; waiver authority (1) IMD waiver The limitation of subdivision (B) following paragraph (29) of section 1905(a) of the Social Security Act ( 42 U.S.C. 1396d(a) ), relating to limitations on payments for care or services for individuals under 65 years of age who are patients in an institution for mental disease, shall not apply to inpatient psychiatric hospital services or substance abuse residential services furnished under the demonstration project. (2) Waiver authority The Secretary may waive such requirements of titles XI and XIX of the Social Security Act (which may include the requirements of paragraph (1) (relating to statewideness) and paragraph (10)(B) (relating to comparability) of section 1902(a) of such Act ( 42 U.S.C. 1396b(a) ) only to extent the Secretary determines such a waiver to be necessary to carry out the demonstration project. (h) Definitions In this Act: (1) High utilizer of inpatient psychiatric hospital services The term high utilizer of inpatient psychiatric hospital services means an individual who, with respect to a point in time, meets the following conditions: (A) The individual had two or more inpatient admissions for psychiatric services in the previous 12 months. (B) The individual had 10 or more inpatient admissions for psychiatric services in the individual’s lifetime. (C) The individual had 100 or more days of inpatient psychiatric services in the individual’s lifetime. (D) The individual meets any of the following conditions: (i) The individual is receiving court-ordered psychiatric treatment. (ii) The individual has been receiving inpatient psychiatric services for a consecutive period of at least 12 days. (iii) The individual has a documented history of suicidal or self-harming behaviors due to mental illness. (iv) The individual has a documented history of threatened or actual physical harm to another individual due to mental illness. (2) Institution for mental disease The term institution for mental disease has the meaning given to that term in section 1905(i) of the