Sec. 301. Coverage of crisis response services

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A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Section 1861(s)(2) of the Social Security Act ( 42 U.S.C. 1395x(s)(2) ) is amended— in subparagraph (II), by striking and at the end; in subparagraph (JJ), by striking the period at the end and inserting ; and ; and by adding at the end the following new subparagraph: crisis response services as defined in subsection (nnn); . Section 1861 of the Social Security Act ( 42 U.S.C. 1395x ) is amended by adding at the end the following new subsection: The term crisis response services means mental health or substance use services that are furnished by a mobile crisis response team, a crisis receiving and stabilization facility, mental health or substance use urgent care facility, or other appropriate provider, as determined by the Secretary, to an individual, including children and adolescents, experiencing a mental health or substance use crisis. .

Section 1833(a)(1) of the Social Security Act ( 42 U.S.C. 1395l(a)(1) ) is amended— by striking and

(HH)and inserting

(HH); and by inserting before the semicolon at the end the following: and

(II)with respect to crisis response services described in section 1861(s)(2)(KK), the amounts paid shall be 80 percent of the lesser of the actual charge for the service or the amount determined under the payment basis established under section 1834(aa) . Section 1834 of the Social Security Act ( 42 U.S.C. 1395m ) is amended by adding at the end the following new subsection: The Secretary shall establish a payment basis determined appropriate by the Secretary with respect to crisis response services (as defined in section 1861(nnn)) furnished by a provider of services or supplier. . Section 1834(l) of the Social Security Act ( 42 U.S.C. 1395m(l) ) is amended by adding at the end the following new paragraph: With respect to ambulance services furnished on or after the date that is 3 years after the date of the enactment of the Behavioral Health Crisis Services Expansion Act, the regulations described in section 1861(s)(7) shall provide coverage under such section for ambulance and other qualified emergency transport services to transport an individual experiencing a mental health or substance crisis to an appropriate facility, such as a community mental health center (as defined in section 1861(ff)(3)(B)) or other facility or provider identified by the Secretary, as appropriate, for crisis response services described in section 1861(s)(2)(KK). . Section 1861(s)(7) of such Act ( 42 U.S.C. 1395x(s)(7) ) is amended by striking section 1834(l)(14) and inserting paragraphs

(14)and

(18)of section 1834(l) . The amendments made by this subsection shall apply to services furnished on or after the date that is 3 years after the date of the enactment of this Act. Title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. ) is amended— in section 1902(a)(10)(A), in the matter preceding clause (i), by striking and

(30)and inserting (30), and

(31); and in section 1905— in subsection (a)— in paragraph (30), by striking ; and and inserting a semicolon; by redesignating paragraph

(31)as paragraph (32); and by inserting the following paragraph after paragraph (30): crisis response services (as defined in section 1861(nnn)); and . Section 1902(a)(47)(B) of the Social Security Act ( 42 U.S.C. 1396a(a)(47)(B) ) is amended by inserting or provider of crisis response services (as defined in section 1861(nnn)) after any hospital . Except as provided in subparagraph (B), the amendments made by this section shall take effect on the date that is 3 years after the date of the enactment of this Act. In the case of a State plan under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. ) which the Secretary of Health and Human Services determines requires State legislation (other than legislation appropriating funds) in order for the plan to meet the additional requirements imposed by the amendments made by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of the failure of the plan to meet such additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature. Section 1302(b)(1)(E) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18022(b)(1)(E) ) is amended by inserting and crisis response services (as defined in section 1861(nnn) of the Social Security Act) before the period. Section 2707 of the Public Health Service Act ( 42 U.S.C. 300gg–6 ) is amended by adding at the end the following: A group health plan or a health insurance issuer offering group or individual health insurance coverage shall ensure that such coverage includes crisis response services (as defined in section 1861(nnn) of the Social Security Act). . Section 1251(a)(4)(A) of the Public Health Service Act ( 42 U.S.C. 18011(a)(4)(A) ) is amended by adding at the end the following new clause: Section 2707(e) (relating to coverage of crisis response services). . The Secretary of Defense shall provide coverage under the TRICARE program for crisis response services, as defined in section 1861(nnn) of the Social Security Act ( 42 U.S.C. 1395x ). In this section, the term TRICARE program has the meaning given the term in section 1072 of title 10, United States Code. Section 1725(f)(1) of title 38, United States Code, is amended, in the matter preceding subparagraph (A), by inserting , including crisis response services (as defined in subsection

(nnn)of section 1861 of the Social Security Act ( after 42 U.S.C. 1395x )), services . Section 8902 of title 5, United States Code, is amended by adding at the end the following: Each contract for a plan under this chapter shall require the carrier to provide coverage for crisis response services, as that term is defined in subsection

(nnn)of section 1861 of the Social Security Act ( 42 U.S.C. 1395x ). . The amendment made by paragraph

(1)shall apply beginning with respect to the third contract year for chapter 89 of title 5, United States Code, that begins on or after the date that is 3 years after the date of enactment of this Act. Section 2103(c)(5) of the Social Security Act ( 42 U.S.C. 1397cc(c)(5) ) is amended— in subparagraph (A), by striking and at the end; in subparagraph (B), by striking the period and inserting ; and ; and by adding at the end the following new subparagraph: beginning on the date that is 3 years after the date of the enactment of this subparagraph, crisis response services (as defined in section 1861(nnn)). .

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