Bill · H.R. 4745· House(119-HR-4745)
Medicaid Bump Act
- Introduced
- 7/23/2025
- Last activity
- 7/23/2025 — Referred to the House Committee on Energy and Commerce.
- Sponsored by
- Paul Tonko
- Cosponsors
- - 2 - 1
- Introduced
- In Committee
What this bill would do
The Medicaid Bump Act seeks to amend the Social Security Act regarding Medicaid funding. It aims to provide a higher Federal matching rate for increased expenditures related to behavioral health services, including mental health and substance use. To receive these additional funds, states must follow specific accountability and maintenance of effort requirements. These requirements include supplementing, rather than replacing, existing state funds. Furthermore, funds must be used to improve the capacity, efficiency, and quality of service delivery.
Yes· 3 of 26
Does this put more money into Medicaid, the health coverage for people on low incomes?+8
The bill increases the federal matching rate to 90 percent for increased Medicaid expenditures on behavioral health services.
Would households on low incomes be better off under this?+7
The bill increases Medicaid funding which directly supports low-income households seeking behavioral health services.
Does this make mental health care easier to get?+7
The bill increases funding specifically for behavioral health services, including mental health and substance use.
The opposite
Does this reduce what the federal government spends?-2
The bill increases federal obligations by raising the Medicaid matching rate to 90 percent for behavioral health expenditures.
Does this leave more decisions to the states?-2
The bill imposes specific federal requirements on how states must use funds and maintain effort levels.
Who it would affect, and how
Potential Positive Impacts for People
-
Increased capacity and quality of care: States are required to use the additional funds for activities that increase the capacity, efficiency, and quality in the provision of behavioral health services, including mental health and substance use (Section 2(a)(2)(B)).
-
Improved provider stability: The bill directs that funds be used for measures that ensure a reduction in staff turnover and can include increases in payment rates for providers of behavioral health services (Section 2(a)(2)(B)).
-
Higher federal support for behavioral health: The act provides a 90 percent federal match for increased expenditures for behavioral health services compared to previous levels (Section 2(a)(1)(B)).
Potential Negative Impacts for People
- Strict fund usage requirements: To receive the funds, states are prohibited from using them to supplant existing state funds for behavioral health services that were in effect as of April 1, 2021 (Section 2(a)(2)(A)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Low Income Households+7Good For People With Disabilities+6Good For L G B T Q Community+5Good For African Americans+4Good For Asian Americans+4Good For Children+4Good For Hispanic Americans+4Good For Immigrants+4Good For Men+4Good For Middle Aged+4Good For Native Americans+4Good For Retirees+4Good For Seniors+4Good For Students+4Good For Veterans+4Good For White Americans+4Good For Women+4Good For Young Adults+4Good For Rural Residents+3Good For Urban Residents+3Good For Middle Class Households+2
- Healthcare
- Increases Medicaid Funding+8Improves Mental Health Access+7Improves Healthcare Access+5Improves Opioid Crisis Response+5
- Social Issues And Justice
- Improves Poverty Reduction+3
- Economy And Finance
- Reduces Government Spending-2
- Governance And Ideology
- Increase States Rights-2
- 5/11/2026
- 1 Cosponsor added.
- 10/21/2025
- 1 Cosponsor added.
- 7/23/2025
- Referred to the House Committee on Energy and Commerce.
- 1 Cosponsor added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Brian FitzpatrickRepublican · Pennsylvania
Melanie StansburyDemocrat · New Mexico
Shri ThanedarDemocrat · Michigan