S. 5236

119 S5236 IS: Improving Coordination and Access to Resources Equitably for Youth Act
 U.S. Senate
 2026-08-04
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 EN
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 II  119th CONGRESS  2d Session  S. 5236  IN THE SENATE OF THE UNITED STATES   August 4, 2026   Ms. Hassan  (for herself and  Mr. Cassidy ) 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 ensure Medicaid coverage of mental health services and primary care services furnished on the same day.
1.
Short title
This Act may be cited as the   Improving Coordination and Access to Resources Equitably for Youth Act   or the   Improving CARE for Youth Act  .
2.
Medicaid coverage of mental health services and primary care services furnished on the same day
(a)
In general
Section 1902(a) of the Social Security Act ( 42 U.S.C. 1396a(a) ) is amended—
(1)
in paragraph (89), by striking  ; and  and inserting a semicolon;
(2)
in paragraph (90)(C), by striking the period at the end and inserting  ; and ; and
(3)
by inserting after paragraph (90)(C) the following new paragraph:
(91)
not prohibit payment under the plan for a mental health service or primary care service furnished to an individual for which payment would otherwise be payable under the plan, with respect to such individual, if such service were not a same-day qualifying service (as defined in subsection (zz)).
 .
(b)
Same-Day qualifying services defined
Section 1902 of the Social Security Act ( 42 U.S.C. 1396a ) is amended by adding at the end the following new subsection:
(zz)
Same-Day qualifying services defined
For purposes of subsection (a)(91), the term  same-day qualifying service  means—
(1)
a primary care service furnished to an individual by a provider at an office, clinic, or other outpatient facility on the same day a mental health service is furnished to such individual by such provider (or another provider) at the same office, clinic, or other outpatient facility; and
(2)
a mental health service furnished to an individual by a provider at an office, clinic, or other outpatient facility on the same day a primary care service is furnished to such individual by such provider (or another provider) at the office, clinic, or other outpatient facility.
 .