1. Short title This Act may be cited as the Crisis Assistance Helping Out On The Streets Act or the CAHOOTS Act . 2. Enhanced Federal Medicaid support for community-based mobile crisis intervention services Section 1903 of the Social Security Act ( 42 U.S.C. 1396b ) is amended by adding at the end the following new subsection: (bb) Community-Based mobile crisis intervention services (1) In general Notwithstanding section 1902(a)(1) (relating to statewideness), section 1902(a)(10)(B) (relating to comparability), section 1902(a)(23)(A) (relating to freedom of choice of providers), or section 1902(a)(27) (relating to provider agreements), a State may provide medical assistance for qualifying community-based mobile crisis intervention services under a State plan amendment or waiver approved under section 1115 or 1915(c). (2) Qualifying community-based mobile crisis intervention services defined For purposes of this subsection, the term qualifying community-based mobile crisis intervention services means, with respect to a State, items and services for which medical assistance is available under the State plan under this title or a waiver of such plan, that are— (A) furnished to an individual who is— (i) outside of a hospital or other facility setting; and (ii) experiencing a mental health or substance use disorder crisis; (B) furnished by a multidisciplinary mobile crisis team— (i) that includes at least 1 behavioral health care professional who is capable of conducting an assessment of the individual, in accordance with the professional's permitted scope of practice under State law, and other professionals or paraprofessionals with appropriate expertise in behavioral health or mental health crisis response, including nurses, social workers, peer support specialists, and others, as designated by the State and approved by the Secretary; (ii) whose members are trained in trauma-informed care, de-escalation strategies, and harm reduction