Sec. 2. Medicaid housing and hospital demonstration project
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Not later than 1 year after the date of enactment of this Act, the Secretary shall select States to conduct demonstration projects under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.) to test innovative partnership programs between housing agencies and programs, hospitals and health systems, and community-based organizations, to establish screening, referral, and supportive housing programs for individuals with behavioral health needs who are experiencing housing insecurity, that account for disproportionately high rates of emergency room visits and associated Medicaid spending.
The Secretary shall select not less than 6 States to conduct demonstration projects under this section. In order to be eligible to conduct a demonstration project under this section, a State shall demonstrate the following: The State has or will establish sufficient processes for furnishing supportive housing services under the State Medicaid program, working with managed care organizations as applicable in the State, for Medicaid-eligible individuals described in subsection (a).
The State Medicaid program has procedures in place to coordinate care and services for Medicaid-eligible individuals described in subsection (a), including those with behavioral health needs, across settings, as appropriate, which may include with law enforcement, hospitals and health systems, housing authorities or agencies, mental health and substance use treatment facilities, and community-based organizations. In selecting States under this section, the Secretary shall give priority to States with large urban populations in which there are existing programs that deliver housing, case management and service coordination, and establishment of screening and referral processes in health care settings, including programs that utilize public hospitals and flexible housing pools to serve individuals who are experiencing housing insecurity or have behavioral health needs.
Each demonstration project under this section shall be conducted for a period of not less than 4 years. Subject to paragraph (2), amounts expended by a State under a demonstration project under this section on supportive housing services for Medicaid-eligible individuals described in subsection
(a)shall be treated as medical assistance for purposes of section 1903(a) of the Social Security Act ( 42 U.S.C. 1396b(a) ). The total amount certified by the Secretary under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.) for payment to a State with respect to expenditures described in paragraph
(1)shall not exceed the amount allocated to the State by the Secretary under subparagraph (B). The Secretary shall allocate to each State selected to conduct a demonstration project under this section an amount determined appropriate by the Secretary for purposes of reimbursing the State for services furnished under the demonstration project in accordance with paragraph (1). The total amount allocated to States under this subparagraph shall not exceed $75,000,000. The Secretary may waive the following requirements as may be necessary to conduct demonstration projects in accordance with the requirements of this section: The requirements of section 1902(a)(1) of the Social Security Act ( 42 U.S.C. 1396a(a)(1) ) (relating to statewideness). The requirements of section 1902(a)(10)(B) of such Act ( 42 U.S.C. 1396a(a)(10)(B) ) (relating to comparability). The requirements of section 1902(a)(10)(C)(i)(III) of such ( 42 U.S.C. 1396a(a)(10)(C)(i)(III) ) (relating to income and resource rules applicable in the community). In this section: The term Medicaid means the medical assistance program established under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.) and includes any waivers of such program. The term Secretary means the Secretary of Health and Human Services. The term State has the meaning given that term for purposes of title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.). The term supportive housing services means— financial assistance with rental payments, room and board, or other housing costs, as appropriate; case management and service coordination services; and housing support screening and referral services provided in a healthcare setting.
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