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Public Law114th CongressHealth
S. 599Became Law

Improving Access to Emergency Psychiatric Care Act

This bill became law

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What it doesSummary public law (Dec 11, 2015)

(This measure has not been amended since it was passed by the House on November 16, 2015. The summary of that version is repeated here.)

Improving Access to Emergency Psychiatric Care Act

(Sec. 2) This bill amends the Patient Protection and Affordable Care Act to revise the length of the emergency psychiatric demonstration project under title XIX (Medicaid) of the Social Security Act that is currently limited to three years.

Participation in the demonstration project shall be extended through FY2016 for any requesting states selected for eligibility to participate on or before March 13, 2012, if the Department of Health and Human Services (HHS) determines, and the Centers for Medicare & Medicaid Services (CMS) certify, that a state's participation is projected not to increase net Medicaid program spending.

An additional extension through December 31, 2019, may be granted to a state, and the number of states eligible to participate may be expanded through December 31, 2019, if the same fiscal criteria are met.

HHS shall review annually each participating state's demonstration project expenditures to ensure budget neutrality. If a state's net programming spending has increased as a result of its participation in the project, HHS shall treat the excess expenditures as an overpayment under Medicaid.

This bill also revises certain limitations on federal funding.

HHS must submit recommendations to Congress: (1) first on whether the demonstration project should be continued after September 30, 2016, (2) whether it should be expanded to additional states, (3) subsequently on whether it should be permanently continued after December 31, 2019, in one or more states, and (4) finally on whether the demonstration project should be expanded (including on a nationwide basis).

$100,000 shall be available for the project from unobligated balances of amounts available in the CMS Program Management account.

What just happenedDec 11, 2015

Became Public Law No: 114-97.

Who’s behind it

Sen. Cardin, Benjamin L. [D-MD](D-MD)Sponsor
14 cosponsors8 D6 R
Read on Congress.gov
14cosponsors1committees27actions1related bills5subjects
  1. Dec 11, 2015President

    Became Public Law No: 114-97.

  2. Dec 11, 2015BecameLaw36000

    Became Public Law No: 114-97.

  3. Dec 11, 2015President

    Signed by President.

  4. Dec 11, 2015BecameLaw36000

    Signed by President.

  5. Dec 1, 2015Floor

    Presented to President.

  6. Dec 1, 2015President28000

    Presented to President.

  7. Nov 20, 2015Floor

    Message on Senate action sent to the House.

  8. Nov 19, 2015ResolvingDifferences

    Senate agreed to the House amendment to the Senate bill by Unanimous Consent. (consideration: CR S8175; text as Senate agreed to the House amendment: CR S8175)

  9. Nov 19, 2015NotUsed20500

    Resolving differences -- Senate actions: Senate agreed to the House amendment to the Senate bill by Unanimous Consent.(consideration: CR S8175; text as Senate agreed to the House amendment: CR S8175)

  10. Nov 17, 2015Floor

    Message on House action received in Senate and at desk: House amendment to Senate bill.

  11. Nov 16, 2015FloorH38310

    Motion to reconsider laid on the table Agreed to without objection.

  12. Nov 16, 2015FloorH37300

    On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H8176-8177)

  13. Nov 16, 2015Floor8000

    Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H8176-8177)

  14. Nov 16, 2015FloorH8D000

    DEBATE - The House proceeded with forty minutes of debate on S. 599.

  15. Nov 16, 2015FloorH30000

    Considered under suspension of the rules. (consideration: CR H8176-8180)

  16. Nov 16, 2015FloorH30300

    Mr. Pitts moved to suspend the rules and pass the bill, as amended.

  17. Sep 29, 2015FloorH15000

    Held at the desk.

  18. Sep 29, 2015FloorH14000

    Received in the House.

  19. Sep 29, 2015Floor

    Message on Senate action sent to the House.

