MONARCH Act of 2025

Senate Bill

S. 2128

119th Congress

MONARCH Act of 2025

In Committee

Introduced:Jun 18, 2025

Primary Sponsor

Kirsten Gillibrand

D - NY

Cosponsors

0

Quick Stats

Policy Area

Health

Summary

The MONARCH Act of 2025 would allow states to use Medicaid funds to provide expanded mental health services for adults with serious mental illnesses. This includes services like 24/7 treatment teams, job support, peer counseling, and housing assistance to help people stay healthy and avoid hospitalization or involvement in the criminal justice system.

Latest Action

Read twice and referred to the Committee on Finance.

Introduced6/18/2025

StatusRead twice and referred to the Committee on Environment and Public Works.

ChamberSenate

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Vote Prediction

MONARCH Act of 2025

The MONARCH Act of 2025 would allow states to use Medicaid funds to provide expanded mental health services for adults with serious mental illnesses. This includes services like 24/7 treatment teams, job support, peer counseling, and housing assistance to help

Community Breakdown

Pass

0%

Fail

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0 predictions

The MONARCH Act of 2025 would allow states to use Medicaid funds to provide expanded mental health services for adults with serious mental illnesses. This includes services like 24/7 treatment teams, job support, peer counseling, and housing assistance to help people stay healthy and avoid hospitalization or involvement in the criminal justice system.

Bill Number: 2128
Introduced: 6/18/2025
Status: Read twice and referred to the Committee on Environment and Public Works.
Policy Area: Health

Data from Congress.gov

AI-generated summary

Fact Sheet

Title: MONARCH Act of 2025
Bill Number: 2128
Sponsor: No sponsor
Status: Read twice and referred to the Committee on Environment and Public Works.
Introduced: 6/18/2025
Summary: The MONARCH Act of 2025 would allow states to use Medicaid funds to provide expanded mental health services for adults with serious mental illnesses. This includes services like 24/7 treatment teams, job support, peer counseling, and housing assistance to help people stay healthy and avoid hospitali

Data from Congress.gov

AI Summary

Plain-English explanation of this bill

The MONARCH Act of 2025 would allow states to use Medicaid funds to provide expanded mental health services for adults with serious mental illnesses. This includes services like 24/7 treatment teams, job support, peer counseling, and housing assistance to help people stay healthy and avoid hospitalization or 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 states to use Medicaid funds for intensive community-based mental health services, like 24/7 treatment teams and job/housing support
Aims to improve outcomes for adults with serious mental illnesses who are at high risk of homelessness, crisis, or incarceration
Provides state planning grants and an enhanced federal funding match to encourage states to expand these services

How This Impacts Americans

Potential effects on citizens and communities

If passed, this bill would help expand access to comprehensive mental health support for adults with serious mental illnesses, particularly those who are vulnerable to homelessness, repeated hospitalization, or involvement in the criminal justice system. This could lead to better health outcomes, reduced strain on emergency services, and more stability for these individuals and their communities.

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

2128, 119th Congress (2025). "MONARCH Act of 2025". Source: Voter's Right Platform. https://votersright.org/bills/118-s-2128

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