H.R. 4091House118th Congress (2023-2025)In Committee

To amend the SUPPORT for Patients and Communities Act to expand required reports on T-MSIS substance use disorder data to include mental health condition data.

AI-Generated Summary

Updated January 20, 2026 at 8:58 AM UTC

The bill amends the SUPPORT for Patients and Communities Act to require that the Transformed Medicaid Statistical Information System (T‑MSIS) reports on substance‑use‑disorder data also include information on mental‑health conditions and related treatment services. This expands the data collection and reporting obligations of federal agencies that track Medicaid health information. The changes become effective for the first reporting update made at least 12 months after the law is enacted.

Key Provisions

Amends Section 1015(a) to add “mental health condition” and “mental health treatment services” alongside substance‑use‑disorder categories in the required T‑MSIS reports.
Deletes the “through 2024” deadline, making the expanded reporting requirement ongoing.
Specifies that the new reporting requirements apply starting with the first update after 12 months from the enactment date.

Legislative Activity

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2 earlier actions

HouseCommittee Latest Action

Referred to the Subcommittee on Health.

Health Subcommittee

June 16, 2023

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HouseIntro Referral

Introduced in House

June 14, 2023

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

June 14, 2023

HouseCommittee

Referred to the Subcommittee on Health.

Health Subcommittee

June 16, 2023

Bill Text

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Introduced in HouseIssued June 14, 2023

118th CONGRESS

1st Session

H. R. 4091

IN THE HOUSE OF REPRESENTATIVES

June 14, 2023

Mr. Valadao (for himself and Mr. Robert Garcia of California) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend the SUPPORT for Patients and Communities Act to expand required reports on T–MSIS substance use disorder data to include mental health condition data.

Expanding required reports on T–MSIS substance use disorder data to include mental health condition data

(a)

In general

Section 1015(a) of the SUPPORT for Patients and Communities Act (42 U.S.C. 1320d–2 note) is amended—

(1)

in paragraph (2)—

(A)

in the matter preceding subparagraph (A), by inserting , including as updated in accordance with paragraph (3), after paragraph (1);

(B)

in subparagraph (A), by inserting or mental health condition after substance use disorder;

(C)

in subparagraph (B), by inserting and mental health treatment services after substance use disorder treatment services;

(D)

in subparagraph (C)—

(i)

by inserting or mental health condition after substance use disorder diagnosis; and

(ii)

by inserting or mental health treatment services, respectively, after substance use disorder treatment services;

(E)

in subparagraph (D), by inserting or mental health condition after substance use disorder diagnosis;

(F)

in subparagraph (E), by inserting or mental health treatment after substance use disorder treatment; and

(G)

in subparagraph (F), by inserting , and individuals with a mental health condition who receive mental health treatment services, after substance use disorder treatment services; and

(2)

in paragraph (3), by striking through 2024.

(b)

Application

The amendments made by subsection (a)(1) shall apply beginning with respect to the first update made pursuant to section 1015(a)(3) of the SUPPORT for Patients and Communities Act (42 U.S.C. 1320d–2 note) after the date that is 12 months after the date of the enactment of this Act.