Sec. 3814. EXTENSION AND EXPANSION OF COMMUNITY MENTAL HEALTH SERVICES DEMONSTRATION PROGRAM
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## SEC. 3814 EXTENSION AND EXPANSION OF COMMUNITY MENTAL HEALTH SERVICES DEMONSTRATION PROGRAM ###
(a)In General Section 223(d) of the Protecting Access to Medicare Act of 2014 (42 U.S.C. 1396a note) is amended— ####
(1)in paragraph (3)— #####
(A)by striking “Not more than” and inserting “Subject to paragraph (8), not more than”; and #####
(B)by striking “May 22, 2020” and inserting “November 30, 2020”; and ####
(2)by adding at the end the following new paragraph: > > #### “(8) Additional programs > > > ##### “(A) In general > > Not later than 6 months after the date of enactment of this paragraph, in addition to the 8 States selected under paragraph (1), the Secretary shall select 2 States to participate in 2-year demonstration programs that meet the requirements of this subsection. > > > ##### “(B) Selection of states > > > ###### “(i) In general > > Subject to clause (ii), in selecting States under this paragraph, the Secretary— > > > ###### “(I) > > shall select States that— > > > ###### “(aa) > > were awarded planning grants under subsection (c); and > > > ###### “(bb) > > applied to participate in the demonstration programs under this subsection under paragraph
(1)but, as of the date of enactment of this paragraph, were not selected to participate under paragraph (1); and > > > ###### “(II) > > shall use the results of the Secretary’s evaluation of each State’s application under paragraph
(1)to determine which States to select, and shall not require the submission of any additional application. > > > ##### “(C) Requirements for selected states > > Prior to services being delivered under the demonstration authority in a State selected under this paragraph, the State shall— > > > ###### “(i) > > submit a plan to monitor certified community behavioral health clinics under the demonstration program to ensure compliance with certified community behavioral health criteria during the demonstration period; and > > > ###### “(ii) > > commit to collecting data, notifying the Secretary of any planned changes that would deviate from the prospective payment system methodology outlined in the State’s demonstration application, and obtaining approval from the Secretary for any such change before implementing the change.” > . ###
(b)Limitation Section 223(d)(5) of the Protecting Access to Medicare Act of 2014 (42 U.S.C. 1396a note) is amended— ####
(1)in subparagraph (B), in the matter preceding clause (i), by striking “The Federal matching” and inserting “Subject to subparagraph (C)(iii), the Federal matching”; and ####
(2)in subparagraph (C), by adding at the end the following new clause: > > ###### “(iii) Payments for amounts expended after 2019 > > The Federal matching percentage applicable under subparagraph
(B)to amounts expended by a State participating in the demonstration program under this subsection shall— > > > ###### “(I) > > in the case of a State participating in the demonstration program as of January 1, 2020, apply to amounts expended by the State during the 8 fiscal quarter period (or any portion of such period) that begins on January 1, 2020; and > > > ###### “(II) > > in the case of a State selected to participate in the demonstration program under paragraph (8), during first 8 fiscal quarter period (or any portion of such period) that the State participates in a demonstration program.” > . ###
(c)GAO Study and Report on the Community and Mental Health Services Demonstration Program ####
(1)In general Not later than 18 months after the date of the enactment of this Act, the Comptroller General of the United States shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Finance of the Senate a report on the community and mental health services demonstration program conducted under section 223 of the Protecting Access to Medicare Act of 2014 (42 U.S.C. 1396a note) (referred to in this subsection as the “demonstration program”). ####
(2)Content of report The report required under paragraph
(1)shall include the following information: #####
(A)Information on States’ experiences participating in the demonstration program, including the extent to which States— ######
(i)measure the effects of access to certified community behavioral health clinics on patient health and cost of care, including— ######
(I)engagement in treatment for behavioral health conditions; ######
(II)relevant clinical outcomes, to the extent collected; ######
(III)screening and treatment for comorbid medical conditions; and ######
(IV)use of crisis stabilization, emergency department, and inpatient care. #####
(B)Information on Federal efforts to evaluate the demonstration program, including— ######
(i)quality measures used to evaluate the program; ######
(ii)assistance provided to States on data collection and reporting; ######
(iii)assessments of the reliability and usefulness of State-submitted data; and ######
(iv)the extent to which such efforts provide information on the relative quality, scope, and cost of services as compared with services not provided under the demonstration program, and in comparison to Medicaid beneficiaries with mental illness and substance use disorders not served under the demonstration program. #####
(C)Recommendations for improvements to the following: ######
(i)The reporting, accuracy, and validation of encounter data. ######
(ii)Accuracy in payments to certified community behavioral health clinics under State plans or waivers under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.). ### PART III HUMAN SERVICES AND OTHER HEALTH PROGRAMS
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Sec. 3814
EXTENSION AND EXPANSION OF COMMUNITY MENTAL HEALTH SERVICES DEMONSTRATION PROGRAM
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