# 119-hr-10647: IMD CARE Act

119-hr-10647, IMD CARE Act, is a 119th Congress bill sponsored by Rep. Bentz, Cliff [R-OR-2] (R-OR); status introduced; PRIA reads it as touching household money (as of 2026-10-15).

- Canonical: https://policyrisk.com/legislation/119-hr-10647
- As of: 2026-10-15
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10647
- Congress: 119
- Title: IMD CARE Act
- Status: introduced
- Introduced: 2026-10-01
- Sponsor: Rep. Bentz, Cliff [R-OR-2] (R-OR)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-15

## Summary

**Creates an optional Medicaid pathway for states to pay for short inpatient stays in institutions for mental diseases (IMDs) for adults with serious mental illness.** It would pair that option with strict 30-day limits, annual maintenance-of-effort on community funding, and requirements to support transitions back to community care. - Families and adults with serious mental illness: Would let Medicaid cover IMD inpatient care for people ages 21–64 with DSM-defined disorders for up to 30 days per 12-month period. It also requires discharge planning and connections to follow-up community services. - States: Would be able to elect a new State plan amendment starting in 2027 but must keep non-federal funding for outpatient and community-based services at or above fiscal year 2023 levels. - Community providers and systems: Would face new continuum-of-care rules, including placement criteria, data-sharing and capacity tracking, crisis and emergency-department diversion strategies, peer supports, and requirements to screen and treat co-occurring conditions.

## Cosponsors (1)

- Rep. Goldman, Daniel S. [D-NY-10] (D-NY), 2026-10-01T00:00:00.000Z

## Provisions PRIA read

- Care and discharge standards for IMDs: benefit, medium. If a State takes the Medicaid option, the bill would require States and IMDs to follow a continuum‑of‑care framework to move people back to community care. States would do regional assessments of community behavioral health capacity and update them within 12 months of starting. IMDs would screen fo…
- Medicaid help for short IMD stays: mixed, high. This bill would let a State choose a Medicaid option that pays for care when a Medicaid enrollee is a patient in an institution for mental diseases. It would apply for calendar quarters beginning on or after January 1, 2027. You would qualify only if you are enrolled in Medicaid, are at least 21 bu…
- States must keep community funding: mixed, medium. If a State elects the Medicaid option, the bill would require the State to keep its own (non‑Federal) spending on outpatient and community behavioral health services at or above fiscal year 2023 levels while it provides the IMD assistance. Covered services would include outpatient and intensive out…

## Related bills

- 119-hr-2725: Affordable Housing Credit Improvement Act of 2025
- 119-hr-6900: American Affordability Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-1383: Secure Rural Schools Reauthorization Act of 2025
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-3178: Save Healthcare Workers Act

## Sources
- [119-hr-10647 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10647)

## Related
- [119-hr-2725: Affordable Housing Credit Improvement Act of 2025](https://policyrisk.com/legislation/119-hr-2725)
- [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-1383: Secure Rural Schools Reauthorization Act of 2025](https://policyrisk.com/legislation/119-hr-1383)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-3178: Save Healthcare Workers Act](https://policyrisk.com/legislation/119-hr-3178)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10647 (as of 2026-10-15).