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Crapo, Wyden, Cassidy, Carper Unveil Youth Mental Health Discussion Draft

Latest Discussion Draft Would Improve Mental Health Care for Youth in Medicaid

Washington, D.C.–Senate Finance Committee Ranking Member Mike Crapo (R-Idaho), Finance Committee Chair Ron Wyden (D-Oregon), Senator Bill Cassidy (R-Louisiana) and Senator Tom Carper (D-Delaware) today released a discussion draft for youth mental health care policies as a part of the committee’s ongoing work to improve mental health care across the nation, which has included a public call for comments and four hearings to help develop these initiatives. 

“Although the pandemic is subsiding and our return to normalcy may be imminent, we cannot ignore the lasting effects of the past two years on the social and emotional well-being of children, whose needs require carefully tailored solutions,” Crapo said. “ We should do all that we can, within the committee’s jurisdiction, to increase access to high-quality mental health services, and reduce the causes of delayed and forgone treatment.” 

“Young people across the country are facing unprecedented challenges, and it’s taking a devastating toll on their mental health,” Wyden said.  “By strengthening access to mental health care through Medicaid — which covers half of all children in this country — the Finance Committee can make a real difference in helping kids get the care they need, whether that’s at home, in the doctor’s office, or at school.  I’m proud that the committee was able to come together on a bipartisan basis to craft these policies, and I look forward to continuing that work in the coming weeks and months.” 

“There has been a massive rise in youth mental health issues in the wake of the pandemic,” said Dr. Cassidy.  “This bill ensures children and teens have access to quality care to have their needs addressed.” 

“After two years of a life-altering pandemic and worsening youth mental health crisis, it’s more important than ever to come together and ease the burden for kids across the country,” said Carper.  “Our draft will make it easier for schools to provide vital mental health services to students on campus and more manageable for states to face head on an impending mental health crisis.  Our nation’s children need someone to stand up for them and I’m proud that, alongside this bipartisan group, we’re doing just that.” 

The discussion draft includes policies that would: 

  • Eliminate barriers to coordinated care by allowing all providers to receive Medicaid reimbursement for behavioral and physical health services delivered on the same day.
  • Support mental health care in schools by updating Medicaid guidance to states to clarify allowable payments and identify strategies to reduce administrative burden.
  • Improve enforcement and oversight of Medicaid’s Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit, the country’s gold standard in children’s health coverage.
  • Streamline enrollment for out-of-state providers in another state’s Medicaid program.
  • Direct Medicaid to guide states on how they can cover treatment family care services for foster youth enrolled in Medicaid with intensive mental health needs. 


The youth discussion draft is the second legislative draft released by the committee since it began its mental health care initiative, following the telehealth discussion draft last month.  Other discussion drafts may be released prior to a committee markup. The committee is committed to fully paying for any mental health package with bipartisan, consensus-driven offsets.  Earlier this year, the committee announced five areas of focus for addressing shortfalls in mental health care: workforce, care integration, mental health parity, telehealth, and youth. 

The full text of the discussion draft can be found here.