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bill Progress


  • Not enacted
    The President has not signed this bill
  • The senate has not voted
      senate Committees
      Senate Committee on Finance
  • The house Passed June 20th, 2018
    Roll Call Vote 261 Yea / 155 Nay
      house Committees
      House Committee on Energy and Commerce
    IntroducedMay 15th, 2018

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What is it?

This bill — the IMD CARE Act — would allow state Medicaid programs to receive matching federal payments for services provided by institutions for mental disease (IMDs) to treat Medicaid-eligible adults between the ages of 21 and 64 suffering from opioid use disorder for up to 30 days per year. Under current law, a policy known as the “IMD exclusion” prohibits matching payments to state Medicaid programs for most services provided by IMDs except in limited circumstances. This change would apply for fiscal years 2019 through 2023.

The bill’s full title is the Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act.

Impact

Patients in IMDs; IMDs; state Medicaid programs.

Cost

$991.00 Million
The CBO estimates that enacting this bill would increase direct spending by $991 million over the 2019-2028 period.

More Information

In-Depth: Sponsoring Rep. Mimi Walters (R-CA) introduced this bill to expand treatment options for Medicaid recipients who are suffering from opioid addiction:

“Combatting America’s opioid epidemic means ensuring those battling addiction have ready access to quality treatment. Unfortunately, current law prevents some Medicaid recipients battling opioid addiction from receiving the treatment they need to reclaim their lives. Sadly, an inability to receive proper care can be fatal. Ending the opioid crisis means providing treatment options, including inpatient care, to those seeking help. My bill, combined with the oversight study legislation I cosponsored, will move us toward our shared goal of saving lives from the scourge of opioid addiction.”

House Democrats expressed reservations about repealing the IMD exclusion in this manner, with Rep. Frank Pallone (D-NJ) saying this bill is “less flexible than the administrative options currently available to states”. He added that repealing the IMD exclusion solely for opioid use disorder “creates additional barriers and may further limit treatment options that require treatment for other substances.”

This legislation passed the House Energy and Commerce Committee on a voice vote and has the support of five cosponsors, all of whom are Republicans.


Media:

Summary by Eric Revell

(Photo Credit: HRAUN / iStock)

AKA

IMD CARE Act

Official Title

To amend title XIX of the Social Security Act to allow States to provide under Medicaid services for certain individuals with opioid use disorders in institutions for mental diseases.

    Medicaid should be the single payer national medical coverage offered to all US citizens, and yes, the Fed should bump up aid in addiction response -- ALL addiction, especially and primarily by addressing the actual cause of addiction, which is POVERTY!
    Like (48)
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    First, a Republican wrote this, so I don’t trust it. Compassion, which is what we need in laws relating to addiction, isn’t their strong suit at the moment. Second, this bill would ultimately limit what states can do for addicted patients. Automatic matching grants do not seem appropriate. Dialogue and discussion are what we need to solve this.
    Like (39)
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    Big pharma should pay. And legalize cannabis. Hello? Can you hear us over the lobbyists?
    Like (36)
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    Universal healthcare. This wouldn’t even be a question.
    Like (34)
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    We need more comprehensive approach to addiction care.
    Like (22)
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    We don’t need to do this, we need to get serious, quit blaming Dr's, and stop the massive influx of these drugs by securing our southern border.
    Like (9)
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    I see nothing wrong at all with matching funding for Medicaid programs that treat addiction. The rest of my comment deals with people who hate bills simply because it was written by a Republican, in this case. That's utterly ridiculous and highlights the need in our country to put identity politics aside. Is it really the issue you care about, or just that it has to be written by somebody you label as "on your team"?
    Like (8)
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    Because I don't believe anything Republicans say as they are beholden only to their donors. So I will say no until we have a new party to vote. The GOP cause more problems than it solves.
    Like (7)
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    Single Payor For All & Legalize Cannabis. Get with the program like many other countries have!
    Like (6)
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    While well-intended, this bill is more rigid than the administrative workarounds state Medicaid programs can use and may limit treatment for patients suffering from other forms of addiction.
    Like (6)
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    U.S. CITIZENS ONLY!
    Like (5)
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    We ALL know how bad the opioid problem is. Medicaid is the only way the people who NEED TREATMENT & CAN'T AFFORD IT will get quality treatment and hopefully turn their lives around!!
    Like (4)
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    Matching monies to states who are trying to handle issues before they get bigger is a good thing, and should be encouraged. The sooner treatment for something like this starts, the sooner it costs the taxpayer less money.
    Like (4)
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    YES THE OPIATE CRISES NEEDS TO BE TREATED WITH MAXIMUM RESOURCES
    Like (3)
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    Don’t just talk about the opioid crisis. Do something about it. This would help. Legalizing med marijuana would help, too. Stopping big pharma lobbying would go a long way, too.
    Like (3)
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    This is a treatable, medical condition and should be taken care of as soon as diagnosed. Yes, matching funds from the Feds should be supplied in order to get our community members back on their feet and capable to handle their lives with as little stress as possible on the rest of their family members.
    Like (3)
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    Nope
    Like (2)
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    Medicaid should not be paying for opiod treatment
    Like (2)
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    A more flexible solution is required.
    Like (2)
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    Let see a bill that is free of hidden and unless process maker it clear cut to all people in need.
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