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H.R. 7233, KIDS CARES Act

Summary

House bill H.R. 7233 of the 117th Congress, 2D Session, was introduced March 28, 2022, to amend title XIX of the Social Security Act to provide for requirements under Medicaid State plans for health screenings and referrals for certain eligible juveniles in public institutions, and to require the Secretary of Health and Human Services to issue guidance to improve the delivery of health care services, including mental health services, in elementary and secondary schools and school-based health centers. Hudson introduced it for himself and Kuster, and it was referred to the Committee on Energy and Commerce. The short title is the KIDS CARES Act. Section 2 amends section 1902(a)(84) of the Social Security Act, beginning October 1, 2023.

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Issuer
Congressional materials
Document type
Bills Bills 117Hr7233Ih Bills 117Hr7233Ih
Case
Bills Bills 117Hr7233Ih Bills 117Hr7233Ih

Cite this document

“H.R. 7233, KIDS CARES Act.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/bills-bills-117hr7233ih-bills-117hr7233ih/, SHA-256 42878a50336eefe7e5bd9f48d8998a2ef5e4f4b20b5af3fe57938f64e07daba3.

Full text

                                                                                                                                                                          I




                                                                       117TH CONGRESS
                                                                          2D SESSION
                                                                                                            H. R. 7233
                                                                       To amend title XIX of the Social Security Act to provide for requirements
                                                                           under Medicaid State plans for health screenings and referrals for certain
                                                                           eligible juveniles in public institutions; and to require the Secretary
                                                                           of Health and Human Services to issue clear and specific guidance
                                                                           under the Medicaid and Children’s Health Insurance programs to im-
                                                                           prove the delivery of health care services, including mental health serv-
                                                                           ices, in elementary and secondary schools and school-based health centers.




                                                                                     IN THE HOUSE OF REPRESENTATIVES
                                                                                                      MARCH 28, 2022
                                                                           Mr. HUDSON (for himself and Ms. KUSTER) introduced the following bill;
                                                                               which was referred to the Committee on Energy and Commerce




                                                                                                                 A BILL
                                                                       To amend title XIX of the Social Security Act to provide
                                                                          for requirements under Medicaid State plans for health
                                                                          screenings and referrals for certain eligible juveniles in
                                                                          public institutions; and to require the Secretary of
                                                                          Health and Human Services to issue clear and specific
                                                                          guidance under the Medicaid and Children’s Health In-
                                                                          surance programs to improve the delivery of health care
                                                                          services, including mental health services, in elementary
                                                                          and secondary schools and school-based health centers.

                                                                         1              Be it enacted by the Senate and House of Representa-



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                                                                         2 tives of the United States of America in Congress assembled,



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                                                                         1     SECTION 1. SHORT TITLE.

                                                                         2              This Act may be cited as the ‘‘Keeping Incarceration
                                                                         3 Discharges Streamlined for Children and Accommodating
                                                                         4 Resources in Education Act’’ or the ‘‘KIDS CARES Act’’.
                                                                         5     SEC.       2.     MEDICAID              STATE          PLAN        REQUIREMENTS            FOR

                                                                         6                             HEALTH SCREENINGS AND REFERRALS FOR

                                                                         7                             ELIGIBLE JUVENILES IN PUBLIC INSTITU-

                                                                         8                             TIONS.

                                                                         9              Section 1902(a)(84) of the Social Security Act (42
                                                                       10 U.S.C. 1936a(a)(84)) is amended—
                                                                       11                         (1) in subparagraph (B), by striking ‘‘and’’ at
                                                                       12               the end;
                                                                       13                         (2) in subparagraph (C), by adding ‘‘and’’ at
                                                                       14               the end; and
                                                                       15                         (3) by adding at the end the following new sub-
                                                                       16               paragraph:
                                                                       17                                  ‘‘(D) beginning October 1, 2023, in the
                                                                       18                         case of individuals who are eligible juveniles de-
                                                                       19                         scribed in subsection (nn)(2), and who the
                                                                       20                         State determines pursuant to subparagraph (B)
                                                                       21                         or (C), as applicable, meet the eligibility re-
                                                                       22                         quirements for medical assistance under the
                                                                       23                         State plan—
                                                                       24                                         ‘‘(i) the State shall have in place a




