Supporting 9–8–8 Crisis Stabilization Act
Latest action (3 Sep 2026): Introduced
What this bill does
H.R. 10270, the Supporting 9-8-8 Crisis Stabilization Act, would amend Medicaid law to narrow the "institution for mental diseases" (IMD) exclusion, which currently limits federal Medicaid funding for certain inpatient mental health facilities. The bill specifies that certified community behavioral health clinics, qualifying community mental health centers, and two newly defined facility types—crisis receiving and stabilization facilities and mental health and substance use urgent care facilities—would no longer count as IMDs. Crisis stabilization facilities must operate 24/7, provide observation, assessment, and stabilization services within set time frames, accept referrals from law enforcement and others, avoid denying care based on ability to pay or other factors, and keep average stays under 150 hours.
This change primarily affects Medicaid beneficiaries experiencing mental health or substance use crises, as well as states, providers, and law enforcement agencies that interact with the crisis response system. By excluding these facilities from the IMD definition, Medicaid could help cover their costs, potentially expanding access to crisis care and offering alternatives to emergency rooms, psychiatric hospitalization, or arrest. The bill also requires HHS to issue implementation guidance within 180 days and to report to Congress within a year on facility utilization and effects on hospitalizations, readmissions, and incarceration rates.
The bill was introduced on September 3, 2026, by Rep. Dan Goldman and referred to the House Committee on Energy and Commerce. It has not yet received committee action, and would need to pass the House, Senate, and be signed into law before taking effect.
Plain-English summary generated by Bill100 AI from the official record. Always verify against the source below.
Official summary
This bill is in the first stage of the legislative process. It was introduced into Congress on September 3, 2026. It will typically be considered by committee next before it is possibly sent on to the House or Senate as a whole.
Common questions
- What does H.R. 10270 do?
- H.R. 10270, the Supporting 9-8-8 Crisis Stabilization Act, would amend Medicaid law to narrow the "institution for mental diseases" (IMD) exclusion, which currently limits federal Medicaid funding for certain inpatient mental health facilities. The bill specifies that certified community behavioral health clinics, qualifying community mental health centers, and two newly defined facility types—crisis receiving and stabilization facilities and mental health and substance use urgent care facilities—would no longer count as IMDs. Crisis stabilization facilities must operate 24/7, provide observation, assessment, and stabilization services within set time frames, accept referrals from law enforcement and others, avoid denying care based on ability to pay or other factors, and keep average stays under 150 hours. This change primarily affects Medicaid beneficiaries experiencing mental health or substance use crises, as well as states, providers, and law enforcement agencies that interact with the crisis response system. By excluding these facilities from the IMD definition, Medicaid could help cover their costs, potentially expanding access to crisis care and offering alternatives to emergency rooms, psychiatric hospitalization, or arrest. The bill also requires HHS to issue implementation guidance within 180 days and to report to Congress within a year on facility utilization and effects on hospitalizations, readmissions, and incarceration rates. The bill was introduced on September 3, 2026, by Rep. Dan Goldman and referred to the House Committee on Energy and Commerce. It has not yet received committee action, and would need to pass the House, Senate, and be signed into law before taking effect.
- Has H.R. 10270 become law?
- Not yet. As of 3 Sep 2026, H.R. 10270 is introduced.
- Who sponsored H.R. 10270?
- H.R. 10270 was sponsored by Rep. Dan Goldman [D-NY10] (Democrat-NY), with 5 cosponsors.
- What's the latest action on H.R. 10270?
- Introduced (3 Sep 2026).
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Expressing support for the designation of the week of September 13 to 19, 2026, as “National Co-Responder and Crisis Clinician Week”.
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