S. Rept. 114-101 1 (2015-07-30)

handle is hein.congrecreports/crptxsas0001 and id is 1 raw text is: AUT-ENTICATED
US. GOVERNMENT
INFORMATION
      GP











                                                        Calendar No. 180
                   114TH CONGRESS                                    REPORT
                     1st Session              SENATE                 114-101





                   IMPROVING ACCESS TO EMERGENCY PSYCHIATRIC CARE
                                           ACT  OF 2015



                                   JULY 30, 2015.-Ordered to be printed


                             Mr. HATCH, from the Committee on Finance,
                                      submitted the following


                                         REPORT

                                         [To accompany S. 599]
                    The  Committee  on Finance, to which was referred the bill (S.
                    599) to extend and expand the Medicaid emergency  psychiatric
                    demonstration project, having considered the same, reports favor-
                    ably thereon with an amendment and recommends that the bill, as
                    amended, do pass.
                                 I. LEGISLATIVE   BACKGROUND
                    The  Committee  on Finance, to which was referred the bill (S.
                    599) to extend and expand the Medicaid emergency  psychiatric
                    demonstration project, having considered the same, reports favor-
                    ably thereon with an amendment and recommends that the bill, as
                    amended, do pass.
                  Background  and need for legislative action
                    A  longstanding policy under Medicaid, called the institutions for
                  mental  disease (IMD) exclusion, prohibits the federal government
                  from providing federal Medicaid matching funds to states for serv-
                  ices rendered to Medicaid eligible individuals aged 21 through 64
                  who  are patients in IMDs. IMDs are inpatient facilities with more
                  than  16 beds that primarily treat people with mental health and
                  substance abuse disorders. While the original IMD exclusion is con-
                  sistent with the goal of treating severe mental illness in the least
                  restrictive setting feasible, there have been some unintended con-
                  sequences. The  IMD  exclusion provided an incentive to shift the
                  cost of care for mental illness to other care modalities and facilities
                  where  Medicaid matching funds were available. This contributed to
                      49-010

What Is HeinOnline?

HeinOnline is a subscription-based resource containing nearly 2,700 academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Access to this content requires a subscription. Please visit the following page to request a quote or trial:

Already a HeinOnline Subscriber?