Medicare Mental Health Inpatient Equity Act of 2025
Sponsored By: Representative Tonko
Introduced
Summary
Eliminates Medicare's 190-day lifetime cap on inpatient psychiatric hospital services. This bill would amend title XVIII of the Social Security Act to remove that lifetime limit so Medicare can cover inpatient psychiatric hospital items and services furnished on or after January 1, 2027. Medicare beneficiaries who need longer inpatient psychiatric care would be eligible for coverage of additional days beyond the former 190-day cap.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More Medicare coverage for inpatient psychiatric stays
If enacted, Medicare would no longer have a 190-day lifetime cap on psychiatric hospital care. Starting January 1, 2027, inpatient psychiatric days could be covered without a lifetime limit. If you need long hospital stays for mental health, you could have more days covered. Hospitals and providers could bill Medicare for those extra days.
Sponsors & CoSponsors
Sponsor
Tonko
NY • D
Cosponsors
Huizenga
MI • R
Sponsored 7/22/2025
Doggett
TX • D
Sponsored 7/22/2025
Fitzpatrick
PA • R
Sponsored 7/22/2025
Thanedar
MI • D
Sponsored 11/4/2025
Roll Call Votes
No roll call votes available for this bill.
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