119th Congress · introduced in the House · Jul 23, 2025

H.R. 4745

Medicaid Bump Act

Official title from Congress.gov

Latest action (Jul 23, 2025): Referred to the House Committee on Energy and Commerce.

Summary

Congressional Research Service summary, version: Introduced in House (Jul 23, 2025)

Medicaid Bump Act

This bill increases the Medicaid federal matching rate, also known as the Federal Medical Assistance Percentage (FMAP), for behavioral health expenses that exceed prior levels (i.e., as of March 31, 2019). The Centers for Medicare & Medicaid Services must specify which services are eligible for the increased FMAP. States must use funds to supplement state funding for programs in effect as of April 1, 2021, and to increase the capacity, efficiency, and quality of services.

Sponsor

Paul Tonko (D-NY-20)

Cosponsors (3)

3 current

Brian K. Fitzpatrick (R-PA-1) · Jul 23, 2025 · original
Shri Thanedar (D-MI-13) · Oct 21, 2025
Melanie A. Stansbury (D-NM-1) · May 11, 2026

Recorded votes on this bill

Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.

No recorded roll calls on this bill in coverage.

Actions

Jul 23, 2025 · House floor actions
Referred to the House Committee on Energy and Commerce.
Jul 23, 2025 · Library of Congress
Introduced in House
Jul 23, 2025 · Library of Congress
Introduced in House

Actions from Congress.gov, newest first.

Lobbying reports citing this bill

LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.

Coverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 23, 2026.

17 citations.

