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US Congress · H.R. 5462 · In committee

Michelle Alyssa Go Act

Introduced
Moved
Reached a final decision
Introduced 2025-09-18
Derived from the official record below.

Officially: “Michelle Alyssa Go Act Read the full text

Health

What it does

The bill changes how Medicaid defines an institution for mental diseases. A hospital, nursing facility, or similar institution that mainly treats mental illness would not count as an institution for mental diseases if it has 36 beds or fewer and meets national, evidence based standards for mental health care, or for substance use disorder care if it treats that, approved by the Secretary of Health and Human Services. The change applies to state Medicaid plans starting 180 days after enactment.
Written by AI from the complete official bill text and independently fact-checked against it. Not legal advice.

Read it in plain language

AI plain language3 sections
Written by AI from the complete official bill text and independently fact-checked against it. Not legal advice.
1Short title

This section would let the Act be called the Michelle Alyssa Go Act.

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Official text, verbatim from the record

1. Short title This Act may be cited as the Michelle Alyssa Go Act .

2Revising the definition of institution for mental diseases under the Medicaid program to exclude from such definition institutions having 36 beds or less if such institutions meet certain standards

This section would rewrite the Medicaid definition of "institution for mental diseases" in the Social Security Act. Under the new definition, a hospital, nursing facility, or other institution that is mainly engaged in providing diagnosis, treatment, or care for people with mental diseases, including medical attention, nursing care, and related services, would count as an institution for mental diseases unless it meets two conditions at the same time: it has 36 beds or less, and it meets nationally recognized, evidence-based standards for mental health programs that are approved by the Secretary of Health and Human Services. Those approved standards would cover the types of services the institution offers, its hours of clinical care, and the credentials of its staff, plus any other standards the Secretary chooses to require. If the institution also provides treatment for substance use disorders, it would additionally have to meet nationally recognized, evidence-based standards for substance use disorder programs, such as the current standards set by the American Society of Addiction Medicine. An institution that meets the 36-bed-or-less limit and all of the applicable standards would no longer be classified as an institution for mental diseases under Medicaid.

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Official text, verbatim from the record

2. Revising the definition of institution for mental diseases under the Medicaid program to exclude from such definition institutions having 36 beds or less if such institutions meet certain standards Section 1905(i) of the Social Security Act ( 42 U.S.C. 1396d(i) ) is amended to read as follows: (i) Institution for mental diseases The term institution for mental diseases means a hospital, nursing facility, or other institution that is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, including medical attention, nursing care, and related services, unless such hospital, facility, or other institution— (1) has 36 beds or less; and (2) meets nationally recognized, evidence-based standards for mental health programs (and, in the case of an institution for mental diseases that provides treatment for substance use disorders, meets nationally recognized, evidence-based standards for substance use disorder programs, such as the latest standards set forth by the American Society of Addiction Medicine) approved by the Secretary, including standards that establish the types of services offered, hours of clinical care, and staffing credentials for such an institution, and any other standards as the Secretary may require. .

3Effective date

This section would make the changes in this Act take effect 180 days after the Act is enacted, and would have them apply to State Medicaid plans starting on that same date.

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Official text, verbatim from the record

3. Effective date The amendments made by this Act shall take effect 180 days after the date of enactment of this Act and shall apply to State plans beginning on such date.

AI plain languageRead the whole bill in plain language, 3 sections

Where it is

Introduced · 2025-09-18

In the House.

Committee, then floor votes in both chambers · next · the next step

Official documents

The on-site text is shown verbatim from the GovInfo publication, captured 2026-07-12. The same version at GovInfo.

The numbers

2%
of bills introduced became law in the 118th Congress, 2023 to 2024 (n=16,213)
15
sponsors, out of 218 needed to pass

Who is lobbying on this

COUNTY OF PLACERvia HOLLAND & KNIGHT LLP
1 filing
OCEANS ACQUISITION, INC.via THE PICARD GROUP, LLC
1 filing
SACRAMENTO COUNTYvia HOLLAND & KNIGHT LLP
1 filing
SAN DIEGO COUNTYvia VAN SCOYOC ASSOCIATES
1 filing
From 4 filings in federal lobbying disclosures (LDA), via lda.gov, naming this bill (2025 to 2026). Filings are self-reported by lobbying firms and show who is paid to influence this bill. They do not say which side, or whether it worked.
Every fact on this page links to its source, starting with the official bill record. Last action: Referred to the House Committee on Energy and Commerce. (2025-09-18).