# 119-hr-4745: Medicaid Bump Act

119-hr-4745, Medicaid Bump Act, is a 119th Congress bill sponsored by Rep. Tonko, Paul [D-NY-20] (D-NY); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4745
- 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-4745
- Congress: 119
- Title: Medicaid Bump Act
- Status: introduced
- Introduced: 2025-07-23
- Sponsor: Rep. Tonko, Paul [D-NY-20] (D-NY)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**This bill would create a temporary **90 percent enhanced federal match for state increases in Medicaid behavioral health spending** and tie that money to rules meant to boost capacity, quality, and oversight.** It focuses on services for mental health and substance use and requires HHS guidance and state-level reporting.

## Cosponsors (3)

- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2025-07-23T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-10-21T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2026-05-11T00:00:00.000Z

## Provisions PRIA read

- More Medicaid money for mental health and addiction: benefit, medium. If you use Medicaid or CHIP, your state could get extra federal money for mental health and addiction care. The federal government would pay 90% of any increase in a state's quarterly spending above the same quarter in 2019. This would start for calendar quarters beginning on or after January 1 of…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-7973: Momnibus Act
- 119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025
- 119-hr-2086: Rights for the TSA Workforce Act
- 119-hr-4206: CONNECT for Health Act of 2025

## Sources
- [119-hr-4745 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4745)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [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)
- [119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025](https://policyrisk.com/legislation/119-hr-20)
- [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)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4745 (as of 2026-09-21).