NATIONAL ALLIANCE ON MENTAL ILLNESS · lobbying firm or registrant: NATIONAL ALLIANCE ON MENTAL ILLNESS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
…Go Act: Would expand Medicaid coverage for mental health and substance use disorder treatment by increasing the facility size limit from 16 to 36 beds. S. 2401/H.R. 4745: Medicaid Bump Act: Increase federal Medicaid funds for certain mental health services S. 1797 Expanding Seniors Access to Mental Health Services Act: expands…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN · lobbying firm or registrant: AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Health Issues
$520,000
Spent on own lobbying
…ell Disease Comprehensive Care Act H.R 4619/S.4076, Medicare Mental Health Inpatient Equity Act H.R. 4744, Community Mental Wellness and Resilience Act of 2025 H.R. 4745/ S.2410, The Medicaid Bump Act H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5482, Prevent Youth Suicide Act H.R.5629, Medications for the Treatm…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN · lobbying firm or registrant: AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 16, 2026 · issue area: Medicare/Medicaid
$520,000
Spent on own lobbying
Preservation of access to Medicaid H.R 4619, Medicare Mental Health Inpatient Equity Act H.R. 4745/ S.2410, The Medicaid Bump Act H.R. 9693, the Patients First Act of 2026 H.R. 9990/S. 5120, Increasing Mental Health Options (IMHO) Act S.683/H.R.7324, More Be…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ALLIANCE ON MENTAL ILLNESS · lobbying firm or registrant: NATIONAL ALLIANCE ON MENTAL ILLNESS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$20,000
Spent on own lobbying
…Go Act: Would expand Medicaid coverage for mental health and substance use disorder treatment by increasing the facility size limit from 16 to 36 beds. S. 2401/H.R. 4745: Medicaid Bump Act: Increase federal Medicaid funds for certain mental health services S. 1797 Expanding Seniors Access to Mental Health Services Act: expands…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN · lobbying firm or registrant: AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Health Issues
$340,000
Spent on own lobbying
…ell Disease Comprehensive Care Act H.R 4619/S.4076, Medicare Mental Health Inpatient Equity Act H.R. 4744, Community Mental Wellness and Resilience Act of 2025 H.R. 4745/ S.2410, The Medicaid Bump Act H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5482, Prevent Youth Suicide Act H.R.5629, Medications for the Treatm…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN · lobbying firm or registrant: AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Medicare/Medicaid
$340,000
Spent on own lobbying
…. 3884 / S. 2011) CONNECT for Health Act of 2025 (H.R. 4206 / S. 1261) Preservation of access to Medicaid H.R 4619, Medicare Mental Health Inpatient Equity Act H.R. 4745/ S.2410, The Medicaid Bump Act S. 931/H.R. 2509 , COMPLETE Care Act Improving Care for Youth Act (TBD) Independent practice authority for psychologists in all…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN · lobbying firm or registrant: AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Health Issues
$580,000
Spent on own lobbying
…H.R.3505, Barriers to Suicide Act of 2025 H.R 4619, Medicare Mental Health Inpatient Equity Act H.R. 4744, Community Mental Wellness and Resilience Act of 2025 H.R. 4745/ S.2410, The Medicaid Bump Act H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5482, Prevent Youth Suicide Act H.R. 5706, Mental Health Emergency R…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN · lobbying firm or registrant: AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$580,000
Spent on own lobbying
…. 3884 / S. 2011) CONNECT for Health Act of 2025 (H.R. 4206 / S. 1261) Preservation of access to Medicaid H.R 4619, Medicare Mental Health Inpatient Equity Act H.R. 4745/ S.2410, The Medicaid Bump Act S. 931/H.R. 2509 , COMPLETE Care Act Improving Care for Youth Act (TBD) Independent practice authority for psychologists in all…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ALLIANCE ON MENTAL ILLNESS · lobbying firm or registrant: NATIONAL ALLIANCE ON MENTAL ILLNESS
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 16, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
…Go Act: Would expand Medicaid coverage for mental health and substance use disorder treatment by increasing the facility size limit from 16 to 36 beds. S. 2401/H.R. 4745: Medicaid Bump Act: Increase federal Medicaid funds for certain mental health services S. 1797 Expanding Seniors Access to Mental Health Services Act: expands…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ALLIANCE ON MENTAL ILLNESS · lobbying firm or registrant: NATIONAL ALLIANCE ON MENTAL ILLNESS
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
…Go Act: Would expand Medicaid coverage for mental health and substance use disorder treatment by increasing the facility size limit from 16 to 36 beds. S. 2401/H.R. 4745: Medicaid Bump Act: Increase federal Medicaid funds for certain mental health services S. 1797 Expanding Seniors Access to Mental Health Services Act: expands…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN · lobbying firm or registrant: AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Health Issues
$340,000
Spent on own lobbying
…H.R.3505, Barriers to Suicide Act of 2025 H.R 4619, Medicare Mental Health Inpatient Equity Act H.R. 4744, Community Mental Wellness and Resilience Act of 2025 H.R. 4745/ S.2410, The Medicaid Bump Act H.R. 5145, Bipartisan Premium Tax Credit Extension Act H.R. 5482, Prevent Youth Suicide Act H.R. 5706, Mental Health Emergency R…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN · lobbying firm or registrant: AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Medicare/Medicaid
$340,000
Spent on own lobbying
…. 3884 / S. 2011) CONNECT for Health Act of 2025 (H.R. 4206 / S. 1261) Preservation of access to Medicaid H.R 4619, Medicare Mental Health Inpatient Equity Act H.R. 4745/ S.2410, The Medicaid Bump Act COMPLETE Care Act - S. 931/H.R. 2509 Improving Care for Youth Act (TBD) Independent practice authority for psychologists in all…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHIATRIC ASSOCIATION · lobbying firm or registrant: AMERICAN PSYCHIATRIC ASSOCIATION
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Health Issues
$391,974
Spent on own lobbying
…services H.R. 3890/S. 2439 - Resident Physician Shortage Reduction Act of 2025 H.R. 3885 - Community TEAMS Act H.R. 3658 - 911 Community Crisis Responders Act H.R. 4745/S. 2410 - Medicaid Bump Act H.R. 3758 - Workers' Disability Benefits Parity Act H.R. 4744/S. 2445 - Community Mental Wellness and Resilience Act H.R. 1867 - To…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHIATRIC ASSOCIATION · lobbying firm or registrant: AMERICAN PSYCHIATRIC ASSOCIATION
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Health Issues
$221,352
Spent on own lobbying
…services H.R. 3890/S. 2439 - Resident Physician Shortage Reduction Act of 2025 H.R. 3885 - Community TEAMS Act H.R. 3658 - 911 Community Crisis Responders Act H.R. 4745/S. 2410 - Medicaid Bump Act H.R. 3758 - Workers' Disability Benefits Parity Act H.R. 4744/S. 2445 - Community Mental Wellness and Resilience Act H.R. 1867 - To…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ALLIANCE ON MENTAL ILLNESS · lobbying firm or registrant: NATIONAL ALLIANCE ON MENTAL ILLNESS
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
…Go Act: Would expand Medicaid coverage for mental health and substance use disorder treatment by increasing the facility size limit from 16 to 36 beds. S. 2401/H.R. 4745: Medicaid Bump Act: Increase federal Medicaid funds for certain mental health services S. 1797 Expanding Seniors Access to Mental Health Services Act: expands…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN · lobbying firm or registrant: AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 17, 2025 · issue area: Health Issues
$220,000
Spent on own lobbying
…H.R.3505, Barriers to Suicide Act of 2025 H.R 4619, Medicare Mental Health Inpatient Equity Act H.R. 4744, Community Mental Wellness and Resilience Act of 2025 H.R. 4745/ S.2410, The Medicaid Bump Act H.R. 5145, Bipartisan Premium Tax Credit Extension Act S. 1062, Suicide Prevention Act Reintroduction of Pursuing Equity in Ment…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN · lobbying firm or registrant: AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 17, 2025 · issue area: Medicare/Medicaid
$220,000
Spent on own lobbying
Telemental Health Care Access Act (H.R. 3884 / S. 2011) Preservation of access to Medicaid H.R 4619, Medicare Mental Health Inpatient Equity Act H.R. 4745/ S.2410, The Medicaid Bump Act COMPLETE Care Act - S. 931/H.R. 2509 Improving Care for Youth Act (TBD) Independent practice authority for psychologists in all…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing