Medicaid now must pay for mental health and primary care on same day
H.R. 9847 — Improving CARE for Youth Act · Filed by Neal Dunn (R-FL) · 2 cosponsors · Introduced Jul 22, 2026 · Referred to committee
Your members of Congress
Enter a ZIP to see where your representative and both senators stood on this bill.
Looked up on this device — your ZIP is never stored on our servers.
What it does
This bill amends Medicaid to require states to pay for mental health, substance use disorder, and primary care services when they are delivered on the same day by the same facility or provider network. Currently, some state Medicaid programs may deny or reduce payment for these services if delivered together on the same day; this bill prohibits that practice and ensures patients can receive coordinated care without losing coverage.
Why we flagged it
The bill's core function is to mandate Medicaid payment for integrated same-day mental health, substance use, and primary care services. It is a straightforward coverage and payment policy with no hidden riders or narrow beneficiaries.
What the text implies
- May increase Medicaid expenditures if states were previously denying same-day service bundles; however, this reflects removal of a coverage gap rather than new spending.
- Incentivizes co-location and integration of mental health, substance use, and primary care services within single facilities, potentially reshaping provider networks and care delivery models.
The full analysis lists 3 implications of this text.
Who stands to gain
Federally qualified health centers (FQHCs); Rural health clinics; Physician practices and outpatient facilities offering integrated care