What does Preamble of Medicaid Bump Act do?

This bill proposes to amend title XIX of the Social Security Act. The proposed amendment aims to provide a higher Federal matching rate for Medicaid expenditures. The increased expenditures are specifically related to behavioral health services, including mental health and substance use.

What does SHORT TITLE. of Medicaid Bump Act do?

This bill is formally titled the Medicaid Bump Act.

What does HIGHER FEDERAL MATCH FOR INCREASED EXPENDITURES UNDER MEDICAID of Medicaid Bump Act do?

This section amends Section 1903 of the Social Security Act to modify the federal matching rate for Medicaid expenditures on behavioral health services. It introduces a mechanism to increase the federal share to 90% of the amount by which expenditures on behavioral health services exceed a baseline established by the 4-quarter period ending March 31, 2019. States receiving this increased federal funding must ensure the funds supplement, not supplant, existing state funding for behavioral health services. Funds must be used to improve the delivery of behavioral health services, including increasing provider capacity, efficiency, and quality, potentially through payment rate increases and measures to reduce staff turnover. The Secretary of Health and Human Services is required to issue sub-regulatory guidance within 180 days of the Act's enactment, defining 'behavioral health services' for this purpose. The amendments apply to calendar quarters beginning on or after January 1 of the year following the Act's enactment.

What does REPORT REGARDING BEHAVIORAL HEALTH SERVICE. of Medicaid Bump Act do?

This section requires the Secretary of Health and Human Services to submit an annual report to the House Committee on Energy and Commerce and the Senate Committee on Finance. The report must cover behavioral health services provided under title XIX of the Social Security Act (Medicaid) in each state. The report must specify payment rates for these services, the rationale for those rates, and utilization data, as available.

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Medicaid Bump Act

Last updated: 7/23/2025 · Introduced: 7/23/2025

Author: Paul Tonko (D-NY)

TL;DR (AI)

This bill increases the federal government's matching rate for Medicaid spending on behavioral health services, such as mental health and substance use treatment, to 90% for expenditures exceeding a 2019 baseline.
States receiving this increased funding must use it to supplement, not replace, existing state funding and to improve the delivery of behavioral health services, including increasing provider capacity and quality.
The Secretary of Health and Human Services must annually report on Medicaid behavioral health services in each state, including payment rates, rationale, and utilization data.

119th Congressin committeeOfficial page

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Other Sections

Includes provisions on preamble, short title., and 2 more.

4 sections

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