S. 2899Senate115th Congress (2017-2019)In Committee

CRIB Act

Introduced May 22, 2018

AI-Generated Summary

Updated April 15, 2026 at 9:57 PM UTC

The CRIB Act would let states add a new Medicaid option that covers care for infants born with neonatal abstinence syndrome (NAS) at residential pediatric recovery centers. It gives states the ability to provide either inpatient or outpatient medical assistance for these infants and also allows related counseling and support services for their mothers or caregivers. The bill mainly affects infants with NAS, their families, and state Medicaid programs.

Key Provisions

  • Adds a new Medicaid option (paragraph 84) allowing states to provide medical assistance at residential pediatric recovery centers for infants with NAS.
  • Defines a "residential pediatric recovery center" as a facility that provides Medicaid‑covered items and services to infants with NAS who have no other significant medical risk factors.
  • Permits these centers to offer counseling, caregiver‑infant bonding activities, and training for mothers or other caretakers, if such services are covered under the state plan or a waiver.
  • The changes take effect immediately upon enactment, applying to medical assistance provided after that date.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

May 22, 2018

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SenateIntro Referral

Introduced in Senate

May 22, 2018

SenateIntro Referral

Read twice and referred to the Committee on Finance.

May 22, 2018

Bill Text

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Introduced in SenateIssued May 22, 2018

II

115th CONGRESS

2d Session

S. 2899

IN THE SENATE OF THE UNITED STATES

May 22, 2018

Mr. Brown (for himself, Mr. Portman, Mrs. Capito, Mr. King, Mr. Manchin, Mr. Heller, Mr. Casey, and Mr. Whitehouse) introduced the following bill; which was read twice and referred to the Committee on Finance

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.

1.

Short title

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

2.

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.