Since this is about substance abuse

 ARTS being amended is a mostly a gesture to prevent people from becoming prison inmates







Section 1905(a)(24)(A) of the Social Security Act excludes from Medicaid coverage

payments for care and services rendered to any individual who is an “inmate of a public

institution” unless that individual is a patient in a medical institution.
Generally, services cannot be reimbursed if provided in programs that have 17 or

more beds for persons 22 to 64 years of age