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                                                                       25                                  plan to ensure and, in accordance with
                                                                       26                                  such plan, provide—
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                                                                         1                                                 ‘‘(I) for, prior to release of such
                                                                         2                                        an eligible juvenile from such public
                                                                         3                                        institution (or not later than one week
                                                                         4                                        after release from the public institu-
                                                                         5                                        tion), and in coordination with such
                                                                         6                                        institution, screenings of such eligible
                                                                         7                                        individual, including the screenings
                                                                         8                                        described under section 1905(r); and
                                                                         9                                                 ‘‘(II) for, not later than the lat-
                                                                       10                                         ter of the date on which such eligible
                                                                       11                                         juvenile is released from such institu-
                                                                       12                                         tion or the date on which the
                                                                       13                                         screenings pursuant to subclause (I)
                                                                       14                                         for such individual are completed, re-
                                                                       15                                         ferrals for such eligible individual to
                                                                       16                                         the appropriate health care services
                                                                       17                                         based on such screenings; and
                                                                       18                                         ‘‘(ii) at the option of the State, make
                                                                       19                                  medical assistance available under the
                                                                       20                                  State plan for screenings pursuant to
                                                                       21                                  clause (i) conducted prior to the release of
                                                                       22                                  such eligible juvenile from such public in-
                                                                       23                                  stitution;’’.




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                                                                         1     SEC. 3. GUIDANCE ON REDUCING ADMINISTRATIVE BAR-

                                                                         2                             RIERS TO PROVIDING HEALTH CARE SERV-

                                                                         3                             ICES IN SCHOOLS.

                                                                         4              (a) IN GENERAL.—Not later than 180 days after the
                                                                         5 date of enactment of this Act, the Secretary of Health and
                                                                         6 Human Services shall issue proposed guidance to State
                                                                         7 Medicaid agencies, elementary and secondary schools, and
                                                                         8 school-based health centers on reducing administrative
                                                                         9 barriers to such schools and centers furnishing specified
                                                                       10 health services and obtaining reimbursement for such
                                                                       11 services under titles XIX and XXI of the Social Security
                                                                       12 Act (42 U.S.C. 1396 et seq., 1397aa et seq.).
                                                                       13               (b) CONTENTS OF GUIDANCE.—The guidance issued
                                                                       14 pursuant to subsection (a) shall—
                                                                       15                         (1) include proposed revisions to the May 2003
                                                                       16               Medicaid             School-Based                 Administrative                  Claiming
                                                                       17               Guide and other guidance in effect on the date of
                                                                       18               enactment of this Act;
                                                                       19                         (2) provide information on reimbursement
                                                                       20               under titles XIX and XXI of the Social Security Act
                                                                       21               (42 U.S.C. 1396 et seq., 1397aa et seq.) for the pro-
                                                                       22               vision of specified health services, including such
                                                                       23               services provided in accordance with an individual-
                                                                       24               ized education program or under the ‘‘free care’’ pol-




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                                                                       25               icy described in the State Medicaid Director letter


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                                                                         1              on payment for services issued on December 15,
                                                                         2              2014 (#14–006);
                                                                         3                        (3) take into account reasons why small and
                                                                         4              rural local education agencies may choose not to
                                                                         5              provide specified health services, and consider ap-
                                                                         6              proaches to encourage such agencies to provide such
                                                                         7              services; and
                                                                         8                        (4) include best practices and examples of
                                                                         9              methods that State Medicaid agencies and local edu-
                                                                       10               cation agencies have used to reimburse for, and in-
                                                                       11               crease the availability of, specified health services.
                                                                       12               (c) DEFINITIONS.—In this Act:
                                                                       13                         (1) INDIVIDUALIZED EDUCATION PROGRAM.—
                                                                       14               The term ‘‘individualized education program’’ has
                                                                       15               the meaning given such term in section 602(14) of
                                                                       16               the Individuals with Disabilities Education Act (20
                                                                       17               U.S.C. 1401(14)).
                                                                       18                         (2) SCHOOL-BASED                            HEALTH              CENTER.—The

                                                                       19               term ‘‘school-based health center’’ has the meaning
                                                                       20               given such term in section 2110(c)(9) of the Social
                                                                       21               Security Act (42 U.S.C. 1397jj(c)(9)).
                                                                       22                         (3) SPECIFIED HEALTH SERVICES.—The term
                                                                       23               ‘‘specified health services’’ means health services (in-
                                                                       24               cluding mental health services) for which medical as-



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                                                                       25               sistance may be provided under a State plan (or


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                                                                         1              waiver of such plan) under title XIX of the Social
                                                                         2              Security Act (42 U.S.C. 1396 et seq.) or a State
                                                                         3              child health plan (or waiver of such plan) under title
                                                                         4              XXI of such Act (42 U.S.C. 1397aa et seq.).
                                                                                                                                  Æ




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