LEDGER Act

House Bill

H.R. 4091

119th Congress

LEDGER Act

In Committee

Introduced:Jun 24, 2025

Primary Sponsor

Clay Higgins

Representative

Republican

LA-3

Cosponsors

3

Quick Stats

Policy Area

Health

Summary

The LEDGER Act would expand a government report on substance use disorders among Medicaid recipients to also include information about mental health conditions. It would also make this annual reporting requirement permanent, instead of expiring in 2024 under current law.

Latest Action

Referred to the Subcommittee on Health.

SponsorClay Higgins (R-LA)

Introduced6/24/2025

StatusReferred to the House Committee on Oversight and Government Reform.

ChamberHouse

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Vote Prediction

LEDGER Act

The LEDGER Act would expand a government report on substance use disorders among Medicaid recipients to also include information about mental health conditions. It would also make this annual reporting requirement permanent, instead of expiring in 2024 under c

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The LEDGER Act would expand a government report on substance use disorders among Medicaid recipients to also include information about mental health conditions. It would also make this annual reporting requirement permanent, instead of expiring in 2024 under current law.

Bill Number: 4091
Sponsor: Clay Higgins (R-LA)
Introduced: 6/24/2025
Status: Referred to the House Committee on Oversight and Government Reform.
Policy Area: Health

Data from Congress.gov

AI-generated summary

Fact Sheet

Title: LEDGER Act
Bill Number: 4091
Sponsor: Clay Higgins (R-LA)
Status: Referred to the House Committee on Oversight and Government Reform.
Introduced: 6/24/2025
Summary: The LEDGER Act would expand a government report on substance use disorders among Medicaid recipients to also include information about mental health conditions. It would also make this annual reporting requirement permanent, instead of expiring in 2024 under current law.

Data from Congress.gov

AI Summary

Plain-English explanation of this bill

The LEDGER Act would expand a government report on substance use disorders among Medicaid recipients to also include information about mental health conditions. It would also make this annual reporting requirement permanent, instead of expiring in 2024 under current law.

Last updated: 12/30/2025

Official Summary

Congressional Research Service summary

This bill expands certain reporting requirements about the prevalence of substance use disorders in the Medicaid population to include data about mental health conditions. It also makes these reporting requirements permanent.Specifically, the bill requires the Transformed Medicaid Statistical Information System (T-MSIS) Substance Use Disorder Data Book, which is published by the Department of Health and Human Services (HHS), to include information about the prevalence of mental health conditions and related treatment services among Medicaid beneficiaries. Currently, the book focuses on substance use disorders, particularly opioid use disorders, and related services.The bill also permanently requires HHS to publish this book annually. Current law requires annual publication through 2024.

Key Points

Main provisions of the bill

Expands the Transformed Medicaid Statistical Information System (T-MSIS) Substance Use Disorder Data Book to include data on mental health conditions and related treatment services for Medicaid beneficiaries.
Makes the requirement for HHS to publish this data book annually a permanent law, rather than expiring in 2024.
Aims to provide more comprehensive information about the prevalence of both substance use disorders and mental health conditions among Medicaid enrollees.

How This Impacts Americans

Potential effects on citizens and communities

If enacted, the LEDGER Act would affect Medicaid recipients nationwide by requiring the government to collect and publish more detailed data on their mental health needs, in addition to substance use disorders. This information could help policymakers, healthcare providers, and the public better understand the full scope of behavioral health challenges facing low-income Americans, potentially leading to improved treatment and support services.

Policy Areas

Primary Policy Area

Health

Related Subjects

Drug, alcohol, tobacco use

Government information and archives

Health information and medical records

Mental health

Scope & Jurisdiction

Jurisdiction Level

federal

Congressional Session

119th Congress

Citation Reference

4091, 119th Congress (2025). "LEDGER Act". Source: Voter's Right Platform. https://votersright.org/bills/118-hr-4091

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