H.R. 5462

119th CONGRESS 1st Session

To amend title XIX of the Social Security Act to revise the definition of institution for mental diseases under the Medicaid program to exclude from such definition institutions having 36 beds or less if such institutions meet certain standards.

IN THE HOUSE OF REPRESENTATIVES · September 18, 2025 · Sponsor: Mr. Goldman of New York · Committee: Committee on Energy and Commerce

Table of contents

• H.R. 5462
  • SEC. 1. Short title
  • SEC. 2. Revising the definition of institution for mental diseases under the Medicaid program to exclude from such definition institutions having 36 beds or less if such institutions meet certain standards
  • SEC. 3. Effective date

SEC. 1. Short title

• This Act may be cited as the Michelle Alyssa Go Act.

SEC. 2. Revising the definition of institution for mental diseases under the Medicaid program to exclude from such definition institutions having 36 beds or less if such institutions meet certain standards

• Section 1905(i) of the Social Security Act () is amended to read as follows: 42 U.S.C. 1396d(i)
  • (i) Institution for mental diseases
    • The term means a hospital, nursing facility, or other institution that is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, including medical attention, nursing care, and related services, unless such hospital, facility, or other institution— institution for mental diseases
      • has 36 beds or less; and
      • meets nationally recognized, evidence-based standards for mental health programs (and, in the case of an institution for mental diseases that provides treatment for substance use disorders, meets nationally recognized, evidence-based standards for substance use disorder programs, such as the latest standards set forth by the American Society of Addiction Medicine) approved by the Secretary, including standards that establish the types of services offered, hours of clinical care, and staffing credentials for such an institution, and any other standards as the Secretary may require.

SEC. 3. Effective date

• The amendments made by this Act shall take effect 180 days after the date of enactment of this Act and shall apply to State plans beginning on such date.