  20. Sep 28, 2015Floor

    Passed Senate with an amendment by Unanimous Consent. (consideration: CR S6979-6980; text as passed Senate: CR S6979-6980)

  21. Sep 28, 2015Floor17000

    Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.(consideration: CR S6979-6980; text as passed Senate: CR S6979-6980)

  22. Jul 30, 2015Calendars

    Placed on Senate Legislative Calendar under General Orders. Calendar No. 180.

  23. Jul 30, 2015Committee

    Committee on Finance. Reported by Senator Hatch with an amendment in the nature of a substitute. With written report No. 114-101.

    Finance Committee
  24. Jul 30, 2015Committee14000

    Committee on Finance. Reported by Senator Hatch with an amendment in the nature of a substitute. With written report No. 114-101.

    Finance Committee
  25. Jun 24, 2015Committee

    Committee on Finance. Ordered to be reported without amendment favorably.

    Finance Committee
  26. Feb 26, 2015IntroReferral

    Read twice and referred to the Committee on Finance. (Sponsor introductory remarks on measure: CR S1168-1169; text of measure as introduced: CR S1169-1170)

    Finance Committee
  27. Feb 26, 2015IntroReferral10000

    Introduced in Senate

Public LawDec 11, 201549

(This measure has not been amended since it was passed by the House on November 16, 2015. The summary of that version is repeated here.)

Improving Access to Emergency Psychiatric Care Act

(Sec. 2) This bill amends the Patient Protection and Affordable Care Act to revise the length of the emergency psychiatric demonstration project under title XIX (Medicaid) of the Social Security Act that is currently limited to three years.

Participation in the demonstration project shall be extended through FY2016 for any requesting states selected for eligibility to participate on or before March 13, 2012, if the Department of Health and Human Services (HHS) determines, and the Centers for Medicare & Medicaid Services (CMS) certify, that a state's participation is projected not to increase net Medicaid program spending.

An additional extension through December 31, 2019, may be granted to a state, and the number of states eligible to participate may be expanded through December 31, 2019, if the same fiscal criteria are met.

HHS shall review annually each participating state's demonstration project expenditures to ensure budget neutrality. If a state's net programming spending has increased as a result of its participation in the project, HHS shall treat the excess expenditures as an overpayment under Medicaid.

This bill also revises certain limitations on federal funding.

HHS must submit recommendations to Congress: (1) first on whether the demonstration project should be continued after September 30, 2016, (2) whether it should be expanded to additional states, (3) subsequently on whether it should be permanently continued after December 31, 2019, in one or more states, and (4) finally on whether the demonstration project should be expanded (including on a nationwide basis).

$100,000 shall be available for the project from unobligated balances of amounts available in the CMS Program Management account.

Passed House amendedNov 16, 201536

Improving Access to Emergency Psychiatric Care Act

(Sec. 2) This bill amends the Patient Protection and Affordable Care Act to revise the length of the emergency psychiatric demonstration project under title XIX (Medicaid) of the Social Security Act that is currently limited to three years.

Participation in the demonstration project shall be extended through FY2016 for any requesting states selected for eligibility to participate on or before March 13, 2012, if the Department of Health and Human Services (HHS) determines, and the Centers for Medicare & Medicaid Services (CMS) certify, that a state's participation is projected not to increase net Medicaid program spending.

An additional extension through December 31, 2019, may be granted to a state, and the number of states eligible to participate may be expanded through December 31, 2019, if the same fiscal criteria are met.

HHS shall review annually each participating state's demonstration project expenditures to ensure budget neutrality. If a state's net programming spending has increased as a result of its participation in the project, HHS shall treat the excess expenditures as an overpayment under Medicaid.

This bill also revises certain limitations on federal funding.

HHS must submit recommendations to Congress: (1) first on whether the demonstration project should be continued after September 30, 2016, (2) whether it should be expanded to additional states, (3) subsequently on whether it should be permanently continued after December 31, 2019, in one or more states, and (4) finally on whether the demonstration project should be expanded (including on a nationwide basis).

$100,000 shall be available for the project from unobligated balances of amounts available in the CMS Program Management account.

