HR4745-119

1. Short title This Act may be cited as the Medicaid Bump Act.

2. Higher Federal match for increased expenditures under Medicaid for behavioral health services Section 1903 of the Social Security Act (42 U.S.C. 1396b) is amended— in subsection (a)(5)— by striking an amount equal and inserting (A) an amount equal; and by adding at the end the following: and subject to subsection (b)(6), an amount equal to 90 percent of the amount by which— the sum of the amounts expended during such quarter which are attributable to the offering, arranging, and furnishing (directly or on a contract basis) under the State plan (or under a waiver of the plan) of behavioral health services (including those related to mental health and substance use), exceeds the sum of the amounts expended during the corresponding quarter in the 4-quarter period ending on March 31, 2019, which are attributable to the offering, arranging, and furnishing (directly or on a contract basis) under the State plan (or under a waiver of the plan) of such services, plus in subsection (b), by adding at the end the following new paragraph: As a condition for receiving the funds the Secretary is otherwise obligated to pay to a State under subsection (a)(5)(B), a State shall meet the following requirements: The State shall use the funds received under such subsection to supplement, not supplant, the level of State funds expended for the offering, arranging, and furnishing (directly or on a contract basis) under the State plan (or under a waiver of the plan) of behavioral health services (including those related to mental health and substance use) through programs and activities in effect as of April 1, 2021. The State shall use the funds received under such subsection for activities that increase the capacity, efficiency, and quality in the provision of behavioral health services (including those related to mental health and substance use) delivered by providers, including through increases in payment rates for providers of those services and the adoption of other measures that ensure a reduction in staff turnover. Not later than 180 days after the date of enactment of this Act, the Secretary of Health and Human Services shall issue sub-regulatory guidance to States specifying the services that are behavioral health services for purposes of subparagraph (B) of section 1903(a)(5) of the Social Security Act (42 U.S.C. 1396b(a)(5)), as added by subsection (a). The amendments made by this section shall apply with respect to calendar quarters beginning on or after January 1 of the year beginning 1 year after the date of the enactment of this Act. and (B)subject to subsection (b)(6), an amount equal to 90 percent of the amount by which— (i)the sum of the amounts expended during such quarter which are attributable to the offering, arranging, and furnishing (directly or on a contract basis) under the State plan (or under a waiver of the plan) of behavioral health services (including those related to mental health and substance use), exceeds (ii)the sum of the amounts expended during the corresponding quarter in the 4-quarter period ending on March 31, 2019, which are attributable to the offering, arranging, and furnishing (directly or on a contract basis) under the State plan (or under a waiver of the plan) of such services, plus; and (6)Accountability and maintenance of effort requirements for additional federal funding for increased expenditures for behavioral health servicesAs a condition for receiving the funds the Secretary is otherwise obligated to pay to a State under subsection (a)(5)(B), a State shall meet the following requirements: (A)Supplement, not supplantThe State shall use the funds received under such subsection to supplement, not supplant, the level of State funds expended for the offering, arranging, and furnishing (directly or on a contract basis) under the State plan (or under a waiver of the plan) of behavioral health services (including those related to mental health and substance use) through programs and activities in effect as of April 1, 2021. (B)Use of funds for activities that improve delivery of behavioral health servicesThe State shall use the funds received under such subsection for activities that increase the capacity, efficiency, and quality in the provision of behavioral health services (including those related to mental health and substance use) delivered by providers, including through increases in payment rates for providers of those services and the adoption of other measures that ensure a reduction in staff turnover..

3. Report regarding behavioral health service Not later than 1 year after the date of enactment of this Act, and annually thereafter, the Secretary of Health and Human Services shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Finance of the Senate a report regarding behavioral health services (including those related to mental health and substance use) provided under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) in each State, specifying the payment rates for such services, the rationale for deriving such payment rates, and utilization of such services, as such data are available.