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US HR5797

US HR5797
IMD CARE Act Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act


summary

Introduced
05/15/2018
In Committee
05/17/2018
Crossed Over
06/21/2018
Passed
Dead
12/31/2018

Introduced Session

115th Congress

Bill Summary

IMD CARE Act Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act (Sec. 2) This bill temporarily allows states to apply to receive federal Medicaid payment for services provided in institutions for mental diseases (IMDs) and for other medically necessary services for enrollees (aged 21 to 64) with opioid-use or cocaine-use disorders. Services may be covered for a total of up to 30 days in a 12-month period for an eligible enrollee. States must include specified information in their applications, including plans to improve access to outpatient care. Current law generally prohibits federal payment under Medicaid for services provided in IMDs for individuals under the age of 65 (although states may receive payment through certain mechanisms, such as through a Medicaid demonstration waiver). (Sec. 3) Additionally, the bill temporarily eliminates the enhanced federal matching rate for Medicaid expenditures regarding specified medical services provided by certain managed care organizations.

AI Summary

This bill, the Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act (IMD CARE Act), temporarily allows states to apply to receive federal Medicaid payment for services provided in institutions for mental diseases (IMDs) and for other medically necessary services for Medicaid enrollees aged 21 to 64 with opioid-use or cocaine-use disorders. States can receive this coverage for up to 30 days of treatment per 12-month period. The bill also temporarily eliminates the enhanced federal matching rate for certain Medicaid managed care organization services during this time period.

Committee Categories

Budget and Finance, Business and Industry

Sponsors (6)

Last Action

Received in the Senate and Read twice and referred to the Committee on Finance. (on 06/21/2018)

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