United States 118th Congress Status: In Committee 2 D cosponsors

HR 4331 — Strengthening Medicaid for Serious Mental Illness Act

Last action — Referred to the Subcommittee on Health.

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

This bill died with 118th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

To amend title XIX of the Social Security Act to increase Federal Medicaid funding for States that provide intensive community-based services for adults with serious mental illness, and for other purposes.

Bill Text

How this bill changes current law

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

The bill introduces new provisions to allow states to provide intensive community-based services for adults with serious mental illness under Medicaid without the need for a traditional level-of-care determination.

  • 42 U.S.C. § 1396n

    (m) State Plan Amendment Option To Provide Intensive Community-Based Services for Elderly and Disabled Individuals.-- (1) In general.--Subject to the succeeding provisions of this subsection, beginning January 1, 2025, a State may provide through a State plan amendment for the provision of medical assistance for intensive community-based services (not including room and board) for eligible individuals (as defined in paragraph (2)), without determining that but for the provision of such services the individuals would require the level of care provided in a hospital, nursing facility, or intermediate care facility described in section 1905(d), but only if the State meets the following requirements: ...

    This change allows states to offer intensive community-based services under Medicaid without requiring a traditional level-of-care assessment.

  • 42 U.S.C. § 1396n(m)(1)(A)(ii)

    (ii) Modification of assessment requirement.--In applying subparagraph (F)(i) of subsection (i)(1) for purposes of this subsection, `or 1 or more activity of daily living and 1 or more instrumental activity of daily living (as defined in subsection (k)(6)(F))' shall be inserted after `2 or more activities of daily living (as defined in section 7702B(c)(2)(B) of the Internal Revenue Code of 1986)'.

    This change modifies assessment requirements to include individuals needing assistance with fewer activities of daily living for eligibility.

  • 42 U.S.C. § 1396n(m)(2)(A)(i)

    Adult with a serious mental illness.--The term `adult with a serious mental illness' has the meaning given that term by the Secretary pursuant to section 1912(c) of the Public Health Service Act.

    This change defines 'adult with a serious mental illness' for the purpose of the new provisions.

  • 42 U.S.C. § 1396n(m)(2)(A)(ii)

    Serious mental illness.--The term `serious mental illness' means a diagnosable mental, behavioral or emotional disorder that meets the criteria for qualifying an individual as an adult with a serious mental illness.

    This change provides a definition for 'serious mental illness' in the context of eligibility for services.

  • 42 U.S.C. § 1396n(m)(2)(E)

    Intensive community-based services.--The term `intensive community-based services' means a set of psychosocial rehabilitation services that includes all of the following: ...

    This change defines intensive community-based services to be covered under the new provisions.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Energy and Commerce.

  4. Referred to the Subcommittee on Health.

Sponsors

Sponsorship breakdown

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1 sponsors · 1 co-sponsors · 545 not signed on

Sponsors (1)

Co-sponsors (1)

Not signed on (545)

545 members have not signed on to this bill.

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"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.

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Subjects

healthcare health-insurance
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Frequently asked questions

What does HR 4331 do?
To amend title XIX of the Social Security Act to increase Federal Medicaid funding for States that provide intensive community-based services for adults with serious mental illness, and for other purposes.
Who sponsors HR 4331?
HR 4331 is sponsored by Nadler, Jerrold (Democratic) and Goldman, Daniel S. (Democratic).
What is the current status of HR 4331?
This bill died with 118th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HR 4331?
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