Caring Recovery for Infants and Babies Act or the CRIB Act
This bill amends title XIX (Medicaid) of the Social Security Act to allow a state Medicaid program to cover inpatient or outpatient services at a residential pediatric recovery center for infants with neonatal abstinence syndrome (a postnatal drug withdrawal syndrome) and their families.
[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2501 Introduced in House (IH)]
<DOC>
115th CONGRESS
1st Session
H. R. 2501
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 under 1 year of age with neonatal abstinence
syndrome and their families.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 17, 2017
Mr. Jenkins of West Virginia (for himself, Mr. Turner, Mr. Ryan of
Ohio, and Ms. Clark of Massachusetts) 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 under 1 year of age with neonatal abstinence
syndrome and their families.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Caring Recovery for Infants and
Babies Act'' or the ``CRIB Act''.
SEC. 2. FINDINGS.
Congress finds as follows:
(1) Neonatal abstinence syndrome (referred to in this
section as ``NAS'') is a group of conditions a newborn can have
if the newborn was exposed to drugs, including opioids while in
the womb before birth.
(2) According to a report of the Government Accountability
Office (referred to in this section as the ``GAO report'')
symptoms of NAS include irritability, loud crying, stiffness,
sweating, vomiting, diarrhea, poor feeding, seizures, and
respiratory distress.
(3) According to the GAO report, it is recommended that
newborns with NAS receive a thorough evaluation and specialized
and innovative treatment, when warranted.
(4) According to the GAO report, there is a program gap of
available treatment programs for both pregnant women and
newborns with NAS.
(5) According to the GAO report, newborns with NAS stayed
in the hospital on average 16 days with an average hospital
bill of $53,000.
(6) According to GAO reports, NAS has more than quadrupled
in the past decade, increasing from 1.2 per 1,000 hospital
births per year in 2000 to 5.8 per 1,000 hospital births per
year in 2012 and some regional studies have reported much
higher incidences.
(7) Addressing the treatment of infants diagnosed with NAS
will take innovative, specialized, and collaborative efforts.
(8) In July 2016, Congress passed, and the President signed
into law, the Comprehensive Addiction and Recovery Act (Public
Law 114-198), which examines how infants with NAS are cared for
(including available options through State Medicaid programs),
assesses the different medical care models and settings to
treat NAS, and prioritizes finding best practices for treating
infants with NAS.
SEC. 3. 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)) for infants who are under 1 year of age with
neonatal abstinence syndrome and their families.''.
(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.--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 who are under 1 year of age with the diagnosis of neonatal
abstinence syndrome without any other significant medical risk factors
and to the families of such infants.''.
(c) Effective Date.--The amendments made by this section take
effect on October 1, 2017, and shall apply to medical assistance
furnished on or after that date without regard to whether or not final
regulations to carry out such amendments have been promulgated by such
date.
SEC. 4. SENSE OF CONGRESS.
It is the sense of Congress that residential pediatric recovery
centers (as defined in section 1902(nn) of the Social Security Act, as
added by section 3(b)) should offer counseling and other services to
mothers (and other appropriate family members and caretakers) of
infants receiving treatment at such centers. Such services may include
the following:
(1) Counseling or referrals for services.
(2) Activities to encourage mother-infant bonding.
(3) Training on caring for such infants.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
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