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HR 4619
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Medicare Mental Health Inpatient Equity Act of 2025

To amend title XVIII of the Social Security Act to eliminate the 190- day lifetime limit on inpatient psychiatric hospital services under the Medicare Program.

Introduced Jul 22, 2025

Latest action (Jul 22, 2025) Referred to the House Committee on Ways and Means.

Policy area
Issues
Healthcare

Summary

This bill eliminates Medicare's 190-day lifetime limit on inpatient psychiatric hospital services. Currently, Medicare beneficiaries are restricted to a maximum of 190 days of inpatient psychiatric care over their lifetime. The bill removes this limitation, allowing Medicare to cover inpatient psychiatric hospital services without a lifetime day limit, similar to how Medicare covers other types of hospital care. The changes would take effect on January 1, 2027.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)

Actions (2)

  1. Jul 22, 2025 Referred to the House Committee on Ways and Means. · house
  2. Jul 22, 2025 Introduced in House

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

Text versions (1)

  • Introduced in House · Jul 22, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

Full text

IN THE HOUSE OF REPRESENTATIVES

July 22, 2025

Mr. Tonko (for himself, Mr. Huizenga, Mr. Doggett, and Mr. Fitzpatrick) introduced the following bill; which was referred to the Committee on Ways and Means

A BILL

To amend title XVIII of the Social Security Act to eliminate the 190- day lifetime limit on inpatient psychiatric hospital services under the Medicare Program.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Medicare Mental Health Inpatient Equity Act of 2025”.

SEC. 2. ELIMINATION OF 190-DAY LIFETIME LIMIT ON INPATIENT PSYCHIATRIC HOSPITAL SERVICES.

(a) In General.—Section 1812 of the Social Security Act (42 U.S.C. 1395d) is amended—

(1) in subsection (b)—

(A) in paragraph (1), by adding “or” at the end;

(B) in paragraph (2), by striking “; or” at the end and inserting a period; and

(C) by striking paragraph (3); and

(2) in subsection (c), by striking “(but shall not be included” and all that follows before the period at the end.

(b) Effective Date.—The amendments made by subsection (a) shall apply to items and services furnished on or after January 1, 2027. <all>

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