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S. 5066IntroducedSenate · nowHousePresidentLawIn committee
Sec. 3044 · S. 5066

Expanding FQHC services

Title III — Health workforce diversity › Subtitle D — Developing the Community Health Workforce Act

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(a) Behavioral health professional and case manager services (1) Medicare Section 1861(aa) of the Social Security Act (42 U.S.C. 1395x(aa)) is amended— (A) in paragraph (1)— (i) in subparagraph (B), by inserting such services furnished on or after October 1, 2026, by a behavioral health consultant, peer support specialist, or other behavioral health professional (as such terms are defined by the Secretary), before and such services; (ii) in subparagraph (C), by striking and at the end; (iii) in subparagraph (D), by striking the comma at the end and inserting, and; and (iv) by inserting after subparagraph (D) the following new subparagraph: (E) case management services furnished on or after October 1, 2026, by a case manager (as defined by the Secretary),; and (B) in paragraph (3)(A), by striking (D) and inserting (E). (2) Medicaid Section 1905(l)(2)(A) of the Social Security Act (42 U.S.C. 1396d(l)(2)(A)) is amended by inserting and (E) before of section. (b) Guidance on State Medicaid payments to FQHCs Section 1902(bb) of the Social Security Act (42 U.S.C. 1396a(bb)) is amended by adding at the end the following new paragraph: (7) Study and guidance on payment adjustments Not later than October 1, 2027, and not less frequently than annually thereafter, the Secretary shall— (A) conduct a study on any differences in the methods by which State plans adjust the payment amount under paragraph (3) for services furnished during a fiscal year; and (B) based on the results of the study conducted under subparagraph (A), issue guidance to State plans on best practices for adjusting the payment amount under paragraph (3) for services furnished during a fiscal year..

Sec. 3044: Expanding FQHC services · Public Law Tracker