Repealing the IMD Exclusion Act

# Summary of HR 6727: Repealing the IMD Exclusion Act **What the bill would do:** This bill would remove federal restrictions that currently limit Medicaid coverage for mental health and substance use disorder treatment in certain facilities. Under current law, Medicaid (the federal-state health insurance program for low-income Americans) generally won't pay for mental health services at larger institutions—specifically those with more than 16 beds treating patients under 65 years old. If passed, this bill would eliminate that bed-size limit and age restriction, allowing Medicaid to pay for mental health treatment at any sized facility that meets nationally recognized standards for mental health or substance abuse care. **Who it affects:** The bill would primarily benefit people on Medicaid who need mental health or substance use disorder treatment.

It could also affect mental health facilities and states, as it would expand which institutions can receive federal Medicaid funding for these services. States might gain more flexibility in how they structure mental health care and could potentially expand treatment options. **Current status:** HR 6727 is currently in committee and has not advanced for a vote. The bill was introduced by Representative Ritchie Torres (D-NY) in the 119th Congress.