of such subparagraph, including best practices
for States receiving reimbursement for expenditures under such
subparagraph and the effectiveness of such expenditures made by
such States.
(b) Behavioral Health Information for Medicaid Beneficiaries.--
Title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) is
amended by adding at the end the following:

''SEC. 1947. BEHAVIORAL HEALTH INFORMATION FOR MEDICAID BENEFICIARIES.

''(a) In General.--The Secretary shall award grants to States to
enable such States to establish, expand, or provide support for--
''(1) offices of behavioral health assistance that provide
assistance to individuals eligible to receive medical
assistance under this title; or
''(2) behavioral health ombudsman programs that are
independent of any State agency,
in a manner that ensures coordination with other relevant programs of
the State for assisting individuals receiving medical assistance under
this title who have a broad range of health concerns, including
relating to behavioral health and substance abuse treatment.
''(b) Eligibility.--
''(1) In general.--To be eligible to receive a grant, a
State shall designate an independent office of behavioral
health assistance described in paragraph (1) of subsection (a),
or an ombudsman described in paragraph (2) of such subsection,
that--
''(A) has specialized knowledge of behavioral
health and substance abuse and experience resolving
inquiries and complaints described in subparagraph (B);
and
''(B) directly or in coordination with State
Medicaid agencies, departments of insurance, and
consumer assistance organizations, receives and
responds to inquiries and complaints concerning access
to behavioral health services and substance abuse
treatment services.
''(2) Criteria.--A State that receives a grant under this
section shall comply with criteria established by the Secretary
for carrying out activities under such grant.
''(3) Additional requirement.--A State that receives a
grant under this section, with respect to an office described
in subsection (a)(1) or a behavioral health ombudsman program
described in subsection (a)(2), shall coordinate such office or
program with other programs of such State that serve
individuals receiving medical assistance under this title, such
as a consumer assistance program, long-term care ombudsman
program, aging and disability resource center, a Medicaid
managed care ombudsman program, or a mental health ombudsman
program.
''(4) Clarification.--A grant provided to a State under
subsection (a) may be used by the State to expand a program of
such State that services individuals receiving medical
assistance, such as a program described in paragraph (3), to
include an office or program described in subsection (a) or a
division that would provide for the functions that such an
office or program would otherwise provide.
''(c) Duties.--The office of behavioral health assistance described
in paragraph (1) of subsection (a), or an ombudsman referred to in
paragraph (2) of such subsection shall--
''(1) collect, track, and quantify problems and inquiries
encountered by individuals eligible for medical assistance
under this title with respect to access to behavioral health
services and substance abuse treatment services;
''(2) educate such individuals on the rights and
responsibilities of such individuals with respect to such
access and assist such individuals in the enforcement of such
rights with respects to such access; and
''(3) assist such individuals with accessing behavioral
health services and substance abuse treatment services by
providing information, referral, care coordination, and other
assistance.
''(d) Data Collection.--As a condition of receiving a grant under
subsection (a), an office of behavioral health assistance described in
paragraph (1) of subsection (a), or an ombudsman described in paragraph
(2) of such subsection shall be required to collect and report data to
the Secretary, State legislature, relevant State agencies, including
the departments of insurance and the State attorney general, on the
types of problems and inquiries encountered by individuals with respect
to access to behavioral health services and substance abuse treatment
services.
''(e) Report to Congress.--Not later than two years after the date
of the enactment of this section, the Secretary shall submit to
Congress a report on the data collected under subsection (d).
''(f) Funding.--
''(1) Initial funding.--There is hereby appropriated to the
Secretary, out of any funds in the Treasury not otherwise
appropriated, $30,000,000 for the first fiscal year for which
this section applies to carry out this section. Such amount
shall remain available without fiscal year limitation.
''(2) Authorization for subsequent years.--There is
authorized to be appropriated to the Secretary for each fiscal
year following the fiscal year described in paragraph (1), such
sums as may be necessary to carry out this section.
''(g) State Medicaid Agency.--In this section, the term 'State
Medicaid agency' means the State agency administering the State plan
under this title (or a waiver of such plan).''.
Behavioral Health Infrastructure Improvement Act This bill amends title XIX (Medicaid) of the Social Security Act totemporarily increase theFederal Medical Assistance Percentage (FMAP) for behavioral health infrastructure and systems improvements under a state medical assistance program. For a period of five years,a state'sFMAP for such improvements shall equal 90%. (Generally, a state's FMAP under Medicaidmay rangefrom 50% to 83%.) The bill also establishes a grant program for states to establish or support a behavioral health assistance office or ombudsmantocoordinate behavioral health and other assistance forMedicaid beneficiaries. The office or ombudsman shall: (1) track, quantify, and report onproblems and inquiries encountered by Medicaid beneficiaries with respect to access tobehavioral health services; (2) educate Medicaid beneficiaries on their rights and responsibilities to such access; and(3) assist Medicaid beneficiaries inthe enforcement ofthose rights and in accessing services.