Improving CARE for Youth Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9847 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                                H. R. 9847

   To amend title XIX of the Social Security Act to ensure Medicaid
 coverage of mental health services or substance use disorder services
          and primary care services furnished on the same day.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             July 22, 2026

  Mr. Dunn of Florida (for himself, Mr. Carter of Louisiana, and Ms.
    Craig) introduced the following bill; which was referred to the
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL

   To amend title XIX of the Social Security Act to ensure Medicaid
 coverage of mental health services or substance use disorder services
          and primary care services furnished on the same day.

    Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Improving Coordination and Access to
Resources Equitably for Youth Act'' or the ``Improving CARE for Youth
Act''.

SEC. 2. MEDICAID COVERAGE OF MENTAL HEALTH SERVICES OR SUBSTANCE USE
              DISORDER SERVICES AND PRIMARY CARE SERVICES FURNISHED ON
              THE SAME DAY.

    (a) In General.--Section 1902(a) of the Social Security Act (42
U.S.C. 1396a(a)) is amended--
            (1) in paragraph (89), by striking ``; and'' and inserting
        a semicolon;
            (2) in paragraph (90)(C), by striking the period at the end
        and inserting ``; and''; and
            (3) by inserting after paragraph (90) the following new
        paragraph:
            ``(91) not prohibit payment under the plan for a mental
        health service, substance use disorder service, or primary care
        service furnished to an individual for which payment would
        otherwise be available under the plan if such service were not
        a same-day qualifying service (as defined in subsection
        (zz)).''.
    (b) Same-Day Qualifying Services Defined.--Section 1902 of the
Social Security Act (42 U.S.C. 1396a) is amended by adding at the end
the following new subsection:
    ``(zz) Same-Day Qualifying Services Defined.--For purposes of
subsection (a)(91), the term `same-day qualifying service' means--
            ``(1) a primary care service furnished to an individual
        (including via telehealth) by a physician or practitioner
        employed by or working under contract with a physician's
        office, Federally qualified health center, rural health clinic,
        or other outpatient facility on the same day a mental health
        service or substance use disorder service is furnished to such
        individual (including via telehealth) by such physician or
        practitioner (or another physician or practitioner) employed by
        or working under contract with the same office, center, clinic,
        or facility; and
            ``(2) a mental health service or substance use disorder
        service furnished to an individual (including via telehealth)
        by a physician or practitioner employed by or working under
        contract with a physician's office, Federally qualified health
        center, rural health clinic, or other outpatient facility on
        the same day a primary care service is furnished to such
        individual (including via telehealth) by such physician or
        practitioner (or another physician or practitioner) employed by
        or working under contract with the same office, center, clinic,
        or facility.''.
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