Center for Medicare and Medicaid Innovation pilot program

Section 1115A(b)(2) of the Social Security Act (42 U.S.C. 1315a(b)(2)) is amended— (1) in subparagraph (A), in the third sentence, by inserting, and shall include the models described in clauses (xxviii) and (xxix) of such subparagraph before the period at the end; and (2) in subparagraph (B), by adding at the end the following new clauses: (xxviii) Promoting research-based ways to facilitate improved emergency care for applicable individuals who are older adults, including through— (I) sufficient, flexible, and interdisciplinary staffing and education of staff at emergency departments; (II) changes to the physical infrastructure of emergency departments; (III) introducing geriatric-focused policies, protocols, and quality improvement metrics; and (IV) improving coordination between emergency departments and post-acute care facilities (including senior care facilities such as skilled nursing facilities, assisted living facilities, and independent living facilities) with respect to such individuals, which may include the mutual, bidirectional exchange of medical information and improvements to the transfer process. (xxix) Promoting research-based ways to facilitate improved emergency care for applicable individuals experiencing acute psychiatric crisis, including by— (I) implementing dedicated units at emergency departments to provide emergency care to such individuals; and (II) improving transfers between emergency departments and post-acute care facilities for such individuals, which may include expedited placement at such facilities..