The Michelle Alyssa Go Act would change how Medicaid treats small mental health facilities by excluding institutions with 36 beds or fewer from the federal definition of "institution for mental diseases," provided they meet certain quality standards. This change would allow smaller mental health and substance abuse treatment facilities that meet nationally recognized, evidence-based standards to operate with fewer federal restrictions and potentially receive different Medicaid payment arrangements. The standards that small facilities must meet include requirements for types of services offered, hours of clinical care, and staffing credentials, with the Secretary of Health and Human Services responsible for approving and enforcing these standards. The law would take effect 180 days after being enacted and apply to state Medicaid plans beginning on that date. This legislation would primarily affect small mental health treatment providers and state Medicaid programs that serve people with mental health and substance use disorders.
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