I 
119TH CONGRESS 
1ST SESSION H. R. 6727 
To amend title XIX of the Social Security Act to remove the exclusion 
from medical assistance under the Medicaid program of items and serv-
ices for patients in an institution for mental diseases, and for other 
purposes. 
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 institu-
tion for mental diseases, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Repealing the IMD 
Exclusion Act’’. 
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SEC. 2. REMOVAL OF AGE EXCLUSION FROM MEDICAL AS-
SISTANCE OF ITEMS AND SERVICES FOR PA-
TIENTS IN AN INSTITUTION FOR MENTAL DIS-
EASES. 
(a) IN GENERAL.—Section 1905(a) of the Social Se-
curity 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 insert-
ing ‘‘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 MED-
ICAL 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 subpara-
graph (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’’; 
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(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’’. 
SEC. 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 diag-
nosis, treatment, or care of persons with mental dis-
eases, 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 stand-
ards for substance use disorder programs, such as 
the latest standards set forth by the American Soci-
ety of Addiction Medicine), approved by the Sec-
retary, including standards that establish the types 
of services offered, hours of clinical care, and staff-
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ing credentials for such an institution, and any other 
standards as the Secretary may require.’’. 
SEC. 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. 
Æ 
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