119th Congress · introduced in the House · Dec 15, 2025
Repealing the IMD Exclusion Act
Official title from Congress.gov
Latest action (Dec 15, 2025): Referred to the House Committee on Energy and Commerce.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in House (Dec 15, 2025)
Repealing the IMD Exclusion Act
This bill removes certain limitations relating to Medicaid coverage of services provided in institutions for mental diseases (IMDs).
Current law generally prohibits federal payment under Medicaid for services provided in IMDs with more than 16 beds for individuals under the age of 65 (although states may receive payment through certain mechanisms, such as through a Medicaid demonstration waiver).
The bill removes the age limitation and allows any institution to qualify as an IMD, regardless of the number of beds, if it primarily treats individuals with mental diseases and meets nationally recognized standards for mental health or substance use disorder programs, as approved by the Centers for Medicare & Medicaid Services.
No cosponsors.
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.
Referred to the House Committee on Energy and Commerce.
Introduced in House
Introduced in House
Actions from Congress.gov, newest first.
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.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 23, 2026.
9 citations.
SHEPPARD PRATT HEALTH SYSTEM · lobbying firm or registrant: MCALLISTER & QUINN, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Budget/Appropriations
$30,000
Paid to lobbying firm
…S. 4076 - Medicare Mental Health Inpatient Equity Act of 2025 - In support of. H.R.5944 - Restoring Inpatient Mental Health Access Act of 2025 - In support of. H.R.6727 - Repealing the IMD Exclusion Act - In support of
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
SHEPPARD PRATT HEALTH SYSTEM · lobbying firm or registrant: MCALLISTER & QUINN, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$30,000
Paid to lobbying firm
…S. 4076 - Medicare Mental Health Inpatient Equity Act of 2025 - In support of. H.R.5944 - Restoring Inpatient Mental Health Access Act of 2025 - In support of. H.R.6727 - Repealing the IMD Exclusion Act - In support of
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
SHEPPARD PRATT HEALTH SYSTEM · lobbying firm or registrant: MCALLISTER & QUINN, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Veterans
$30,000
Paid to lobbying firm
…S. 4076 - Medicare Mental Health Inpatient Equity Act of 2025 - In support of. H.R.5944 - Restoring Inpatient Mental Health Access Act of 2025 - In support of. H.R.6727 - Repealing the IMD Exclusion Act - In support of
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 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
…vided to patients in mental health institutions. H.R. 6296: Advancing Access to Telehealth Act makes several telehealth flexibilities permanent under Medicare. H.R. 6727: Repealing the IMD Exclusion Act removes the Medicaid exclusion for mental health and substance use disorder treatment in institutions for mental diseases. H.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
SHEPPARD PRATT HEALTH SYSTEM · lobbying firm or registrant: MCALLISTER & QUINN, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 24, 2026 · issue area: Budget/Appropriations
$30,000
Paid to lobbying firm
…S. 4076 - Medicare Mental Health Inpatient Equity Act of 2025 - In support of. H.R.5944 - Restoring Inpatient Mental Health Access Act of 2025 - In support of. H.R.6727 - Repealing the IMD Exclusion Act - In support of
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
SHEPPARD PRATT HEALTH SYSTEM · lobbying firm or registrant: MCALLISTER & QUINN, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 24, 2026 · issue area: Health Issues
$30,000
Paid to lobbying firm
…S. 4076 - Medicare Mental Health Inpatient Equity Act of 2025 - In support of. H.R.5944 - Restoring Inpatient Mental Health Access Act of 2025 - In support of. H.R.6727 - Repealing the IMD Exclusion Act - In support of
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
SHEPPARD PRATT HEALTH SYSTEM · lobbying firm or registrant: MCALLISTER & QUINN, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 24, 2026 · issue area: Veterans
$30,000
Paid to lobbying firm
…S. 4076 - Medicare Mental Health Inpatient Equity Act of 2025 - In support of. H.R.5944 - Restoring Inpatient Mental Health Access Act of 2025 - In support of. H.R.6727 - Repealing the IMD Exclusion Act - In support of
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
…vided to patients in mental health institutions. H.R. 6296: Advancing Access to Telehealth Act makes several telehealth flexibilities permanent under Medicare. H.R. 6727: Repealing the IMD Exclusion Act removes the Medicaid exclusion for mental health and substance use disorder treatment in institutions for mental diseases. H.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
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
…vided to patients in mental health institutions. H.R. 6296: Advancing Access to Telehealth Act makes several telehealth flexibilities permanent under Medicare. H.R. 6727: Repealing the IMD Exclusion Act removes the Medicaid exclusion for mental health and substance use disorder treatment in institutions for mental diseases. H.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