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S. 5236

BillFederalSenateIn Committee
A bill to amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day.
About This Bill
Committee
Latest Action · August 4, 2026
Read twice and referred to the Committee on Finance.
Congress
119th (2025–2027)
Introduced
August 4, 2026
Cosponsors (1)
0D 1R
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Summary

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This bill amends Medicaid law to require states to cover both mental health services and primary care services when they are provided to the same patient on the same day at the same facility. Currently, Medicaid rules may prohibit or limit payment for these services when delivered together, which can create barriers for patients seeking coordinated care. The legislation affects Medicaid programs nationwide and the millions of beneficiaries they serve, particularly young people who need integrated mental and physical health treatment. The bill does not include specific funding amounts or implementation timelines, but instead mandates that state Medicaid plans remove any existing payment restrictions on same-day services. By eliminating these barriers, the bill aims to improve access to coordinated care and make it easier for providers to address patients' mental and physical health needs during a single visit.

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