[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 4039 Introduced in Senate (IS)]
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117th CONGRESS
2d Session
S. 4039
To require the Secretary of Health and Human Services to provide
guidance to States regarding Federal reimbursement for furnishing
behavioral health services and treatment under Medicaid and the
Children's Health Insurance Program using telehealth services, and for
other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
April 7, 2022
Mr. Thune (for himself, Mr. Brown, and Mr. Cardin) introduced the
following bill; which was read twice and referred to the Committee on
Finance
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A BILL
To require the Secretary of Health and Human Services to provide
guidance to States regarding Federal reimbursement for furnishing
behavioral health services and treatment under Medicaid and the
Children's Health Insurance Program using telehealth services, and for
other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Medicaid Ensuring Necessary
Telehealth is Available Long-term Health for Kids and Underserved Act''
or the ``MENTAL Health for Kids and Underserved Act''.
SEC. 2. GUIDANCE TO STATES ON FURNISHING BEHAVIORAL HEALTH SERVICES VIA
TELEHEALTH UNDER MEDICAID AND CHIP.
Not later than 1 year after the date of enactment of this Act, the
Secretary of Health and Human Services, acting through the
Administrator of the Centers for Medicare & Medicaid Services, shall
issue guidance to States on the following:
(1) State options for Federal reimbursement of expenditures
under Medicaid and the Children's Health Insurance Program for
furnishing clinically appropriate services and treatment for
behavioral health needs, including assessment, counseling, and
medication management, using telehealth services. Such options
shall include, to the extent appropriate, options for States to
receive Federal reimbursement for such expenditures without the
need for approval of a State plan amendment or waiver. Such
guidance shall also include guidance on furnishing services and
treatments that address the needs of high-risk individuals,
including racial and ethnic minorities, such as American
Indians and Alaska Natives.
(2) State options for Federal reimbursement of expenditures
under Medicaid and the Children's Health Insurance Program for
furnishing clinically appropriate behavioral health services
and treatment to school-aged youth and teens enrolled in
Medicaid or the Children's Health Insurance Program using
telehealth services. Such options shall include, to the extent
appropriate, options for States to receive Federal
reimbursement for such expenditures without the need for
approval of a State plan amendment or waiver.
(3) Best practices for integrating clinically appropriate
behavioral health provided via telehealth services covered by a
State plan for medical assistance under title XIX of the Social
Security Act (or a waiver of such a plan) or a State plan for
child health assistance under title XXI of such Act (or a
waiver of such a plan) into school-based settings, including
full-service community schools. Such best practices shall
include resources and information specifically for educators
and other school-based staff on how to recognize signs of
distress in high-risk students and make appropriate referrals
for school-based behavioral health services.
(4) Best practices for evaluating how utilizing clinically
appropriate telehealth services for behavioral health services
and treatment affects outcomes, as well as costs.
(5) Best practices for monitoring fraud, waste, and abuse
that may occur during behavioral health services furnished
through telehealth services covered under Medicaid and the
Children's Health Insurance Program.
SEC. 3. REPORT TO CONGRESS ON BEHAVIORAL HEALTH SERVICES UNDER MEDICAID
AND CHIP.
Not later than 1 year after the date of enactment of this Act, the
Secretary of Health and Human Services shall submit to the Committee on
Finance of the Senate and the Committee on Energy and Commerce of the
House of Representatives a report on the impact of telehealth on
access, cost, and quality of behavioral health services offered to
beneficiaries under the Medicaid program and the Children's Health
Insurance Program, including specific information on the impact of
telehealth on access to and the quality of behavioral health services
in schools.
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