US Federal 2025-2026 Regular Session

US Federal House Bill HB5462

Introduced
9/18/25  

Caption

Michelle Alyssa Go Act

Impact

The implications of HB 5462 could be significant for state laws governing mental health treatment and Medicaid eligibility. By redefining the criteria for what constitutes an institution for mental diseases, the bill has the potential to increase the number of facilities eligible for Medicaid funding. This change may facilitate a more diverse array of treatment options for individuals with mental illnesses, especially in areas where larger facilities are not feasible or accessible.

Summary

House Bill 5462, also known as the 'Michelle Alyssa Go Act', aims to amend title XIX of the Social Security Act by revising the definition of an 'institution for mental diseases' under the Medicaid program. The bill proposes to exclude institutions with 36 beds or fewer from this definition, provided these institutions meet certain nationally recognized, evidence-based standards. This amendment seeks to improve access to mental health care by reducing regulatory barriers for smaller facilities that can deliver critical services in a community-based setting.

Contention

Despite its potential benefits, the bill may face contention regarding the adequacy of the standards that smaller facilities must meet. Critics may argue that easing restrictions on smaller institutions could compromise the quality of care and oversight necessary for treating individuals with severe mental health disorders and substance use issues. Additionally, there may be concerns surrounding the sustainability and financial viability of these smaller institutions compared to larger, more established facilities.

Discussion

Overall, HB 5462 reflects a growing recognition of the need for flexible approaches to mental health care that prioritize accessibility. In discussions surrounding the bill, lawmakers may need to weigh the benefits of increased availability of care against the necessity of maintaining high-quality standards across all settings.

Companion Bills

No companion bills found.

Previously Filed As

US HR589

Au, Dr. Michelle; commend

US HB5491

Nelson Wells Jr. and Dawn Michelle Hunt Unjustly Detained in Communist China Act

US HR560

Au, Dr. Michelle; commend

US SCR81

Requests President and Congress take action to permit federal Medicaid funding for certain substance use disorder programs.

US HB2223

Building Capacity for Care Act

US HB7535

Second Chance Mental Health Access Act of 2026

US HB1554

Medicaid; exempt Medicare-certified long-term acute hospitals from hospital assessment.

US PR26-0667

Board of Zoning Adjustment Michelle Pourciau Confirmation Resolution of 2026

US SB2695

Medicare certified long-term acute care hospitals; exempt from the hospital provider assessment subject to approval by CMS.

US HB2487

Transgender Health Care Access Act

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