Ditching Rules for Hauling Home America's Lost Mad Abroad
Published Date: 9/4/2026
Proposed Rule
Summary
The Department of Health and Human Services, Administration for Children and Families proposes to remove the Care and Treatment of Mentally Ill Nationals of the United States, Returned from Foreign Countries regulations to streamline regulations and to renumber it under a different Part.
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
Guaranteed Reception and Temporary Assistance
When a mentally ill U.S. national arrives from abroad, the agency shall meet the individual at the port of entry, arrange an appropriate medical examination, and plan needed temporary care with the individual or their guardian. The agency shall provide temporary care, treatment, and assistance reasonably necessary for the individual's health and welfare, including hospitalization, medical and remedial care, attendants, food, lodging, money, transportation, and other goods or services, and shall use the nearest suitable hospital pending other arrangements.
Certificates Required to Establish Eligibility
If you are a mentally ill U.S. national returned from a foreign country, you must provide a nationality certificate and a mental condition certificate to establish eligibility. The mental condition certificate may be either (i) a certificate from an authorized Department of State official stating you were legally adjudged insane in a specified foreign country, or (ii) a certificate from an appropriate authority or qualified mental health professional stating you required mental hospital care and treatment.
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Key Dates
Department and Agencies
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