HR4745119th CongressWALLET

Medicaid Bump Act

Sponsored By: Representative Tonko

Introduced

Summary

This bill would create a temporary 90 percent enhanced federal match for state increases in Medicaid behavioral health spending and tie that money to rules meant to boost capacity, quality, and oversight. It focuses on services for mental health and substance use and requires HHS guidance and state-level reporting.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

More Medicaid money for mental health and addiction

If you use Medicaid or CHIP, your state could get extra federal money for mental health and addiction care. The federal government would pay 90% of any increase in a state's quarterly spending above the same quarter in 2019. This would start for calendar quarters beginning on or after January 1 of the year that starts one year after enactment. To receive the funds, states would have to keep at least their April 1, 2021 funding levels and use the money to boost capacity, raise provider rates, and reduce staff turnover. HHS would say which services count within 180 days after enactment.

Sponsors & CoSponsors

Sponsor

Tonko

NY • D

Cosponsors

  • Fitzpatrick

    PA • R

    Sponsored 7/23/2025

  • Thanedar

    MI • D

    Sponsored 10/21/2025

Roll Call Votes

No roll call votes available for this bill.

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