H.R. 6727

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6727 Introduced in House (IH)]

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119th CONGRESS
1st Session
H. R. 6727

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.

_______________________________________________________________________

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.
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