Access to Claims Data Act

House Bill

H.R. 4331

119th Congress

Access to Claims Data Act

In Committee

Introduced:Jul 10, 2025

Primary Sponsor

Daniel S. Goldman

Representative

Democratic

NY-10

Cosponsors

1

Quick Stats

Policy Area

Health

Summary

This bill would allow state Medicaid programs to cover more intensive mental health services for adults with serious mental illnesses. This includes things like 24/7 treatment teams, employment support, peer support, crisis intervention, and housing assistance - all aimed at improving outcomes and preventing issues like homelessness, hospitalization, and involvement in the criminal justice system.

Latest Action

Referred to the Subcommittee on Health.

SponsorDaniel S. Goldman (D-NY)

Introduced7/10/2025

StatusReferred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means

ChamberHouse

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Vote Prediction

Access to Claims Data Act

This bill would allow state Medicaid programs to cover more intensive mental health services for adults with serious mental illnesses. This includes things like 24/7 treatment teams, employment support, peer support, crisis intervention, and housing assistance

Community Breakdown

Pass

0%

Fail

0%

0 predictions

This bill would allow state Medicaid programs to cover more intensive mental health services for adults with serious mental illnesses. This includes things like 24/7 treatment teams, employment support, peer support, crisis intervention, and housing assistance - all aimed at improving outcomes and preventing issues like homelessness, hospitalization, and involvement in the criminal justice system.

Bill Number: 4331
Sponsor: Daniel S. Goldman (D-NY)
Introduced: 7/10/2025
Status: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means
Policy Area: Health

Data from Congress.gov

AI-generated summary

Fact Sheet

Title: Access to Claims Data Act
Bill Number: 4331
Sponsor: Daniel S. Goldman (D-NY)
Status: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means
Introduced: 7/10/2025
Summary: This bill would allow state Medicaid programs to cover more intensive mental health services for adults with serious mental illnesses. This includes things like 24/7 treatment teams, employment support, peer support, crisis intervention, and housing assistance - all aimed at improving outcomes and p

Data from Congress.gov

AI Summary

Plain-English explanation of this bill

This bill would allow state Medicaid programs to cover more intensive mental health services for adults with serious mental illnesses. This includes things like 24/7 treatment teams, employment support, peer support, crisis intervention, and housing assistance - all aimed at improving outcomes and preventing issues like homelessness, hospitalization, and involvement in the criminal justice system.

Last updated: 12/30/2025

Official Summary

Congressional Research Service summary

Strengthening Medicaid for Serious Mental Illness ActThis bill allows state Medicaid programs to cover intensive community-based services for adults with serious mental illnesses.Specifically, states may provide for coverage of services that include (1) treatment services that are available 24/7, involve multidisciplinary care teams, and that are designed to improve outcomes for adults with mental illnesses who are at high risk of homelessness, psychiatric crisis, or hospitalization or who are involved in the criminal justice system (i.e., assertive community treatment); (2) employment support; (3) peer support; (4) community-based mobile crisis intervention services; (5) intensive case management; and (6) housing support.The bill provides funds for state planning grants with respect to such coverage. It also provides for an enhanced federal matching rate, also known as the Federal Medical Assistance Percentage (FMAP), for such services.

Key Points

Main provisions of the bill

Allows state Medicaid programs to cover intensive community-based mental health services for adults with serious mental illnesses
Covers treatment teams, employment support, peer support, crisis intervention, case management, and housing assistance
Provides funds for state planning grants and an enhanced federal matching rate for these services
Designed to improve outcomes and prevent issues like homelessness, hospitalization, and criminal justice involvement
Aims to strengthen the mental health support available through the Medicaid program

How This Impacts Americans

Potential effects on citizens and communities

If passed, this bill would expand the mental health services available to low-income adults with serious mental illnesses through Medicaid. It would make it easier for these individuals to access comprehensive, intensive support in their communities, which could significantly improve their quality of life and prevent more serious issues. This could positively impact hundreds of thousands of Medicaid enrollees struggling with serious mental health conditions.

Policy Areas

Primary Policy Area

Health

Related Subjects

Congressional oversight

Government information and archives

Health information and medical records

Intergovernmental relations

Medicaid

Mental health

State and local finance

State and local government operations

Scope & Jurisdiction

Jurisdiction Level

federal

Congressional Session

119th Congress

Citation Reference

4331, 119th Congress (2025). "Access to Claims Data Act". Source: Voter's Right Platform. https://votersright.org/bills/118-hr-4331

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