I 
119TH CONGRESS 
1ST SESSION H. R. 5357 
To provide limited licensing reciprocity for a college mental health provider 
to furnish mental health services through telehealth technology to stu-
dents of the institution of higher education that employs such provider. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 15, 2025 
Mr. FLOOD (for himself, Mr. BACON, and Mr. NUNN of Iowa) introduced the 
following bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Education and Workforce, 
for a period to be subsequently determined by the Speaker, in each case 
for consideration of such provisions as fall within the jurisdiction of the 
committee concerned 
A BILL 
To provide limited licensing reciprocity for a college mental 
health provider to furnish mental health services through 
telehealth technology to students of the institution of 
higher education that employs such provider. 
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 ‘‘College Students Con-
tinuation of Mental Health Care Act of 2025’’. 
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SEC. 2. LICENSING RECIPROCITY FOR COLLEGE MENTAL 
HEALTH PROVIDERS. 
(a) IN GENERAL.—Notwithstanding any other provi-
sion of Federal or State law, a college mental health pro-
vider may, in accordance with subsection (b), furnish men-
tal health services to a covered student in the State in 
which such student is located through telehealth tech-
nology, unless such provider is affirmatively excluded from 
practice in such State. 
(b) REQUIREMENTS TO FURNISH SERVICES.— 
(1) INITIATION OF TELEHEALTH SERVICES.— 
Prior to furnishing mental health services to a cov-
ered student pursuant to subsection (a), a college 
mental health provider shall— 
(A) verify the identity of such student; 
(B) obtain an oral or written acknowledg-
ment from such student (or a legal representa-
tive of such student), and make a record of 
such acknowledgment, indicating that such stu-
dent intends to receive mental health services 
from such provider through telehealth tech-
nology; 
(C) obtain or confirm more than 1 means 
of telehealth technology through which such 
provider may contact such student in case of a 
technological failure; and 
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(D) in the case that the college mental 
health provider has not previously furnished 
services to such student— 
(i) obtain a written acknowledgment 
from such student (or a legal representa-
tive of such student) indicating that such 
student understands that a treatment rela-
tionship is being established with such pro-
vider; or 
(ii) furnish such mental health serv-
ices to such student through a means of 
telehealth technology that allows such pro-
vider and such student to communicate in 
real time. 
(2) SCOPE
OF
PRACTICE.—A college mental 
health provider furnishing services to a covered stu-
dent pursuant to subsection (a)— 
(A) except as authorized under this section 
with respect to the location of such student, 
shall act within the scope of the license or cer-
tification from, or other authorization by, the 
primary State described in subsection (e)(1)(B); 
and 
(B) is not required to act within the scope 
of any license, certification, or other authoriza-
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tion issued to similar providers in the State in 
which such student is located if such provider 
would not be required to act within such scope 
if such services were furnished in the primary 
State, except that such provider— 
(i) may not furnish to such student 
any service or subset of services prohibited 
by the State in which such student is lo-
cated; and 
(ii) may not furnish to such student 
any service or subset of services in a man-
ner prohibited by the State in which such 
student is located. 
(c) TREATMENT OF MEDICAL MALPRACTICE INSUR-
ANCE COVERAGE.—Any medical malpractice insurance 
coverage shall provide that services furnished by a college 
mental health provider to a covered student pursuant to 
subsection (a) shall be treated under such coverage as 
services furnished in the primary State. 
(d) INTERSTATE COMPACTS
FOR TELEHEALTH.— 
The consent of Congress is hereby given to any 2 or more 
States to enter into agreements or compacts, not in con-
flict with this section, to permit college mental health pro-
viders to furnish mental health services to covered stu-
dents in each such State through telehealth technology. 
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(e) DEFINITIONS.—In this section: 
(1) COLLEGE
MENTAL
HEALTH
PROVIDER.— 
The term ‘‘college mental health provider’’ means an 
individual who— 
(A) is employed by an institution of higher 
education to furnish mental health services to 
students enrolled at such institution; and 
(B) has a valid and unrestricted license or 
certification from, or is otherwise authorized by, 
the primary State to furnish such mental health 
services in such State. 
(2) COVERED
STUDENT.—The term ‘‘covered 
student’’ means, with respect to a college mental 
health provider— 
(A) an individual registered for courses at 
the institution of higher education that employs 
such provider; and 
(B) an individual that attended courses at 
the institution of higher education that employs 
such provider at any point during the 3-month 
period ending on the date on which such pro-
vider is seeking to furnish such services to such 
individual pursuant to subsection (a). 
(3) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
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meaning given such term in section 101 of the High-
er Education Act of 1965 (20 U.S.C. 1001). 
(4) PRIMARY
STATE.—The term ‘‘primary 
State’’ means, with respect to a college mental 
health provider, the State in which the institution of 
higher education that employs such provider is lo-
cated. 
(5) STATE.—The term ‘‘State’’ means a State, 
the District of Columbia, or a territory or possession 
of the United States. 
(6) TELEHEALTH
TECHNOLOGY.—The term 
‘‘telehealth technology’’ means telecommunications 
and information technology, including audio-visual, 
audio-only, or store and forward technology, used to 
furnish mental health services at a distance. 
Æ 
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