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To amend title XIX of the Social Security Act to revise the definition of institution for mental diseases under the Medicaid program to exclude from such definition institutions having 36 beds or less if such institutions meet certain standards.
Summary
This bill amends the Medicaid program to change the definition of "institution for mental diseases." Under the new definition, hospitals, nursing facilities, or other institutions providing mental health care with 36 beds or fewer would no longer be classified as institutions for mental diseases if they meet nationally recognized, evidence-based standards for mental health programs. The standards to be met include requirements for types of services offered, hours of clinical care, and staffing credentials, as approved by the Secretary of Health and Human Services. Substance use disorder treatment facilities must also meet standards such as those set by the American Society of Addiction Medicine. The changes take effect 180 days after enactment.
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)
14 cosponsors
- Rep. Bacon, Don [R-NE-2] (R-NE)
- Rep. Barragán, Nanette Diaz [D-CA-44] (D-CA)
- Rep. Brownley, Julia [D-CA-26] (D-CA)
- Rep. Chu, Judy [D-CA-28] (D-CA)
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY)
- Rep. Crenshaw, Dan [R-TX-2] (R-TX)
- Rep. Harder, Josh [D-CA-9] (D-CA)
- Rep. Lawler, Michael [R-NY-17] (R-NY)
- Rep. Moulton, Seth [D-MA-6] (D-MA)
- Rep. Nadler, Jerrold [D-NY-12] (D-NY)
- Rep. Salinas, Andrea [D-OR-6] (D-OR)
- Rep. Strickland, Marilyn [D-WA-10] (D-WA)
- Rep. Tenney, Claudia [R-NY-24] (R-NY)
- Rep. Thanedar, Shri [D-MI-13] (D-MI)
Actions (2)
- Sep 18, 2025 Referred to the House Committee on Energy and Commerce. · house
- Sep 18, 2025 Introduced in House
Similar bills (6)
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Text versions (1)
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Full text
IN THE HOUSE OF REPRESENTATIVES
September 18, 2025
Mr. Goldman of New York (for himself, Ms. Barragan, Mr. Crenshaw, Ms. Salinas, Mr. Bacon, Ms. Clarke of New York, Mr. Lawler, Ms. Strickland, and Ms. Brownley) 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 revise the definition of institution for mental diseases under the Medicaid program to exclude from such definition institutions having 36 beds or less if such institutions meet certain standards.
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 “Michelle Alyssa Go Act”.
SEC. 2. REVISING THE DEFINITION OF INSTITUTION FOR MENTAL DISEASES UNDER THE MEDICAID PROGRAM TO EXCLUDE FROM SUCH DEFINITION INSTITUTIONS HAVING 36 BEDS OR LESS IF SUCH INSTITUTIONS MEET CERTAIN STANDARDS.
Section 1905(i) of the Social Security Act (42 U.S.C. 1396d(i)) is amended to read as follows:
“(i) Institution for Mental Diseases.—The term ‘institution for mental diseases’ means a hospital, nursing facility, or other institution that is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, including medical attention, nursing care, and related services, unless such hospital, facility, or other institution—
“(1) has 36 beds or less; and
“(2) meets nationally recognized, evidence-based standards for mental health programs (and, in the case of an institution for mental diseases that provides treatment for substance use disorders, meets nationally recognized, evidence-based standards for substance use disorder programs, such as the latest standards set forth by the American Society of Addiction Medicine) approved by the Secretary, including standards that establish the types of services offered, hours of clinical care, and staffing credentials for such an institution, and any other standards as the Secretary may require.”.
SEC. 3. EFFECTIVE DATE.
The amendments made by this Act shall take effect 180 days after the date of enactment of this Act and shall apply to State plans beginning on such date. <all>
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