Ensuring Excellence in Mental Health Act

This bill changes how certified community behavioral health clinics (CCBHCs) are covered and paid under Medicaid and Medicare. States that cover CCBHC services under Medicaid would pay clinics through a cost-based prospective payment system, and clinics could offer additional services such as primary care. Medicare would begin covering CCBHC services starting in 2027, paying 80 percent of a set rate, with no Part B deductible for these services. The bill also creates a federal grant program for clinics, authorizing $552.5 million per year for fiscal years 2026 through 2030, along with technical assistance, a data collection system, and an accreditation process. It would also extend federal liability protection under the Federal Tort Claims Act to clinicians at these clinics.

Full text and official record on Congress.gov

Sponsors

• Doris O. Matsui Democrat sponsor
• 12 cosponsors