HR5662119th CongressWALLET

Improving Access to Institutional Mental Health Care Act

Sponsored By: Representative Thanedar

Introduced

Summary

Expands Medicaid coverage for people in institutions for mental diseases (IMDs). The bill would remove the long-standing IMD exclusion and strike age-based limits so Medicaid could cover items and services for IMD patients under 65.

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  • Patients and families: Adults under 65 who are patients in IMDs would become eligible for Medicaid-covered items and services beginning Oct 1, 2025.
  • States: Federal Medicaid statutes would be changed to remove the exclusion language and references to being 65 years of age or older, requiring states to provide medical assistance to IMD patients.
  • Providers: Psychiatric hospitals and other IMDs that treat adults under 65 could receive Medicaid payments for covered care they furnish.

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Bill Overview

Analyzed Economic Effects

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

Medicaid would cover mental health hospital care

This bill would let Medicaid pay for care in mental health hospitals and similar facilities. It would remove the long-standing ban on Medicaid payment for people in these institutions and end the under-65 limit. If you are on Medicaid and get inpatient mental health care, your stay and services could be covered. These changes would apply to items and services furnished on or after October 1, 2025. States would run the change through their Medicaid programs.

Sponsors & CoSponsors

Sponsor

Thanedar

MI • D

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

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