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Repealing the IMD Exclusion Act
To amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases, and for other purposes.
Summary
- Removes the Medicaid exclusion that prevents coverage of inpatient care in institutions for mental diseases, allowing Medicaid to pay for mental health and substance use disorder treatment in these facilities.
- Eliminates age restrictions to allow Medicaid coverage for people under 65 years old receiving care in institutions for mental diseases, whereas previously only those 65 and older were covered.
- Requires institutions for mental diseases to meet nationally recognized, evidence-based standards for mental health and substance use disorder programs, including standards for types of services, hours of clinical care, and staffing credentials, as approved by the Secretary.
- The amendments take effect 180 days after enactment and apply to state Medicaid plans beginning on that date.
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)
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![Rep. Torres, Ritchie [D-NY-15]](https://media.civicgate.org/people/d/politicians/T000486.thumb.jpg)
Rep. Torres, Ritchie (D-NY) [#15]
Money behind the sponsor
Top reported contributors to Ritchie Torres’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- Employer not reported $73,359
- BLACKSTONE $57,150
- UNION SQUARE VENTURES $35,400
- KIRKLAND & ELLIS LLP $32,250
- KKR $31,600
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Ritchie Torres → · Outside spending →
Actions (2)
- Dec 15, 2025 Referred to the House Committee on Energy and Commerce. · house
- Dec 15, 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.
Full text
IN THE HOUSE OF REPRESENTATIVES
December 15, 2025
Mr. Torres of New York 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 remove the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases, 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 “Repealing the IMD Exclusion Act”.
SEC. 2. REMOVAL OF AGE EXCLUSION FROM MEDICAL ASSISTANCE OF ITEMS AND SERVICES FOR PATIENTS IN AN INSTITUTION FOR MENTAL DISEASES.
(a) In General.—Section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is amended, in the first sentence, in the matter following paragraph (32)—
(1) by striking “such term does not include—” and all that follows through “(a) any” and inserting “such term does not include any”;
(2) by striking “; or” and inserting a period; and
(3) by striking subparagraph (B).
(b) Conforming Amendments To Permit Medical Assistance for IMD Patients Under 65 Years of Age.—Title XIX of the Social Security Act (42 U.S.C. 1396a et seq.) is amended—
(1) in section 1902(a)—
(A) in paragraph (20)—
(i) in the matter preceding subparagraph
(A), by striking “65 years of age or older”; and
(ii) in subparagraph (C), by striking “65 years of age or older”; and
(B) in paragraph (21) by striking “65 years of age or older”;
(2) in section 1905(a)(14), by striking “65 years of age or over”; and
(3) in section 1919(e)(7)(B)(i)(I), by striking “65 years of age or older”.
SEC. 3. REQUIRED STANDARDS FOR IMDS.
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—
“(1) is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, including medical attention, nursing care, and related services; 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. 4. 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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