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Bill115th CongressFiled May 15, 2018Health
H.R. 5797

Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act

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What it doesSummary passed house amended (Jun 20, 2018)

Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act or the IMD CARE 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.

What just happenedJun 21, 2018

Received in the Senate and Read twice and referred to the Committee on Finance.

Who’s behind it

Rep. Walters, Mimi [R-CA-45](R-CA)Sponsor
5 cosponsors5 R
Read on Congress.gov
5cosponsors2committees29actions3amendments2related bills5subjects
  1. Jun 21, 2018IntroReferral

    Received in the Senate and Read twice and referred to the Committee on Finance.

    Finance Committee
  2. Jun 20, 2018FloorH38310

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

  3. Jun 20, 2018FloorH37100

    On passage Passed by the Yeas and Nays: 261 - 155 (Roll no. 276).

  4. Jun 20, 2018Floor8000

    Passed/agreed to in House: On passage Passed by the Yeas and Nays: 261 - 155 (Roll no. 276).

  5. Jun 20, 2018FloorH36110

    On motion to recommit with instructions Failed by the Yeas and Nays: 190 - 226 (Roll no. 275).

    Energy and Commerce Committee
  6. Jun 20, 2018FloorH30000

    Considered as unfinished business. (consideration: CR H5344-5345)

  7. Jun 20, 2018FloorH8D000

    POSTPONED PROCEEDINGS - At the conclusion of debate on Castor (FL) motion to recommit with instructions, the Chair put the question on the motion, and by voice vote, announced that the noes had prevailed. Ms. Castor (FL) demanded the yeas and nays and the Chair postponed further proceedings on the motion to recommit with instructions until a time to be announced.

  8. Jun 20, 2018FloorH8D000

    DEBATE - The House proceeded with 10 minutes of debate on the Castor motion to recommit with instructions pending a reservation of a point of order. The instructions contained in the motion seek to require the bill to be reported back to the House with an amendment to strike all that follows after section 1 and insert a section entitled Medicaid State Plan Option to Provide Services for Certain Individuals with Substance Use Disorders in Qualified Institutions for Mental Diseases. Subsequently, the reservation was removed.

  9. Jun 20, 2018FloorH36100

    Ms. Castor (FL) moved to recommit with instructions to the Committee on Energy and Commerce. (text: CR H5342-5343)

    Energy and Commerce Committee
  10. Jun 20, 2018FloorH34400

    The House adopted the amendments en gross as agreed to by the Committee of the Whole House on the state of the Union.

  11. Jun 20, 2018FloorH35000

    The previous question was ordered pursuant to the rule.

  12. Jun 20, 2018FloorH32600

    The House rose from the Committee of the Whole House on the state of the Union to report H.R. 5797.

  13. Jun 20, 2018FloorH8D000

    DEBATE - Pursuant to the provisions of H.Res. 949, the Committee of the Whole proceeded with 10 minutes of debate on the Fitzpatrick amendment No. 3.

  14. Jun 20, 2018FloorH8D000

    DEBATE - Pursuant to the provisions of H.Res. 949, the Committee of the Whole proceeded with 10 minutes of debate on the Kildee amendment No. 2.

  15. Jun 20, 2018FloorH8D000

    DEBATE - Pursuant to the provisions of H.Res. 949, the Committee of the Whole proceeded with 10 minutes of debate on the Rush amendment No. 1.

  16. Jun 20, 2018FloorH8D000

    GENERAL DEBATE - The Committee of the Whole proceeded with one hour of general debate on H.R. 5797.

  17. Jun 20, 2018FloorH32400

    The Speaker designated the Honorable Mike Bost to act as Chairman of the Committee.

  18. Jun 20, 2018FloorH32020

    House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 949 and Rule XVIII.

  19. Jun 20, 2018FloorH8D000

    Rule provides for consideration of H.R. 6, H.R. 5797 and H.R. 6082. Rule provides for consideration of H.R. 6 and H.R.5797 under structured rules; and provides for consideration of H.R. 6082 under a closed rule. Additionally, the rule directs the Clerk to, in the engrossment of H.R. 6, add the text of H.R. 2851, H.R. 5735, and H.R. 5797 as passed by the House as a new matter at the end of H.R. 6.

  20. Jun 20, 2018FloorH30000

    Considered under the provisions of rule H. Res. 949. (consideration: CR H5335-5344; text of amendment in the nature of a substitute: CR H5338-5339)

  21. Jun 19, 2018FloorH1L210

    Rules Committee Resolution H. Res. 949 Reported to House. Rule provides for consideration of H.R. 6, H.R. 5797 and H.R. 6082. Rule provides for consideration of H.R. 6 and H.R.5797 under structured rules; and provides for consideration of H.R. 6082 under a closed rule. Additionally, the rule directs the Clerk to, in the engrossment of H.R. 6, add the text of H.R. 2851, H.R. 5735, and H.R. 5797 as passed by the House as a new matter at the end of H.R. 6.

  22. Jun 12, 2018CalendarsH12410

    Placed on the Union Calendar, Calendar No. 558.

  23. Jun 12, 2018CommitteeH12200

    Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 115-723.

    Energy and Commerce Committee
  24. Jun 12, 2018Committee5000

    Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 115-723.

    Energy and Commerce Committee
  25. May 17, 2018Committee

    Ordered to be Reported (Amended) by Voice Vote.

    Energy and Commerce Committee
  26. May 17, 2018Committee

    Committee Consideration and Mark-up Session Held.

    Energy and Commerce Committee
  27. May 15, 2018IntroReferralH11100

    Referred to the House Committee on Energy and Commerce.

    Energy and Commerce Committee
  28. May 15, 2018IntroReferralIntro-H

    Introduced in House

  29. May 15, 2018IntroReferral1000

    Introduced in House

Passed House amendedJun 20, 201836

Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act or the IMD CARE 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.

Reported to House with amendment(s)Jun 12, 201817

Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act or the IMD CARE Act

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 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).

Introduced in HouseMay 15, 2018

Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Delivery Act or the IMD CARE Act

This bill temporarily allows states to apply to receive federal Medicaid payment for services provided in institutions for mental diseases (IMDs) for enrollees (aged 21 to 64) with opioid use disorders. In general, with respect to an eligible enrollee, services may be covered for a total of up to 30 days in a 12-month period. 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).

Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution … — Informed