; and (3) feedback from States on such guidance and challenges faced by States in connecting individuals receiving medical assistance under a State Medicaid program with housing-related services and supports and other housing resources. (d) Definitions In this section: (1) Continuum of Care The term Continuum of Care has the meaning given such term in section 578.3 of title 24, Code of Federal Regulations. (2) State Medicaid program The term State Medicaid program means a State plan for medical assistance under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. ), and includes any waiver of such a plan. 3. National rate study on the cost of housing-related services and supports (a) In general The Secretary of Health and Human Services (referred to in this section as the Secretary ) shall conduct a national rate study on the cost of housing-related services and supports to determine appropriate rates for such services and supports that will allow providers of such services and supports to pay living wages, reduce staff turnover, and ensure a maximum case manager-to-client ratio of 1:15 in alignment with the evidence-base for strong supportive housing outcomes. Such study shall include an analysis of reimbursement rates for services provided by certified community behavioral health clinics (as such term is used in section 223 of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 1396a note)) and Federally-qualified health centers (as defined in section 1905(l)(2)(B) of the Social Security Act ( 42 U.S.C. 1396d(l)(2)(B) )) that promote integrated care, which may include, but is not limited to, housing-related supports and services, and serve people with complex conditions. (b) Publication Not later than 2 years after the date of enactment of this Act, the Secretary shall publish the results of the study conducted under this section as guidance to State Medicaid agencies.