HR5462-119

Introduced

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.

119th Congress Introduced Sep 18, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

The bill amends the Medicaid definition of institution for mental diseases (IMD) to exempt facilities with 36 beds or fewer from the IMD exclusion if they meet nationally recognized, evidence-based standards for mental health. It relies on definition changes, exemptions, and product standards. The main policy areas are Healthcare and Elections.

Who Benefits and How

Small psychiatric hospitals and residential treatment centers (36 beds or fewer) could gain revenue opportunities and State Medicaid programs could gain revenue opportunities.

Who Bears the Burden and How

Federal government (Centers for Medicare and Medicaid Services) could face higher costs.

Key Provisions

  • Amends the Medicaid definition of institution for mental diseases (IMD) to exempt facilities with 36 beds or fewer from the IMD exclusion if they meet nationally recognized, evidence-based standards for mental health...

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill amends the Medicaid definition of institution for mental diseases (IMD) to exempt facilities with 36 beds or fewer from the IMD exclusion if they meet nationally recognized, evidence-based standards for mental health.

Key Policy Areas

Healthcare, Elections

Primary Purpose

The bill amends the Medicaid definition of institution for mental diseases (IMD) to exempt facilities with 36 beds or fewer from the IMD exclusion if they meet nationally recognized, evidence-based standards for mental health.

Policy Domains

Healthcare Elections

Strengthening Elections Against Climate Disasters

Identified Gains
  • Small psychiatric hospitals and residential treatment centers (36 beds or fewer)
  • State Medicaid programs
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
State Medicaid programs:
Small psychiatric hospitals and residential treatment centers (36 beds or fewer):
Identified Costs
  • Federal government (Centers for Medicare and Medicaid Services)
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Federal government (Centers for Medicare and Medicaid Services):

Legislative Progress

Introduced
Introduced Committee Passed
Sep 18, 2025

Mr. Goldman of New York (for himself, Ms. Barragán, Mr. …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
2 mentions across 1 clause
+1 positive ?1 uncertain

Small facilities seeking Medicaid eligibility, Small psychiatric hospitals and residential treatment centers (36 beds or fewer)

State & Local Government
1 mention across 1 clause
+1 positive

State Medicaid programs

Government
1 mention across 1 clause
-1 negative

Federal government (Centers for Medicare and Medicaid Services)

1/3
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Elections
Actor Mappings
"the_commission"
→ Election Assistance Commission
"the_comptroller_general"
→ Comptroller General of the United States (GAO)

Key Definitions

Terms defined in this bill

1 term
"covered major disaster" §section_2

A major disaster as defined in section 102 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5122)

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology