Sending Office: Honorable Michael R. Turner
Sent By:


Request for Cosponsor(s)

Dear Colleague:

We are writing to encourage you to cosponsor HR 2501, the Caring Recovery for Infants and Babies (CRIB) Act, which would recognize “residential pediatric recovery facilities” as a type of provider under the Medicaid program.

The opioid epidemic continues to wreak havoc in our communities, killing more Americans each year than car crashes. Among the most vulnerable victims of this epidemic are the infants born suffering from Neonatal Abstinence Syndrome (NAS), or newborns suffering
from withdrawal due to the mother’s use of opioids or other drugs during pregnancy.  NAS-afflicted newborns need specialized medical care and treatment. The rates of NAS continue to rise and our communities are working to find innovative solutions to care
for these babies.

According to a recent study, between 2004 and 2013, neonatal intensive care unit (NICU) admissions for the treatment of NAS rose from seven cases per 1,000 admissions to 27 cases per 1,000 admissions nationwide, and the length of stay in the NICU for these
newborns increased by an average of six days. Given the bright lights, loud noises, and proximity to other babies, the NICU is not always the most ideal place for newborns in withdrawal with no additional complicating health conditions. Furthermore, the costs
of treating NAS – most of which are currently paid by Medicaid – can be more than five times the cost of treating other newborns.

We must continue to explore treatment options that provide the most appropriate care for the increasing number of infants born with NAS. One option is a residential pediatric recovery facility. An alternative setting to the NICU, residential pediatric recovery
facilities offer specialized care and an environment conducive to treating newborns with NAS, as well as counseling for mothers and families that emphasizes family bonding.

Our legislation would recognize existing facilities, and new ones that may arise in the future, as certified providers under Medicaid. This type of provider agreement would allow residential pediatric recovery facilities to bill Medicaid for the services
they offer, giving States the flexibility to partner with these facilities should they so choose.

For more information, or to join as a cosponsor of this important legislation, please contact Geoffrey Hempelmann ( in Rep. Jenkins’ office or Dan Hare (
in Rep. Turner’s office.




Evan Jenkins                                                                           Michael R. Turner

Member of Congress                                                              Member of Congress


Tim Ryan                                                                                Katherine Clark

Member of Congress                                                              Member of Congress

Related Legislative Issues
Selected legislative information: Family Issues, HealthCare, Judiciary, Social Security
Related Bill Information
Bill Type: H.R.
Bill Type: 2501
Special Note:
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