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HR 10266118th CongressFailed / ExpiredHouse

Repealing the IMD Exclusion Act

Policy Area: Health
View on Congress.gov
Origin Chamber
House
Last Updated
Aug 15, 2025
Latest Action Date
Nov 29, 2024

Latest Action

Referred to the House Committee on Energy and Commerce.

Official Summary

Official summary has not been imported yet.

GovScope Watchdog™

AI Government Intelligence™
Executive Summary

The Repealing the IMD Exclusion Act (H.R. 10266) is a legislative proposal introduced in the 118th Congress aimed at removing the Institution for Mental Diseases (IMD) exclusion. This exclusion currently limits federal Medicaid funding for services provided in certain mental health facilities. The bill was referred to the House Committee on Energy and Commerce but did not advance further and ultimately failed or expired. No official summary or full text is available, limiting detailed analysis of specific provisions.

Bottom Line

This bill sought to repeal a Medicaid funding restriction related to mental health institutions but did not progress beyond committee referral and expired without enactment.

Policy Risk Level
🟡 Medium
Neutral Risk Assessment
Key Points
  • The bill proposes to repeal the IMD exclusion, which restricts Medicaid payments for inpatient mental health services in certain facilities.
  • It was introduced in the House and referred to the House Committee on Energy and Commerce on November 29, 2024.
  • The bill did not advance and is recorded as failed or expired, with no further legislative action documented.
Who Benefits?

['Individuals receiving inpatient mental health services in institutions classified as IMDs', 'Mental health care providers and facilities potentially eligible for expanded Medicaid funding', 'State Medicaid programs that may gain flexibility in funding mental health services']

Potential Concerns

['Implementation challenges related to changes in Medicaid funding rules and oversight', 'Potential increased costs to federal and state Medicaid programs due to expanded coverage', 'Uncertainty about the scope and definitions of facilities affected due to lack of full bill text', 'Oversight mechanisms to ensure appropriate use of funds and quality of care are not detailed']

Political Context

The bill was introduced during the 118th Congress and referred to the House Committee on Energy and Commerce. The IMD exclusion has been a longstanding Medicaid policy issue related to mental health funding. The bill did not advance beyond committee referral and is recorded as failed or expired, indicating limited legislative momentum during this session.

Hidden Impact Review

Hidden impact flags detected: 2

GovScope reviewed 2 policy-risk categories. Hover for a quick definition. Click detected flags for bill-specific details.

2 Detected
Detected Flags
Indirect Effects

['Potential increase in access to inpatient mental health care for Medicaid beneficiaries.', 'Possible shifts in state Medicaid program budgets and priorities due to expanded coverage.', 'Changes in mental health care provider practices and facility utilization patterns.']

GovScope Watchdog Notes

The absence of an official summary and full bill text limits detailed transparency and public understanding of the bill's provisions. The bill's failure to advance past committee referral suggests limited legislative support or prioritization. Oversight considerations related to Medicaid funding changes and mental health service quality are important for future proposals addressing the IMD exclusion.

Passage Likelihood: LowConfidence: 70%Model: gpt-4.1-mini

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