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
What This Bill Does
The bill provides 90% federal Medicaid matching for state behavioral health expenditures (mental health and substance use services) that exceed Q1 2019 baseline levels, with requirements that states supplement existing funding and requires the Secretary of HHS to submit annual reports to Congress on Medicaid behavioral health services in each state, including payment rates, rationale for rates, and utilization data. It relies on appropriations, compliance mandates, and reporting requirements. The main policy areas are Healthcare.
Who Benefits and How
State Medicaid programs could gain revenue opportunities, Behavioral health service providers (psychiatrists, psychologists, addiction counselors, mental health clinics) could gain revenue opportunities, and Congressional oversight committees (Energy & Commerce, Finance) would be affected.
Who Bears the Burden and How
Federal government (CMS) could face higher costs, Department of Health and Human Services would take on compliance duties, and State governments (maintenance of effort requirement) would take on compliance duties.
Key Provisions
- Provides 90% federal Medicaid matching for state behavioral health expenditures (mental health and substance use services) that exceed Q1 2019 baseline levels, with requirements that states supplement existing funding...
- Requires the Secretary of HHS to submit annual reports to Congress on Medicaid behavioral health services in each state, including payment rates, rationale for rates, and utilization data.
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 provides 90% federal Medicaid matching for state behavioral health expenditures (mental health and substance use services) that exceed Q1 2019 baseline levels, with requirements that states supplement existing funding and requires the Secretary of HHS to submit annual reports to Congress on Medicaid behavioral health services in each state, including payment rates, rationale for rates, and utilization data.
Key Policy Areas
Healthcare
Primary Purpose
The bill provides 90% federal Medicaid matching for state behavioral health expenditures (mental health and substance use services) that exceed Q1 2019 baseline levels, with requirements that states supplement existing funding and requires the Secretary of HHS to submit annual reports to Congress on Medicaid behavioral health services in each state, including payment rates, rationale for rates, and utilization data.
Policy Domains
Behavioral Health Medicaid Enhancement Act
Identified Gains
- State Medicaid programs
- Behavioral health service providers (psychiatrists, psychologists, addiction counselors, mental health clinics)
- Congressional oversight committees (Energy & Commerce, Finance)
Identified Costs
- Federal government (CMS)
- Department of Health and Human Services
- State governments (maintenance of effort requirement)
- State Medicaid programs (data providers)
Sponsors
Legislative Progress
IntroducedMs. Smith introduced the following bill; which was read twice …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
State Medicaid programs, State Medicaid programs (data providers), State governments (maintenance of effort requirement)
Positive-direction: State Medicaid programs
Negative-direction: State Medicaid programs (data providers), State governments (maintenance of effort requirement)
Congressional oversight committees (Energy & Commerce, Finance), Department of Health and Human Services, Federal government
Positive-direction: Congressional oversight committees (Energy & Commerce, Finance)
Negative-direction: Department of Health and Human Services, Federal government
Behavioral health service providers (psychiatrists, psychologists, addiction counselors, mental health clinics)
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_secretary"
- → Secretary of Health and Human Services
Key Definitions
Terms defined in this bill
Services related to mental health and substance use, as specified in sub-regulatory guidance to be issued by the Secretary of HHS within 180 days of enactment
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