S.Amdt. 729

1. Adds TITLE IV--ADOPTION AND MEANINGFUL USE OF CERTIFIED EHR TECHNOLOGY BY MENTAL HEALTH PROVIDERS at the end of the bill

   Adds a title

   In S. 649 · Placed on Calendar Senate

   (c) Rule of Construction.--Nothing in this section shall preclude public elementary and secondary schools or their larger governing agencies from receiving the informational and training benefits of the National Center for Campus Public Safety authorized under section 509 of the Omnibus Crime Control and Safe Streets Act of 1968, as added by this title.

   Inserted: TITLE IV--ADOPTION AND MEANINGFUL USE OF CERTIFIED EHR TECHNOLOGY BY MENTAL HEALTH PROVIDERS

   Inserted: SECTION 401. SHORT TITLE.

   Inserted: This title may be cited as the "Integrating Mental Health Through Technology Act of 2013".

   Inserted: SEC. 402. MEDICARE AND MEDICAID PILOT PROGRAMS FOR THE ADOPTION AND MEANINGFUL USE OF CERTIFIED EHR TECHNOLOGY.

   Inserted: (a) Definitions.--In this section:

   Inserted: (1) Certified ehr technology.--The term "certified EHR technology" has the meaning given that term in section 1848(o)(4) of the Social Security Act (42 U.S.C. 1395w-4(o)(4)).

   Inserted: (2) HIT policy committee.--The term "HIT Policy Committee" means such Committee established under section 3002(a) of the Public Health Service Act (42 U.S.C. 300jj-12(a)).

   Inserted: (3) National coordinator.--The term "National Coordinator" means the head of the Office of the National Coordinator for Health Information Technology established under section 3001(a) of the Public Health Service Act (42 U.S.C. 300jj-11(a)).

   Inserted: (4) Secretary.--The term "Secretary" means the Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services.

   Inserted: (b) Medicare Pilot Program.--

   Inserted: (1) Establishment.--

   Inserted: (A) In general.--The Secretary shall establish a pilot program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) under which incentive payments are made to eligible professionals and eligible hospitals for the adoption and meaningful use of certified EHR technology.

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   Inserted: (B) Definition of eligible hospital and eligible professional.--In this subsection:

   Inserted: (i) Eligible hospital.--The term "eligible hospital" means a psychiatric hospital (as defined in section 1861(f) of the Social Security Act (42 U.S.C. 1395x(f))) that furnishes inpatient hospital services.

   Inserted: (ii) Eligible professional.--The term "eligible professional" means a clinical psychologist providing qualified psychologist services (as defined in section 1861(ii) of such Act (42 U.S.C. 1395x(ii))).

   Inserted: (2) Duration.--The pilot program under this subsection shall be conducted for a period of 3 years.

   Inserted: (3) Requirements.--

   Inserted: (A) Adoption and meaningful use.--For purposes of making incentive payments to eligible professionals and eligible hospitals under the pilot program under this subsection, the Secretary shall establish standards for determining adoption and meaningful use that are comparable to the requirements under sections 1848(o)(2) and 1886(n)(3) of the Social Security Act (42 U.S.C. 1395w-4(o)(2), 1395ww(n)(3)).

   Inserted: (B) Incentive payments.--Any incentive payments made to eligible professionals and eligible hospitals under the pilot program under this subsection shall be comparable to payment amounts provided under sections 1848(o)(1) and 1886(n)(2) of the Social Security Act (42 U.S.C. 1395w-4(o)(1), 1395ww(n)(2)).

   Inserted: (4) Identifying pilot program participants.--For purposes of selecting participants for the pilot program, the Secretary shall give priority to areas of the United States in which the Secretary determines eligible professionals under section 1848(o) of the Social Security Act (42 U.S.C. 1395w-4(o)) and eligible hospitals under section 1886(n) of such Act (42 U.S.C. 1395ww(n)) have already demonstrated high rates of adoption and meaningful use of certified EHR technology.

   Inserted: (5) Non-application of payment adjustment.--For purposes of section 1848(a)(7) of the Social Security Act (42 U.S.C. 1395w-4(a)(7)), no payment adjustment may be made under such section in the case of any eligible professional or eligible hospital that receives an incentive payment under this subsection.

   Inserted: (6) Waiver.--The Secretary may waive such provisions of titles XI and XVIII of the Social Security Act as may be necessary to carry out the pilot program under this subsection.

