# 119-hr-2223: Building Capacity for Care Act

119-hr-2223, Building Capacity for Care Act, is a 119th Congress bill sponsored by Rep. Salinas, Andrea [D-OR-6] (D-OR); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-2223
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-2223
- Congress: 119
- Title: Building Capacity for Care Act
- Status: introduced
- Introduced: 2025-03-18
- Sponsor: Rep. Salinas, Andrea [D-OR-6] (D-OR)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**This bill would authorize the Secretary of Health and Human Services to provide loans, loan guarantees, and grants to expand and modernize** mental health and substance use treatment facilities, including digital and telehealth upgrades, new or converted inpatient beds, and integrated care capacity. - Hospitals and treatment providers could use loans and grants to buy, build, or renovate facilities. Borrowers must cover at least 25% of project costs from non-Federal sources and loans would mature no longer than 20 years or half the asset’s useful life. - Patients and families could see more local treatment options as projects must add capacity in counties with insufficient beds and support inpatient, pediatric, adolescent, and adult psychiatric and substance use disorder care. - Rural and high-need communities gain priority for grants. Funding is targeted to mental health professional shortage areas and counties or municipalities with overdose or suicide rates above the national average per CDC data. *Authorizes up to $200 million per year for loans and guarantees and $200 million per year for grants for fiscal years 2025–2029 and creates a trust fund to receive program revenues.*

## Cosponsors (1)

- Rep. Balint, Becca [D-VT-At Large] (D-VT), 2025-03-18T00:00:00.000Z

## Provisions PRIA read

- Loans and grants to expand mental health care: benefit, medium. This bill would let HHS offer loans, loan guarantees, and grants to buy, build, or fix mental health and addiction treatment facilities, and improve telehealth. Public and private hospitals and treatment centers could apply. Projects would need to add beds where capacity is short, serve high‑need r…
- Trust fund for community mental health grants: benefit, medium. The bill would create a Treasury trust fund for mental health and substance use treatment. If program revenues ever exceed program costs, the same amount could be put into this fund. Money would stay available until used. If Congress later approves, these dollars could support community mental heal…
- Loan terms and fees for treatment facilities: mixed, medium. The bill would set guardrails on these loans and guarantees. Guarantees could cover up to 80% of a potential loss, and loans could not be subordinated or made tax‑exempt. Final loan maturity would be no more than 20 years or half the asset’s useful life. Rates would track Treasury benchmarks, with…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-10421: Transforming Education for the Future Act
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-6900: American Affordability Act of 2025
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-7973: Momnibus Act

## Sources
- [119-hr-2223 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/2223)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-10421: Transforming Education for the Future Act](https://policyrisk.com/legislation/119-hr-10421)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-2223 (as of 2026-04-21).