Medical Institutions for Mental Disease (IMD) exclusion is a serious barrier for individuals who are in need of mental health and substance use disorder treatment. Under the current policy, IMD exclusion prohibits Medicaid from covering patients 22-64 years old in residential mental health or substance use disorder treatment facilities that exceed 16 beds.
On May, 17, 2017, bipartisan legislation was introduced by U.S. Senators Dick Durbin (D-IL), Rob Portman (R-OH), Sherrod Brown (D-OH), Shelley Moore Capito (R-WV), Angus King (I-ME), and Susan Collins (R-ME) to address this issue.
The Medicaid Coverage for Addiction Recovery Expansion (Medicaid CARE) Act [S. 1169] will amend the IMD exclusion barrier and allow Medicaid coverage in residential treatment facilities with up to 40 beds for up to 60 days; and will allow for other medical services to be covered.
This bill also establishes a $50 million youth inpatient treatment grant program that will allow facilities to provide services for individuals under the age of 21 years old. Additionally, this legislation will increase better access for pregnant and postpartum women to ensure treatment services are available for healthy birth outcomes.
Read the full bill here.
Read the press release here.
Thank these Senators for introducing such important legislation!