Summary of Amendments Submitted to the Rules Committee for H.R. 5797 - IMD CARE Act Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Delivery Act

Summaries Derived from Information Provided by Sponsors

Listed in Alphabetical Order

June 19, 2018 11:00 AM

Click on sponsor for amendment text

Fitzpatrick (PA)

#4

Provides flexibility for States to allow the State plan amendment to include assessments to determine level of care and length of stay recommendations based upon criteria established or endorsed by a State agency pursuant to 1932(b)(1)(A)(i) of the Public Health Service Act.

Foster (IL), Ryan, Tim (OH)

#6

SUBSTITUTE Replaces the text of the bill with HR 2687, the Medicaid Coverage for Addiction Recovery Expansion (CARE) Act which modifies the IMD Exclusion to allow Medicaid coverage for up to 40 beds in larger, appropriately accredited residential addiction treatment facilities for up to 60 consecutive days (with added flexibility for pregnant and postpartum women).

Kennedy (MA)

#7

REVISED Expands the eligible population to individuals with all substance use disorders; whereas the current bill only makes eligible those individuals with opioid use disorder. Additionally, it would require states to provide the full continuum of care so that patients have access to critical services when they are discharged from IMDs.

Kildee (MI)

#12

Adds two requirements to the report that states are required to submit. The first would be information regarding the number of individuals suffering from co-occuring disorders and the disorders from which they suffer and the second would be information regarding access to community care for individuals suffering from a mental illness other than substance use disorder.

Kildee (MI)

#13

Includes other substance use disorders in addition to opioid use disorder.

Matsui (CA)

#8

Extends the Excellence in Mental Health community mental health services demonstration program by one year and makes 11 additional states eligible to participate.

Rush (IL)

#3

REVISED Expands treatment coverage to individuals suffering from cocaine use disorder (which includes crack cocaine).

Schakowsky (IL)

#5

Expands treatment coverage to all individuals with substance use disorder.

Turner (OH)

#1

Eliminates Substance Abuse and Mental Health Services Administration's (SAMHSA) policy that prevents SAMHSA funding from going toward substance abuse treatment services for individuals who are incarcerated.

Turner (OH)

#11

Makes inmates housed in public institutions eligible for opioid use disorder treatment services, through Medicaid, at the discretion of the State. Additionally, eliminates Substance Abuse and Mental Health Services Administration's (SAMHSA) policy that prevents SAMHSA funding from going toward substance abuse treatment services for individuals who are incarcerated.

Walters, Mimi (CA)

#2

Provides an incentive for states to voluntarily adopt a medical loss ratio (MLR) requirement for their Medicaid managed care organizations (MCOs) of 85 percent.

Waters (CA)

#9

Requires states to expand Medicaid pursuant to the Affordable Care Act as a condition for using Medicaid funds to treat people with opioid abuse disorders in Institutions for Mental Disease (IMDs).

Waters (CA)

#10

Expands the option for states to use Medicaid funds for treatment in Institutions for Mental Disease (IMDs) to include treatment for all types of substance abuse disorders, rather than only treatment for opioid abuse disorders.