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Congress·In Committee·3 months ago

Congress moves to let Medicaid cover treatment in mental health facilities for adults under 65

Also known as: Repealing the IMD Exclusion Act

Legislative Progress

✓ Filed
Review
House
Senate
President

Impact Analysis

Scores: 1 = low, 5 = highSentiment: -5 to +5 (net benefit)

State Impacts

Scores: 1 = low, 5 = highSentiment: -5 to +5 (net benefit)

Key Points

  • This bill would let Medicaid pay for care for patients in mental health institutions, including people under age 65.
  • Today, Medicaid generally won’t cover many services for adults under 65 in these facilities; this bill removes that age-based exclusion.
  • Mental health and substance use treatment facilities would have to meet nationally recognized, evidence-based standards to qualify.
  • States would be able to include this coverage in their Medicaid plans, starting 180 days after the law is enacted.
  • If enacted, more people could get inpatient mental health or addiction treatment without being blocked just because of where they’re treated.
HealthcareMedicare Medicaid

Milestones

2 milestones2 actions
Dec 15, 2025House

Referred to the House Committee on Energy and Commerce.

Dec 15, 2025

Introduced in House

What Happens Next

Projected impacts based on AI analysis

If enacted, new Medicaid coverage rules for mental health facilities take effect

States could begin covering inpatient mental health and substance use treatment for adults under 65 in facilities that were previously excluded from Medicaid reimbursement. People on Medicaid could start accessing these services.

Related News

2 articles
Becker’s Behavioral Health·3 months ago

Lawmaker reintroduces bill to lift Medicaid mental health coverage ban

Rep. Ritchie Torres reintroduced the Repealing the IMD Exclusion Act to eliminate the Medicaid IMD restriction for adults 21-64 in larger psychiatric facilities, allowing coverage in qualified facilities meeting national standards.

C=
RitchieTorres.house.gov (member site)·3 months ago

Rep. Ritchie Torres Reintroduces Bill to Repeal the IMD Exclusion and Expand Medicaid Coverage for Mental Health and Addiction Treatment

Torres announces reintroduction of legislation to repeal the IMD exclusion, expand Medicaid coverage for inpatient mental health and SUD treatment in qualifying facilities, and direct HHS to set evidence-based standards.

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Source Information

Document Type

Congressional Bill

Official Title

Repealing the IMD Exclusion Act

Bill NumberHR 6727
Congress119th Congress
ChamberHouse of Representatives
Latest ActionReferred to the House Committee on Energy and Commerce.

Sponsor

Analysis generated by AI. While we strive for accuracy, this should not be considered legal or professional advice. Always verify information with official government sources.