Bills · HR 4745
IN COMMITTEE· 119TH CONGRESS
House BillHR 4745Health
Medicaid Bump Act
INTRO JUL 23· LAST ACTION JUL 23
READING
4MIN
COSPONSORS
3BIPARTISAN
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it addresses a critical need for mental health and substance abuse treatment in the United States. Many people struggle to access affordable and quality care for these conditions, and Medicaid is a major payer for such services. If this bill becomes law, it could lead to significant improvements in the availability and quality of mental health and addiction treatment for millions of low-income Americans.
Without this bill, states might be less inclined or able to increase their spending on these services due to budget constraints, leaving existing gaps in care unaddressed. By providing a substantial federal incentive, the bill aims to spur states to invest more, potentially easing the burden on individuals and communities dealing with mental health crises and the opioid epidemic. It could also help stabilize the behavioral health workforce by allowing for better pay and working conditions.
KEY PROVISIONS
5AI-extractedPROVISION 01
The federal government would pay 90% of the *increase* in state Medicaid spending on behavioral health services (mental health and substance use) compared to a specific past period.
This provision creates a strong financial incentive for states to expand and improve their mental health and substance abuse care through Medicaid.
PROVISION 02
States must use these new federal funds to supplement, not replace, their existing state spending on behavioral health services (as of April 1, 2021).
This ensures that the federal money leads to new investments in care rather than just allowing states to reduce their own financial contributions.
PROVISION 03
Funds must be used for activities that increase the capacity, efficiency, and quality of behavioral health services, including raising provider payment rates and reducing staff turnover.
This provision directs the additional funding towards tangible improvements in care delivery and provider support, which directly benefits patients.
PROVISION 04
The Secretary of Health and Human Services (HHS) must issue guidance within 180 days to define what services count as "behavioral health services" for this program.
This ensures clarity and consistency in how states categorize and report their spending to receive the higher federal match.
PROVISION 05
HHS must submit an annual report to Congress detailing behavioral health services provided under Medicaid, including payment rates and utilization data, starting one year after the bill becomes law.
This provision provides transparency and oversight, allowing Congress to monitor the effectiveness and impact of the increased federal investment.
SPONSORSHIP
1 + 3
D· New York
YRS IN OFFICE
17
BILLS LED
29
COSPONSOR BREAKDOWNBIPARTISAN · 67%
DEM 2 REP 1 IND 0
ACTION TIMELINE
2 EVENTSJUL 23
Introduced in House
JUL 23
Referred to the House Committee on Energy and Commerce.
BILL INFO
TypeHouse Bill
NumberHR 4745
Congress119th
StatusIn Committee
IntroducedJul 23, 2025
Last actionJul 23, 2025
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IN COMMITTEE· 119TH CONGRESS · ENERGY AND COMMERCE COMMITTEE · INTRODUCED JUL 23, 2025
House BillHR 4745Health
Medicaid Bump Act
INTRODUCED JUL 23, 2025· LAST ACTION JUL 23, 2025
PASSAGE CHANCES
—%
READING
4 min
COSPONSORS
3
COMPLEXITY
Moderate
