United States 119th Congress Status: In Committee Bipartisan · 4 D · 2 R cosponsors

HR 4619 — Medicare Mental Health Inpatient Equity Act of 2025

Last action — Referred to the House Committee on Ways and Means.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced July 22, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 42% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 6 sponsors

    1 primary, 5 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (4 D · 2 R) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill removes the 190-day limit on Medicare coverage for inpatient psychiatric hospital services.

This bill seeks to eliminate the existing 190-day lifetime limit for inpatient psychiatric services under Medicare. If passed, it will apply to services provided starting January 1, 2027.

What this means for you
  • Families: This means families may have more access to necessary psychiatric hospital care without a day limit.

Summary

Medicare Mental Health Inpatient Equity Act of 2025This bill removes the 190-day lifetime limit on inpatient psychiatric hospital services under Medicare.

Bill Text

How this bill changes current law

2 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill eliminates the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare Program.

  • 42 U.S.C. § 1395d

    inpatient psychiatric hospital services furnished to him after such services have been furnished to him for a total of 190 days during his lifetime.

    Removes the cap on the number of days a patient can receive inpatient psychiatric hospital services throughout their lifetime.

  • 42 U.S.C. § 1395d

    (but shall not be included in determining such number of days limit insofar as it applies to other inpatient hospital services or in determining the 190-day limit under subsection (b)(3))

    Eliminates the provision that excludes days spent in certain inpatient psychiatric services from the calculation of inpatient hospital service limits.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Ways and Means.

Sponsors

Sponsorship breakdown

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1 sponsors · 5 co-sponsors · 541 not signed on

Sponsors (1)

Co-sponsors (5)

Not signed on (541)

541 members have not signed on to this bill.

Show all 541 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HR 4619 do?
Medicare Mental Health Inpatient Equity Act of 2025This bill removes the 190-day lifetime limit on inpatient psychiatric hospital services under Medicare.
Who sponsors HR 4619?
HR 4619 is sponsored by Huizenga, Bill (Republican), Doggett, Lloyd (Democratic), Fitzpatrick, Brian K. (Republican), Thanedar, Shri (Democratic), Boyle, Brendan F. (Democratic), and Tonko, Paul (Democratic).
What is the current status of HR 4619?
This bill is in committee in the House. Introduced July 22, 2025. It must pass committee before a floor vote.
Where can I track HR 4619?
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Last checked for changes 2 months ago · updated continuously

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