# 119-hr-4022: Increasing Behavioral Health Treatment Act

119-hr-4022, Increasing Behavioral Health Treatment Act, is a 119th Congress bill sponsored by Rep. Carbajal, Salud O. [D-CA-24] (D-CA); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4022
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4022
- Congress: 119
- Title: Increasing Behavioral Health Treatment Act
- Status: introduced
- Introduced: 2025-06-17
- Sponsor: Rep. Carbajal, Salud O. [D-CA-24] (D-CA)
- Cosponsors: 7
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Removes Medicaid's ban on covering care in institutions for mental diseases for people under 65 while forcing states to expand outpatient and crisis services.** The bill would let Medicaid pay for inpatient and residential psychiatric care for adults under 65 only when a state submits a plan to grow community treatment and report progress each year. - Families and patients: Adults under 65 with serious mental illness or substance use crises could become eligible for Medicaid-covered treatment in psychiatric hospitals and residential settings. States must also ensure screening and treatment for co-occurring physical and substance use conditions and plan for outpatient follow-up, including medication-assisted treatment after discharge. - States and providers: States would have to include a detailed plan in their Medicaid state plan and provide annual reports on costs, utilization, lengths of stay, and post-discharge outpatient care. The plan must show steps to expand crisis stabilization and community-based services like intensive outpatient care and Certified Community Behavioral Health Clinic models. - Crisis systems and coordination: The bill requires expanded crisis capacity such as crisis call centers, mobile crisis teams, observation or assessment centers, and better data sharing between health providers and first responders to improve transitions from institutional care.

## Cosponsors (7)

- Rep. Bacon, Don [R-NE-2] (R-NE), 2025-06-17T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2025-06-23T00:00:00.000Z
- Rep. Levin, Mike [D-CA-49] (D-CA), 2025-08-01T00:00:00.000Z
- Rep. Brownley, Julia [D-CA-26] (D-CA), 2025-08-22T00:00:00.000Z
- Rep. Barragán, Nanette Diaz [D-CA-44] (D-CA), 2025-09-03T00:00:00.000Z
- Rep. Golden, Jared F. [D-ME-2] (D-ME), 2026-04-13T00:00:00.000Z
- Rep. Boyle, Brendan F. [D-PA-2] (D-PA), 2026-04-27T00:00:00.000Z

## Provisions PRIA read

- Medicaid mental health stays for under 65: benefit, high. If enacted, Medicaid could pay for care in Institutions for Mental Diseases (IMDs) for people under 65. This means inpatient mental health and residential treatment stays could be covered. The change would take effect on the date of enactment.
- States must expand behavioral health care: mixed, medium. If enacted, State Medicaid plans would have to expand outpatient and community behavioral health care for people served in IMDs. States would grow crisis services like call centers, mobile crisis teams, community response with first responders, and follow‑up supports. They would improve data sharin…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-4275: Coast Guard Authorization Act of 2025
- 119-hr-2086: Rights for the TSA Workforce Act
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-2548: Sanctioning Russia Act of 2025
- 119-hr-1065: Protect Our Letter Carriers Act of 2025

## Sources
- [119-hr-4022 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4022)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-4275: Coast Guard Authorization Act of 2025](https://policyrisk.com/legislation/119-hr-4275)
- [119-hr-2086: Rights for the TSA Workforce Act](https://policyrisk.com/legislation/119-hr-2086)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-2548: Sanctioning Russia Act of 2025](https://policyrisk.com/legislation/119-hr-2548)
- [119-hr-1065: Protect Our Letter Carriers Act of 2025](https://policyrisk.com/legislation/119-hr-1065)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4022 (as of 2026-09-21).