   Inserted: (7) Report.--Not later than 6 months after conclusion of the pilot program, the National Coordinator shall submit to the Secretary, the HIT Policy Committee, and the relevant committees of Congress a report that includes--

   Inserted: (A) an evaluation of the effectiveness of the pilot program;

   Inserted: (B) a description of best practices for the adoption and meaningful use of certified EHR technology by participating professionals and hospitals;

   Inserted: (C) recommendations regarding whether the pilot program should be expanded; and

   Inserted: (D) recommendations for such legislation and administrative action as the National Coordinator determines appropriate.

   Inserted: (8) Authorization.--There are authorized to be appropriated $40,000,000 for the period of fiscal years 2014 through 2016 to carry out the pilot program under this subsection, to remain available for the duration of the pilot program.

   Inserted: (c) Medicaid Pilot Program.--

   Inserted: (1) Establishment.--

   Inserted: (A) In general.--The Secretary shall establish a pilot program under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) under which incentive payments are made to eligible Medicaid providers in participating States for the adoption and meaningful use of certified EHR technology.

   Inserted: (B) Definition of eligible medicaid provider.--In this subsection, the term "eligible Medicaid provider" means any of the following:

   Inserted: (i) A clinical psychologist providing qualified psychologist services (as defined in section 1861(ii) of the Social Security Act (42 U.S.C. 1395x(ii)), if such clinical psychologist is practicing in an outpatient setting that--

   Inserted: (I) is not otherwise receiving payment under paragraph (1) of section 1903(t) of the Social Security Act (42 U.S.C. 1396b(t)) as a Medicaid provider described in paragraph (2)(B) of such section; and

   Inserted: (II) is described in clause (i), (ii), or (iii) of paragraph (2)(A) of such section.

   Inserted: (ii) A public hospital that is principally a psychiatric hospital (as defined in section 1861(f) of the Social Security Act).

   Inserted: (iii) A private hospital that is principally a psychiatric hospital (as defined in such section) and that has at least 10 percent of its patient volume (as estimated in accordance with a methodology established by the Secretary) attributable to individuals receiving medical assistance under title XIX of such Act.

   Inserted: (iv) A community mental health center (as described in section 1913(b)(2) of the Public Health Service Act (42 U.S.C. 300x-2(b)(2))).

   Inserted: (2) Duration.--The pilot program under this subsection shall be conducted for a period of 3 years.

   Inserted: (3) Requirements.--

   Inserted: (A) Adoption and meaningful use.--The Secretary shall establish standards for determining adoption and meaningful use for purposes of making incentive payments to eligible Medicaid providers under the pilot program under this subsection that are comparable to the standards for adoption and use of certified EHR technology under section 1903(t) of the Social Security Act (42 U.S.C. 1396b(t)).

   Inserted: (B) Incentive payments.--Any incentive payments made to eligible Medicaid providers under the pilot program under this subsection shall be comparable to payment amounts provided under section 1903(t) of the Social Security Act (42 U.S.C. 1396b(t)).

   Inserted: (4) Identifying pilot program participants.--For purposes of selecting participants for the pilot program, the Secretary shall give priority to States in which the Secretary determines Medicaid providers under section 1903(t) of the Social Security Act (42 U.S.C. 1396b(t)) have already demonstrated high rates of adoption and meaningful use of certified EHR technology.

   Inserted: (5) Waiver.--The Secretary may waive such provisions of titles XI and XIX of the Social Security Act as may be necessary to carry out the pilot program under this subsection.

   Inserted: (6) Report.--Not later than 6 months after conclusion of the pilot program, the National Coordinator shall submit to the Secretary, the HIT Policy Committee, and the relevant committees of Congress a report that includes--

   Inserted: (A) an evaluation of the effectiveness of the pilot program;

   Inserted: (B) a description of best practices for the adoption and meaningful use of certified EHR technology by participating professionals and hospitals;

   Inserted: (C) recommendations regarding whether the pilot program should be expanded; and

   Inserted: (D) recommendations for such legislation and administrative action as the National Coordinator determines appropriate.

   Inserted: (7) Authorization.--There are authorized to be appropriated $40,000,000 for the period of fiscal years 2014 through 2016 to carry out the pilot program under this subsection, to remain available for the duration of the pilot program.

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