119-hr4745

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4745 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 4745

 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.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 July 23, 2025

 Mr. Tonko (for himself and Mr. Fitzpatrick) 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 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.

 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 ``Medicaid Bump Act''.

SEC. 2. HIGHER FEDERAL MATCH FOR INCREASED EXPENDITURES UNDER MEDICAID 
 FOR BEHAVIORAL HEALTH SERVICES.

    (a) In General.--

Section 1903 of the Social Security Act (42 U.S.C. 
1396b) is amended--

    (1) in subsection

    (a)

    (5) --
        (A) by striking ``an amount equal'' and inserting 
 ``
        (A) an amount equal''; and
        (B) by adding at the end the following: ``and
 ``
        (B) subject to subsection

    (b)

    (6) , an amount equal 
 to 90 percent of the amount by which--
 ``
            (i) the sum of the amounts expended 
 during such quarter which are attributable to 
 the offering, arranging, and furnishing 
 (directly or on a contract basis) under the 
 State plan (or under a waiver of the plan) of 
 behavioral health services (including those 
 related to mental health and substance use), 
 exceeds
 ``
            (ii) the sum of the amounts expended 
 during the corresponding quarter in the 4-
 quarter period ending on March 31, 2019, which 
 are attributable to the offering, arranging, 
 and furnishing (directly or on a contract 
 basis) under the State plan (or under a waiver 
 of the plan) of such services, plus''; and

    (2) in subsection

    (b) , by adding at the end the following 
 new paragraph:
 ``

    (6) Accountability and maintenance of effort requirements 
 for additional federal funding for increased expenditures for 
 behavioral health services.--As a condition for receiving the 
 funds the Secretary is otherwise obligated to pay to a State 
 under subsection

    (a)

    (5)
        (B) , a State shall meet the following 
 requirements:
 ``
        (A) Supplement, not supplant.--The State shall 
 use the funds received under such subsection to 
 supplement, not supplant, the level of State funds 
 expended for the offering, arranging, and furnishing 
 (directly or on a contract basis) under the State plan 
 (or under a waiver of the plan) of behavioral health 
 services (including those related to mental health and 
 substance use) through programs and activities in 
 effect as of April 1, 2021.
 ``
        (B) Use of funds for activities that improve 
 delivery of behavioral health services.--The State 
 shall use the funds received under such subsection for 
 activities that increase the capacity, efficiency, and 
 quality in the provision of behavioral health services 
 (including those related to mental health and substance 
 use) delivered by providers, including through 
 increases in payment rates for providers of those 
 services and the adoption of other measures that ensure 
 a reduction in staff turnover.''.

    (b) Sub-Regulatory Guidance.--Not later than 180 days after the 
date of enactment of this Act, the Secretary of Health and Human 
Services shall issue sub-regulatory guidance to States specifying the 
services that are behavioral health services for purposes of 
subparagraph
        (B) of 

section 1903

    (a)

    (5) of the Social Security Act (42 
U.S.C. 1396b

    (a)

    (5) ), as added by subsection

    (a) .
            (c) Effective Date.--The amendments made by this section shall 
apply with respect to calendar quarters beginning on or after January 1 
of the year beginning 1 year after the date of the enactment of this 
Act.

SEC. 3. REPORT REGARDING BEHAVIORAL HEALTH SERVICE.

 Not later than 1 year after the date of enactment of this Act, and 
annually thereafter, the Secretary of Health and Human Services shall 
submit to the Committee on Energy and Commerce of the House of 
Representatives and the Committee on Finance of the Senate a report 
regarding behavioral health services (including those related to mental 
health and substance use) provided under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.) in each State, specifying the 
payment rates for such services, the rationale for deriving such 
payment rates, and utilization of such services, as such data are 
available.
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