H.R. 3192House115th Congress (2017-2019)Passed House

CHIP Mental Health Parity Act

Introduced July 12, 2017

AI-Generated Summary

Updated April 15, 2026 at 5:08 PM UTC

The CHIP Mental Health Parity Act would change the Children’s Health Insurance Program (CHIP) so that states must include mental health and substance‑use disorder services for low‑income children and, where applicable, for pregnant women. It also requires that the cost‑sharing and treatment limits for those services be treated the same as they are for other health services, and that care be provided in a culturally and linguistically appropriate way.

Key Provisions

  • Adds a new category of "mental health and substance use disorder services" to the list of benefits that CHIP must cover for eligible children and pregnant women.
  • States must ensure that any financial requirements (like co‑pays) and treatment limits for these services meet the parity standards of the Public Health Service Act, just as they do for regular group health plans.
  • Mandates that the mental health care provided under CHIP be culturally and linguistically appropriate for the beneficiaries.
  • The new requirements become effective for CHIP assistance provided one year after the law’s enactment, with a grace period for states that need to pass legislation to comply.

Legislative Activity

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15 earlier actions
SenateIntro Referral Latest Action

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

June 20, 2018

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HouseIntro Referral

Introduced in House

July 12, 2017

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

July 12, 2017

HouseCommittee

Referred to the Subcommittee on Health.

July 14, 2017

HouseCommittee

Subcommittee Consideration and Mark-up Session Held.

April 25, 2018

HouseCommittee

Forwarded by Subcommittee to Full Committee by Voice Vote .

April 25, 2018

HouseCommittee

Committee Consideration and Mark-up Session Held.

May 17, 2018

HouseCommittee

Ordered to be Reported (Amended) by Voice Vote.

May 17, 2018

HouseCommittee

Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 115-734.

June 12, 2018

HouseCalendars

Placed on the Union Calendar, Calendar No. 569.

June 12, 2018

HouseFloor

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

June 19, 2018 • 2:35 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H5231-5233)

June 19, 2018 • 2:35 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 3192.

June 19, 2018 • 2:35 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H5232)

June 19, 2018 • 2:40 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H5232)

June 19, 2018 • 2:40 PM

HouseFloor

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

June 19, 2018 • 2:40 PM

SenateIntro Referral

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

June 20, 2018

Floor Debate

6 members

What members said about H.R. 3192 on the floor

3 Republicans3 Democrats
J. French Hill
Rep. J. French HillR-AR-2 · Feb 27, 2018

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 5078) to amend the Real Estate Settlement Procedures Act of 1974 to modify requirements related to mortgage disclosures, and for other…

Greg Walden
Rep. Greg WaldenR-OR-2 · Jun 19, 2018

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 3192) to amend title XXI of the Social Security Act to ensure access to mental health services for children under the Children's…

Keith Ellison
Rep. Keith EllisonD-MN-5 · Feb 27, 2018

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, allow me to just thank the gentleman from the great State of Arkansas (Mr. Hill) and also Congressman Pittenger, as well as many…

Robert Pittenger
Rep. Robert PittengerR-NC-9 · Feb 27, 2018

Mr. Speaker, I rise today in great support for Congressman Hill's bill, the TRID Improvement Act. This bill will lower consumer costs and lessen regulatory burdens for growing businesses, which will…

Joseph P. Kennedy III
Rep. Joseph P. Kennedy IIID-MA-4 · Jun 19, 2018

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise in support of H.R. 3192. I want to begin by thanking the chairman of our committee, Mr. Walden, for giving us a hearing on…

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Sheila Jackson Lee
Rep. Sheila Jackson LeeD-TX-18 · Jun 19, 2018

Mr. Speaker, I rise in strong support of H.R. 3192, the ``CHIP Mental Health Parity Act.'' H.R. 3192 would ensure access to mental health and substance use disorder prevention and treatment services…

Bill Text

4 versions available

Reading Mode
Latest
Referred in SenateIssued June 20, 2018

IIB

115th CONGRESS

2d Session

H. R. 3192

IN THE SENATE OF THE UNITED STATES

June 20, 2018

Received; read twice and referred to the Committee on Finance

AN ACT

To amend title XXI of the Social Security Act to ensure access to mental health services for children under the Children’s Health Insurance Program, and for other purposes.