Passed Senate amendedSep 28, 201535

(This measure has not been amended since it was reported to the Senate on July 30, 2015. The summary of that version is repeated here.)

Improving Access to Emergency Psychiatric Care Act

(Sec. 2) This bill amends the Patient Protection and Affordable Care Act to revise the length of the emergency psychiatric demonstration project under title XIX (Medicaid) of the Social Security Act that is currently limited to three years.

Participation in the demonstration project shall be extended through FY2016 for any requesting states selected for eligibility to participate on or before March 13, 2012, if the Department of Health and Human Services (HHS) determines, and the Centers for Medicare & Medicaid Services certify, that a state's participation is projected not to increase net Medicaid program spending.

An additional extension through December 31, 2019, may be granted to a state, and the number of states eligible to participate may be expanded through December 31, 2019, if the same fiscal criteria are met.

HHS shall review annually each participating state's demonstration project expenditures to ensure budget neutrality. If a state's net programming spending has increased as a result of its participation in the project, HHS shall treat the excess expenditures as an overpayment under Medicaid.

This bill also revises certain limitations on federal funding.

HHS must submit recommendations to Congress: (1) first on whether the demonstration project should be continued after September 30, 2016, (2) whether it should be expanded to additional states, (3) subsequently on whether it should be permanently continued after December 31, 2019, in one or more states, and (4) finally on whether the demonstration project should be expanded (including on a nationwide basis).

The bill appropriates $100,000 for FY2015 to carry out the project.

Reported to Senate with amendment(s)Jul 30, 20151

Improving Access to Emergency Psychiatric Care Act

(Sec. 2) This bill amends the Patient Protection and Affordable Care Act to revise the length of the emergency psychiatric demonstration project under title XIX (Medicaid) of the Social Security Act that is currently limited to three years.

Participation in the demonstration project shall be extended through FY2016 for any requesting states selected for eligibility to participate on or before March 13, 2012, if the Department of Health and Human Services (HHS) determines, and the Centers for Medicare & Medicaid Services certify, that a state's participation is projected not to increase net Medicaid program spending.

An additional extension through December 31, 2019, may be granted to a state, and the number of states eligible to participate may be expanded through December 31, 2019, if the same fiscal criteria are met.

HHS shall review annually each participating state's demonstration project expenditures to ensure budget neutrality. If a state's net programming spending has increased as a result of its participation in the project, HHS shall treat the excess expenditures as an overpayment under Medicaid.

This bill also revises certain limitations on federal funding.

HHS must submit recommendations to Congress: (1) first on whether the demonstration project should be continued after September 30, 2016, (2) whether it should be expanded to additional states, (3) subsequently on whether it should be permanently continued after December 31, 2019, in one or more states, and (4) finally on whether the demonstration project should be expanded (including on a nationwide basis).

The bill appropriates $100,000 for FY2015 to carry out the project.

Introduced in SenateFeb 26, 2015

Improving Access to Emergency Psychiatric Care Act

This bill amends the Patient Protection and Affordable Care Act to revise the length of the emergency psychiatric demonstration project under title XIX (Medicaid) of the Social Security Act that is currently limited to three years.

Participation in the demonstration project shall be extended through FY2016, or if earlier through the date the Secretary of Health and Human Services recommends extension, for any requesting states selected for eligibility to participate on or before March 13, 2012, if certain fiscal criteria are met.

An additional extension through December 31, 2019, may be granted to a state, and the number of states eligible to participate may be expanded, if the Secretary determines that extension and/or expansion satisfies the fiscal criteria for the temporary extension.

This bill also revises certain limitations on federal funding.

The Secretary is required to submit recommendations to Congress: (1) first on whether the demonstration project should be continued after December 31, 2016; (2) subsequently on whether it should be permanently continued after December 31, 2019, in one or more states; and (3) finally on whether the demonstration project should be expanded (including on a nationwide basis).

Improving Access to Emergency Psychiatric Care Act — Informed