States would get more federal money to boost Medicaid mental health and substance use services.
This bill would give states more federal money to pay for mental health and substance use services through Medicaid. It would cover 90 percent of new spending on these services above what states spent in 2019. This would help people on Medicaid get better and more available mental health and substance use care.
Today, states receive a standard federal matching rate for Medicaid, without a specific higher rate for increased spending on mental health and substance use services. After this bill, states would get a 90 percent federal match for any new money they spend on these services that goes above their spending from the four quarters ending March 31, 2019. This funding would come with rules to ensure states add to their existing efforts and improve care quality.
HR 4745 · 119th Congress · July 23, 2025 · AI Summary by gemini-2.5-flash · 8/10
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4 filings mentioned this bill
Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.