H.R. 6004House115th Congress (2017-2019)In Committee

CRIB Act

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Updated April 15, 2026 at 10:13 PM UTC

The CRIB Act (Caring Recovery for Infants and Babies Act) would give states the option to use Medicaid to fund treatment for newborns with neonatal abstinence syndrome at specialized residential pediatric recovery centers. It adds a new Medicaid provision allowing both inpatient and outpatient care at these centers and defines what qualifies as such a facility. The bill also allows the centers to provide counseling and support services to mothers and family members. The bill takes effect immediately upon enactment. The user wants a JSON response.

Key Provisions

Amends Medicaid (title XIX of the Social Security Act) to let states add a new option—paragraph (84)—that allows Medicaid to cover care at residential pediatric recovery centers for infants diagnosed with neonatal abstinence syndrome (NAS).
Defines a "residential pediatric recovery center" as a facility that provides items and services covered by Medicaid to infants with NAS who have no other major medical risk factors.
Permits these centers to offer counseling, referrals, caregiver‑infant bonding activities, and training for mothers or other caretakers, as long as such services are covered under the state Medicaid plan or a waiver.
The changes take effect immediately upon enactment, applying to Medicaid services provided on or after that date.

Legislative Activity

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1 earlier action

HouseIntro Referral Latest Action

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

June 5, 2018

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HouseIntro Referral

Introduced in House

June 5, 2018

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

June 5, 2018

Bill Text

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Introduced in HouseIssued June 5, 2018

115th CONGRESS

2d Session

H. R. 6004

IN THE HOUSE OF REPRESENTATIVES

June 5, 2018

Mr. Jenkins of West Virginia (for himself and Mr. Turner) 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 provide States with the option of providing medical assistance at a residential pediatric recovery center to infants with neonatal abstinence syndrome.

Short title

This Act may be cited as the Caring Recovery for Infants and Babies Act or the CRIB Act.

Medicaid State plan option to enter into provider agreements with residential pediatric recovery centers

(a)

State plan amendment

Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)) is amended—

(1)

in paragraph (82), by striking and after the semicolon;

(2)

in paragraph (83), by striking the period at the end and inserting ; and; and

(3)

by inserting after paragraph (83), the following new paragraph:

(84)

provide, at the option of the State, for making medical assistance available on an inpatient or outpatient basis at a residential pediatric recovery center (as defined in subsection (nn)) to infants with neonatal abstinence syndrome.

(b)

Residential pediatric recovery center defined

Section 1902 of such Act (42 U.S.C. 1396a) is amended by adding at the end the following new subsection:

(nn)

Residential pediatric recovery center defined

(1)

In general

For purposes of section 1902(a)(84), the term residential pediatric recovery center means a center or facility that furnishes items and services for which medical assistance is available under the State plan to infants with the diagnosis of neonatal abstinence syndrome without any other significant medical risk factors.

(2)

Counseling and services

A residential pediatric recovery center may offer counseling and other services to mothers (and other appropriate family members and caretakers) of infants receiving treatment at such centers if such services are otherwise covered under the State plan under this title or under a waiver of such plan. Such other services may include the following:

(A)

Counseling or referrals for services.

(B)

Activities to encourage caregiver-infant bonding.

(C)

Training on caring for such infants.

(c)

Effective date

The amendments made by this section take effect on the date of enactment of this Act and shall apply to medical assistance furnished on or after that date, without regard to final regulations to carry out such amendments being promulgated as of such date.