Michelle Alyssa Go Act
Summary
The Michelle Alyssa Go Act aims to amend Title XIX of the Social Security Act, specifically concerning the definition of "institution for mental diseases" under Medicaid. The bill proposes excluding institutions with 36 beds or less from this definition, provided they meet certain standards.
These standards include nationally recognized, evidence-based criteria for mental health and substance use disorder programs, as approved by the Secretary. The goal is to allow smaller mental health facilities to be eligible for Medicaid funding, potentially increasing access to care.
The act stipulates that the amendments will take effect 180 days after enactment and apply to state plans starting on that date.
Expected Effects
The primary effect of this bill would be to broaden the scope of Medicaid coverage for mental health services provided in smaller facilities. By excluding institutions with 36 beds or less from the strict definition of "institution for mental diseases," these facilities could become eligible for Medicaid reimbursement.
This could lead to increased availability of mental health services, particularly in areas where larger institutions are less accessible. It may also incentivize the development of more community-based mental health treatment options.
Potential Benefits
- Increased access to mental health services, especially in underserved areas.
- Potential for more personalized and community-based mental health care.
- Greater flexibility for states in designing their Medicaid programs.
- Incentivizes smaller facilities to adhere to nationally recognized standards.
- May reduce the stigma associated with seeking mental health treatment.
Potential Disadvantages
- Potential for inconsistent application of standards across different states.
- Risk of inadequate oversight of smaller facilities, potentially compromising quality of care.
- Possible increase in Medicaid costs if not managed effectively.
- Challenges in ensuring that all facilities meet the required evidence-based standards.
- May not address the underlying causes of mental illness or substance use disorders.
Constitutional Alignment
The bill appears to align with the General Welfare Clause of the U.S. Constitution (Preamble), as it aims to promote the well-being of individuals with mental health needs by expanding access to treatment. Congress has the power to enact laws necessary and proper for carrying out its enumerated powers (Article I, Section 8), and this bill falls under that purview as it relates to healthcare and social welfare programs.
Furthermore, the bill does not appear to infringe upon any specific individual rights or liberties protected by the Constitution or its amendments. It is within the power of Congress to regulate healthcare through the Social Security Act.
Impact Assessment: Things You Care About ⓘ
This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).