IIB
115th CONGRESS
2d Session
H. R. 3192
IN THE SENATE OF THE UNITED STATES
June 20, 2018
Received; read twice and referred to the Committee on Finance
AN ACT
To amend title XXI of the Social Security Act to ensure access to mental health services for children under the Children’s Health Insurance Program, and for other purposes.
Short title
This Act may be cited as the CHIP Mental Health Parity Act
.
Ensuring access to mental health and substance use disorder services for children and pregnant women under the Children’s Health Insurance Program
In general
Section 2103(c)(1) of the Social Security Act (42 U.S.C. 1397cc(c)(1)) is amended by adding at the end the following new subparagraph:
Mental health and substance use disorder services (as defined in paragraph (5)).
.
Mental health and substance use disorder services
In general
Section 2103(c) of the Social Security Act (42 U.S.C. 1397cc(c)) is amended—
by redesignating paragraphs (5), (6), (7), and (8) as paragraphs (6), (7), (8), and (9), respectively; and
by inserting after paragraph (4) the following new paragraph:
Mental health and substance use disorder services
Regardless of the type of coverage elected by a State under subsection (a), child health assistance provided under such coverage for targeted low-income children and, in the case that the State elects to provide pregnancy-related assistance under such coverage pursuant to section 2112, such pregnancy-related assistance for targeted low-income women (as defined in section 2112(d)) shall—
include coverage of mental health services (including behavioral health treatment) necessary to prevent, diagnose, and treat a broad range of mental health symptoms and disorders, including substance use disorders; and
be delivered in a culturally and linguistically appropriate manner.
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Conforming amendments
Section 2103(a) of the Social Security Act (42 U.S.C. 1397cc(a)) is amended, in the matter before paragraph (1), by striking paragraphs (5), (6), and (7)
and inserting paragraphs (5), (6), (7), and (8)
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Section 2110(a) of the Social Security Act (42 U.S.C. 1397jj(a)) is amended—
in paragraph (18), by striking substance abuse
each place it appears and inserting substance use
; and
in paragraph (19), by striking substance abuse
and inserting substance use
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Section 2110(b)(5)(A)(i) of the Social Security Act (42 U.S.C. 1397jj(b)(5)(A)(i)) is amended by striking subsection (c)(5)
and inserting subsection (c)(6)
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Assuring access to care
Section 2102(a)(7)(B) of the Social Security Act (42 U.S.C. 1397bb(c)(2)) is amended by striking section 2103(c)(5)
and inserting paragraphs (5) and (6) of section 2103(c)
.
Mental health services parity
Subparagraph (A) of paragraph (7) of section 2103(c) of the Social Security Act (42 U.S.C. 1397cc(c)) (as redesignated by subsection (b)(1)) is amended to read as follows:
In general
A State child health plan shall ensure that the financial requirements and treatment limitations applicable to mental health and substance use disorder services (as described in paragraph (5)) provided under such plan comply with the requirements of section 2726(a) of the Public Health Service Act in the same manner as such requirements or limitations apply to a group health plan under such section.
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Effective date
In general
Subject to paragraph (2), the amendments made by this section shall take effect with respect to child health assistance provided on or after the date that is 1 year after the date of the enactment of this Act.
Exception for State legislation
In the case of a State child health plan under title XXI of the Social Security Act (or a waiver of such plan), which the Secretary of Health and Human Services determines requires State legislation in order for the respective plan (or waiver) to meet any requirement imposed by the amendments made by this section, the respective plan (or waiver) shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet such an additional requirement before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this section. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of the session shall be considered to be a separate regular session of the State legislature.
Passed the House of Representatives June 19, 2018.
Karen L. Haas,
Clerk.
