H.R. 9847
Improving CARE for Youth Act
Sponsor: Neal P. Dunn
4 cosponsors
Official summary
Written by the Congressional Research Service.
Improving Coordination and Access to Resources Equitably for Youth Act or the Improving CARE for Youth Act
This bill prohibits state Medicaid programs from denying coverage for primary care, substance use disorder, and mental health services that are furnished on the same day at the same office, clinic, or other outpatient facility (including via telehealth).
Text of the bill
(a) In general. Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is amended—
(1) in paragraph (89), by striking ; and and inserting a semicolon;
(2) in paragraph (90)(C), by striking the period at the end and inserting ; and; and
(3) by inserting after paragraph (90) the following new paragraph:
(91) not prohibit payment under the plan for a mental health service, substance use disorder service, or primary care service furnished to an individual for which payment would otherwise be available under the plan if such service were not a same-day qualifying service (as defined in subsection (zz)).
(b) Same-Day qualifying services defined. Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended by adding at the end the following new subsection:
(zz) Same-Day qualifying services defined. For purposes of subsection (a)(91), the term same-day qualifying service means—
(1) a primary care service furnished to an individual (including via telehealth) by a physician or practitioner employed by or working under contract with a physician’s office, Federally qualified health center, rural health clinic, or other outpatient facility on the same day a mental health service or substance use disorder service is furnished to such individual (including via telehealth) by such physician or practitioner (or another physician or practitioner) employed by or working under contract with the same office, center, clinic, or facility; and
(2) a mental health service or substance use disorder service furnished to an individual (including via telehealth) by a physician or practitioner employed by or working under contract with a physician’s office, Federally qualified health center, rural health clinic, or other outpatient facility on the same day a primary care service is furnished to such individual (including via telehealth) by such physician or practitioner (or another physician or practitioner) employed by or working under contract with the same office, center, clinic, or facility.