HR 4745 Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.
To amend title XIX of the Social Security Act to provide a higher Federal matching rate for increased expenditures under Medicaid for behavioral health services (including those related to mental health and substance use), and for other purposes.
Summary
The Medicaid Bump Act increases the federal government's matching contribution for state Medicaid spending on behavioral health services (mental health and substance use) from the standard rate to 90 percent for expenditures exceeding baseline levels from 2019. States that receive this enhanced match must use the funds to supplement, not replace, existing state funding and must direct the money toward increasing the capacity, quality, and efficiency of behavioral health services, including through provider payment increases and staff retention measures. The bill requires the Department of Health and Human Services to issue guidance within 180 days defining which services qualify as behavioral health services under this provision. The enhanced match takes effect for calendar quarters beginning one year after the law's enactment. HHS must report annually to Congress on Medicaid behavioral health services, payment rates, and utilization by state.
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)
- Rep. Tonko, Paul [D-NY-20] (D-NY)
3 cosponsors
Actions (2)
- Jul 23, 2025 Referred to the House Committee on Energy and Commerce. · house
- Jul 23, 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)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
IN THE HOUSE OF REPRESENTATIVES
July 23, 2025
Mr. Tonko (for himself and Mr. Fitzpatrick) introduced the following bill; which was referred to the Committee on Energy and Commerce
A BILL
To amend title XIX of the Social Security Act to provide a higher Federal matching rate for increased expenditures under Medicaid for behavioral health services (including those related to mental health and substance use), and for other purposes.
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 “Medicaid Bump Act”.
SEC. 2. HIGHER FEDERAL MATCH FOR INCREASED EXPENDITURES UNDER MEDICAID FOR BEHAVIORAL HEALTH SERVICES.
(a) In General.—Section 1903 of the Social Security Act (42 U.S.C. 1396b) is amended—
(1) in subsection (a)(5)—
(A) by striking “an amount equal” and inserting
“(A) an amount equal”; and
(B) by adding at the end the following: “and
“(B) subject to subsection (b)(6), an amount equal to 90 percent of the amount by which—
“(i) the sum of the amounts expended during such quarter which are attributable to the offering, arranging, and furnishing (directly or on a contract basis) under the State plan (or under a waiver of the plan) of behavioral health services (including those related to mental health and substance use), exceeds
“(ii) the sum of the amounts expended during the corresponding quarter in the 4- quarter period ending on March 31, 2019, which are attributable to the offering, arranging, and furnishing (directly or on a contract basis) under the State plan (or under a waiver of the plan) of such services, plus”; and
(2) in subsection (b), by adding at the end the following new paragraph:
“(6) Accountability and maintenance of effort requirements for additional federal funding for increased expenditures for behavioral health services.—As a condition for receiving the funds the Secretary is otherwise obligated to pay to a State under subsection (a)(5)(B), a State shall meet the following requirements:
“(A) Supplement, not supplant.—The State shall use the funds received under such subsection to supplement, not supplant, the level of State funds expended for the offering, arranging, and furnishing (directly or on a contract basis) under the State plan (or under a waiver of the plan) of behavioral health services (including those related to mental health and substance use) through programs and activities in effect as of April 1, 2021.
“(B) Use of funds for activities that improve delivery of behavioral health services.—The State shall use the funds received under such subsection for activities that increase the capacity, efficiency, and quality in the provision of behavioral health services (including those related to mental health and substance use) delivered by providers, including through increases in payment rates for providers of those services and the adoption of other measures that ensure a reduction in staff turnover.”.
(b) Sub-Regulatory Guidance.—Not later than 180 days after the date of enactment of this Act, the Secretary of Health and Human Services shall issue sub-regulatory guidance to States specifying the services that are behavioral health services for purposes of subparagraph (B) of section 1903(a)(5) of the Social Security Act (42 U.S.C. 1396b(a)(5)), as added by subsection (a).
(c) Effective Date.—The amendments made by this section shall apply with respect to calendar quarters beginning on or after January 1 of the year beginning 1 year after the date of the enactment of this Act.
SEC. 3. REPORT REGARDING BEHAVIORAL HEALTH SERVICE.
Not later than 1 year after the date of enactment of this Act, and annually thereafter, the Secretary of Health and Human Services shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Finance of the Senate a report regarding behavioral health services (including those related to mental health and substance use) provided under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) in each State, specifying the payment rates for such services, the rationale for deriving such payment rates, and utilization of such services, as such data are available. <all>
Comments