What This Bill Does · Plain English
Summary · Congress.gov
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.
Action Timeline
2025-12-15
Referred to the House Committee on Energy and Commerce.
2025-12-15
Introduced in House
2025-12-15
Introduced in House
Frequently Asked Questions
Did HR.6727 pass?
HR.6727 is still alive. Current stage: COMMITTEE. Pass likelihood: pending.
What does HR.6727 do?
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 di…
Who sponsored HR.6727?
HR.6727 was sponsored by Ritchie Torres (D-New York).
Full Bill Text
119 HR 6727 IH: Repealing the IMD Exclusion Act U.S. House of Representatives 2025-12-15 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I 119th CONGRESS 1st Session H. R. 6727 IN THE HOUSE OF REPRESENTATIVES December 15, 2025 Mr. Torres of New York introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XIX of the Social Security Act to remove the exclusion from medical assistance under the Medicaid program of items and services for patients in an institution for mental diseases, and for other purposes. 1. Short title This Act may be cited as the Repealing the IMD Exclusion Act . 2. Removal of age exclusion from medical assistance of items and services for patients in an institution for mental diseases (a) In general Section 1905(a) of the Social Security Act ( 42 U.S.C. 1396d(a) ) is amended, in the first sentence, in the matter following paragraph (32)— (1) by striking such term does not include— and all that follows through (A) any and inserting such term does not include any ; (2) by striking ; or and inserting a period; and (3) by striking subparagraph (B). (b) Conforming amendments To permit medical assistance for IMD patients under 65 years of age Title XIX of the Social Security Act ( 42 U.S.C. 1396a et seq. ) is amended— (1) in section 1902(a)— (A) in paragraph (20)— (i) in the matter preceding subparagraph (A), by striking 65 years of age or older ; and (ii) in subparagraph (C), by striking 65 years of age or older ; and (B) in paragraph (21) by striking 65 years of age or older ; (2) in section 1905(a)(14), by striking 65 years of age or over ; and (3) in section 1919(e)(7)(B)(i)(I), by striking 65 years of age or older . 3. Required standards for IMDs Section 1905(i) of the Social Security Act ( 42 U.S.C. 1396d(i) ) is amended to read as follows: (i) Institution for mental diseases The term institution for mental diseases means a hospital, nursing facility, or other institution that— (1) is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, including medical attention, nursing care, and related services; and (2) 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. . 4. 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.
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