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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

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