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H.R. 4619

U.S. HouseIn House Committee

Summary

H.R. 4619, the Medicare Mental Health Inpatient Equity Act of 2025, was introduced in the House on Jul 22, 2025 by Rep. Paul Tonko (D) with 6 co-sponsors. It was referred to Ways And Means, and last saw action on Jul 22, 2025: Referred to the House Committee on Ways and Means.


Record

Text

H.R. 4619 has 6 co-sponsors.

hb4619/introduced-in-house.txt
119 HR 4619 IH: Medicare Mental Health Inpatient Equity Act of 2025
U.S. House of Representatives
2025-07-22
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
I 119th CONGRESS 1st Session H. R. 4619 IN THE HOUSE OF REPRESENTATIVES July 22, 2025 Mr. Tonko (for himself, Mr. Huizenga , Mr. Doggett , and Mr. Fitzpatrick ) introduced the following bill; which was referred to the Committee on Ways and Means A BILL
To amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare Program.
1.
Short title
This Act may be cited as the Medicare Mental Health Inpatient Equity Act of 2025 .
2.
Elimination of 190-day lifetime limit on inpatient psychiatric hospital services
(a)
In general
Section 1812 of the Social Security Act ( 42 U.S.C. 1395d ) is amended—
(1)
in subsection (b)—
(A)
in paragraph (1), by adding or at the end;
(B)
in paragraph (2), by striking ; or at the end and inserting a period; and
(C)
by striking paragraph (3); and
(2)
in subsection (c), by striking (but shall not be included and all that follows before the period at the end.
(b)
Effective Date
The amendments made by subsection (a) shall apply to items and services furnished on or after January 1, 2027.

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-07-22
  2. Passed House
  3. Passed Senate
  4. Conference
  5. To President
  6. Became Law

CRS Summary

The summaries are the Congressional Research Service’s, one per stage. Read them in full.

Introduced in House Jul 22, 2025

hb4619/introduced-in-house.md

Shown Here:
Introduced in House (07/22/2025)

Medicare Mental Health Inpatient Equity Act of 2025

This bill removes the 190-day lifetime limit on inpatient psychiatric hospital services under Medicare.

Sponsors

Rep. Paul Tonko (D) sponsors H.R. 4619, and 6 members have co-sponsored it, 3 of them from the day it was introduced.

Committees

H.R. 4619 went before 1 committee: Ways and Means.

Ways and Means
Ways and Means
Referred To · Jul 22, 2025 · 1,160 Bills

Actions

H.R. 4619 has taken 2 actions since Jul 22, 2025.

ChamberAction
Jul 22, 2025
House
Introduced in House
Jul 22, 2025
House
Referred to the House Committee on Ways and Means.Ways and Means Committee

Votes

H.R. 4619 has not gone to a roll call.

1 bill is related to H.R. 4619.

Titles

H.R. 4619 goes by 3 titles, 1 of them short titles.

  • Medicare Mental Health Inpatient Equity Act of 2025 — Display Title
  • To amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare Program. — Official Title as Introduced
  • Medicare Mental Health Inpatient Equity Act of 2025 — Short Title(s) as Introduced

Lobbying

10 clients hired 9 firms and 83 registered lobbyists who named H.R. 4619 in 25 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.

Filed under Budget/Appropriations, Health Issues, Medicare/Medicaid, Veterans, Education, Taxation/Internal Revenue Code, Immigration, Law Enforcement/Crime/Criminal Justice.

Clients

Who paid to be heard, by how many filings named the bill.

ClientBusinessStateFirmsFilingsReported
AMERICAN PSYCHIATRIC ASSOCIATIONDistrict of Columbia14
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSNDistrict of Columbia14
NATIONAL ALLIANCE ON MENTAL ILLNESSVirginia14
SHEPPARD PRATT HEALTH SYSTEMHealthcare SystemMaryland13$90K
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERSNational professional association for pediatric nurse practitionersNew Jersey13$72K
NATIONAL LEAGUE FOR NURSINGNational health care associationDistrict of Columbia12$58.1K
AMERICAN HOSPITAL ASSOCIATIONDistrict of Columbia12
OCEANS ACQUISITION, INC.Behavioral and mental health services providerTexas11$40K
AARPDistrict of Columbia11
INSEPARABLE ACTION INC.Matters related to mental healthCalifornia11

Firms

Registrants who filed on the bill, by filings.

Lobbyists

Named on the filings that cite the bill. The 20 named most often, of 83.

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

ClientRegistrantPeriodReportedDocument
AMERICAN HOSPITAL ASSOCIATIONAMERICAN HOSPITAL ASSOCIATION2025 fourth_quarter$6.6M4th Quarter - Report
AMERICAN HOSPITAL ASSOCIATIONAMERICAN HOSPITAL ASSOCIATION2025 third_quarter$5.7M3rd Quarter - Report
AARPAARP2025 third_quarter$3.8M3rd Quarter - Report
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSNAMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN2026 first_quarter$580K1st Quarter - Report
AMERICAN PSYCHIATRIC ASSOCIATIONAMERICAN PSYCHIATRIC ASSOCIATION2025 fourth_quarter$392K4th Quarter - Report
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSNAMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN2026 second_quarter$340K2nd Quarter - Report
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSNAMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN2025 fourth_quarter$340K4th Quarter - Report
AMERICAN PSYCHIATRIC ASSOCIATIONAMERICAN PSYCHIATRIC ASSOCIATION2025 third_quarter$221.4K3rd Quarter - Report
AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSNAMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN2025 third_quarter$220K3rd Quarter - Report
AMERICAN PSYCHIATRIC ASSOCIATIONAMERICAN PSYCHIATRIC ASSOCIATION2026 first_quarter$205.8K1st Quarter - Report
AMERICAN PSYCHIATRIC ASSOCIATIONAMERICAN PSYCHIATRIC ASSOCIATION2026 second_quarter$137.4K2nd Quarter - Report
INSEPARABLE ACTION INC.INSEPARABLE ACTION INC.2026 first_quarter$60K1st Quarter - Report
OCEANS ACQUISITION, INC.THE PICARD GROUP, LLC2026 second_quarter$40K2nd Quarter - Report
SHEPPARD PRATT HEALTH SYSTEMMCALLISTER & QUINN, LLC2026 second_quarter$30K2nd Quarter - Report
SHEPPARD PRATT HEALTH SYSTEMMCALLISTER & QUINN, LLC2026 first_quarter$30K1st Quarter - Termina…
SHEPPARD PRATT HEALTH SYSTEMMCALLISTER & QUINN, LLC2025 fourth_quarter$30K4th Quarter - Report
NATIONAL LEAGUE FOR NURSINGMASON CONSULTING, LLC2026 second_quarter$29.1K2nd Quarter - Report
NATIONAL LEAGUE FOR NURSINGMASON CONSULTING, LLC2026 first_quarter$29.1K1st Quarter - Report
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERSMASON CONSULTING, LLC2026 second_quarter$24K2nd Quarter - Report
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERSMASON CONSULTING, LLC2026 first_quarter$24K1st Quarter - Report

Classification

The Congressional Research Service files H.R. 4619 under Health, one of its 31 policy areas.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 4619’s is Health.

hr4619/policy-areas.txt
HealthAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTaxationTransportation and Public WorksWater Resources Development

Constitutional authority

The clause the sponsor cites as Congress’s power to enact H.R. 4619, as entered in the Congressional Record.

[Congressional Record Volume 171, Number 125 (Tuesday, July 22, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. TONKO:H.R. 4619.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8, Clause 1[Page H3554]

Source: congress.gov · legiscan.com