1.

Short title

This Act may be cited as the CHIP Mental Health Parity Act.

2.

Ensuring access to mental health and substance use disorder services for children and pregnant women under the Children’s Health Insurance Program

(a)

In general

Section 2103(c)(1) of the Social Security Act (42 U.S.C. 1397cc(c)(1)) is amended by adding at the end the following new subparagraph:

(E)

Mental health and substance use disorder services (as defined in paragraph (5)).

.

(b)

Mental health and substance use disorder services

(1)

In general

Section 2103(c) of the Social Security Act (42 U.S.C. 1397cc(c)) is amended—

(A)

by redesignating paragraphs (5), (6), (7), and (8) as paragraphs (6), (7), (8), and (9), respectively; and

(B)

by inserting after paragraph (4) the following new paragraph:

(5)

Mental health and substance use disorder services

Regardless of the type of coverage elected by a State under subsection (a), child health assistance provided under such coverage for targeted low-income children and, in the case that the State elects to provide pregnancy-related assistance under such coverage pursuant to section 2112, such pregnancy-related assistance for targeted low-income women (as defined in section 2112(d)) shall—

(A)

include coverage of mental health services (including behavioral health treatment) necessary to prevent, diagnose, and treat a broad range of mental health symptoms and disorders, including substance use disorders; and

(B)

be delivered in a culturally and linguistically appropriate manner.

.

(2)

Conforming amendments

(A)

Section 2103(a) of the Social Security Act (42 U.S.C. 1397cc(a)) is amended, in the matter before paragraph (1), by striking paragraphs (5), (6), and (7) and inserting paragraphs (5), (6), (7), and (8).

(B)

Section 2110(a) of the Social Security Act (42 U.S.C. 1397jj(a)) is amended—

(i)

in paragraph (18), by striking substance abuse each place it appears and inserting substance use; and

(ii)

in paragraph (19), by striking substance abuse and inserting substance use.

(C)

Section 2110(b)(5)(A)(i) of the Social Security Act (42 U.S.C. 1397jj(b)(5)(A)(i)) is amended by striking subsection (c)(5) and inserting subsection (c)(6).

(c)

Assuring access to care

Section 2102(a)(7)(B) of the Social Security Act (42 U.S.C. 1397bb(c)(2)) is amended by striking section 2103(c)(5) and inserting paragraphs (5) and (6) of section 2103(c).

(d)

Mental health services parity

Subparagraph (A) of paragraph (7) of section 2103(c) of the Social Security Act (42 U.S.C. 1397cc(c)) (as redesignated by subsection (b)(1)) is amended to read as follows:

(A)

In general

A State child health plan shall ensure that the financial requirements and treatment limitations applicable to mental health and substance use disorder services (as described in paragraph (5)) provided under such plan comply with the requirements of section 2726(a) of the Public Health Service Act in the same manner as such requirements or limitations apply to a group health plan under such section.

.

(e)

Effective date

(1)

In general

Subject to paragraph (2), the amendments made by this section shall take effect with respect to child health assistance provided on or after the date that is 1 year after the date of the enactment of this Act.

(2)

Exception for State legislation

In the case of a State child health plan under title XXI of the Social Security Act (or a waiver of such plan), which the Secretary of Health and Human Services determines requires State legislation in order for the respective plan (or waiver) to meet any requirement imposed by the amendments made by this section, the respective plan (or waiver) shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet such an additional requirement before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this section. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of the session shall be considered to be a separate regular session of the State legislature.

Passed the House of Representatives June 19, 2018.

Karen L. Haas,

Clerk.