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H.R. 4619
U.S. House•In House Committee
Summary
H.R. 4619, the Medicare Mental Health Inpatient Equity Act of 2025, was introduced in the House on Jul 22, 2025 by Rep. Paul Tonko (D) with 6 co-sponsors. It was referred to Ways And Means, and last saw action on Jul 22, 2025: Referred to the House Committee on Ways and Means.
Record
Text
H.R. 4619 has 6 co-sponsors.
hb4619/introduced-in-house.txt119 HR 4619 IH: Medicare Mental Health Inpatient Equity Act of 2025U.S. House of Representatives2025-07-22text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I 119th CONGRESS 1st Session H. R. 4619 IN THE HOUSE OF REPRESENTATIVES July 22, 2025 Mr. Tonko (for himself, Mr. Huizenga , Mr. Doggett , and Mr. Fitzpatrick ) introduced the following bill; which was referred to the Committee on Ways and Means A BILLTo amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare Program.1.Short titleThis Act may be cited as the Medicare Mental Health Inpatient Equity Act of 2025 .2.Elimination of 190-day lifetime limit on inpatient psychiatric hospital services(a)In generalSection 1812 of the Social Security Act ( 42 U.S.C. 1395d ) is amended—(1)in subsection (b)—(A)in paragraph (1), by adding or at the end;(B)in paragraph (2), by striking ; or at the end and inserting a period; and(C)by striking paragraph (3); and(2)in subsection (c), by striking (but shall not be included and all that follows before the period at the end.(b)Effective DateThe amendments made by subsection (a) shall apply to items and services furnished on or after January 1, 2027.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-07-22
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in House Jul 22, 2025
hb4619/introduced-in-house.mdShown Here:
Introduced in House (07/22/2025)
Medicare Mental Health Inpatient Equity Act of 2025
This bill removes the 190-day lifetime limit on inpatient psychiatric hospital services under Medicare.
Sponsors
Rep. Paul Tonko (D) sponsors H.R. 4619, and 6 members have co-sponsored it, 3 of them from the day it was introduced.

Rep. · D–NY-20 · Sponsor
Introduced Jul 22, 2025

Rep. · D–TX-37 · Co-sponsor
Joined Jul 22, 2025 · Original

Rep. · R–PA-1 · Co-sponsor
Joined Jul 22, 2025 · Original

Rep. · R–MI-4 · Co-sponsor
Joined Jul 22, 2025 · Original

Rep. · D–MI-13 · Co-sponsor
Joined Nov 4, 2025

Rep. · D–PA-2 · Co-sponsor
Joined Apr 27, 2026

Rep. · R–TX-1 · Co-sponsor
Joined Jul 27, 2026
Committees
H.R. 4619 went before 1 committee: Ways and Means.
Actions
H.R. 4619 has taken 2 actions since Jul 22, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Jul 22, 2025 | House | Introduced in House | ||
Jul 22, 2025 | House | Referred to the House Committee on Ways and Means.Ways and Means Committee |
Votes
H.R. 4619 has not gone to a roll call.
Related bills
1 bill is related to H.R. 4619.
Titles
H.R. 4619 goes by 3 titles, 1 of them short titles.
- Medicare Mental Health Inpatient Equity Act of 2025 — Display Title
- To amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare Program. — Official Title as Introduced
- Medicare Mental Health Inpatient Equity Act of 2025 — Short Title(s) as Introduced
Lobbying
10 clients hired 9 firms and 83 registered lobbyists who named H.R. 4619 in 25 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Budget/Appropriations, Health Issues, Medicare/Medicaid, Veterans, Education, Taxation/Internal Revenue Code, Immigration, Law Enforcement/Crime/Criminal Justice.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN PSYCHIATRIC ASSOCIATION | — | District of Columbia | 1 | 4 | — |
| AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | — | District of Columbia | 1 | 4 | — |
| NATIONAL ALLIANCE ON MENTAL ILLNESS | — | Virginia | 1 | 4 | — |
| SHEPPARD PRATT HEALTH SYSTEM | Healthcare System | Maryland | 1 | 3 | $90K |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | National professional association for pediatric nurse practitioners | New Jersey | 1 | 3 | $72K |
| NATIONAL LEAGUE FOR NURSING | National health care association | District of Columbia | 1 | 2 | $58.1K |
| AMERICAN HOSPITAL ASSOCIATION | — | District of Columbia | 1 | 2 | — |
| OCEANS ACQUISITION, INC. | Behavioral and mental health services provider | Texas | 1 | 1 | $40K |
| AARP | — | District of Columbia | 1 | 1 | — |
| INSEPARABLE ACTION INC. | Matters related to mental health | California | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| MASON CONSULTING, LLC | 2 | 5 | $130.1K |
| AMERICAN PSYCHIATRIC ASSOCIATION | 1 | 4 | — |
| AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | 1 | 4 | — |
| NATIONAL ALLIANCE ON MENTAL ILLNESS | 1 | 4 | — |
| MCALLISTER & QUINN, LLC | 1 | 3 | $90K |
| AMERICAN HOSPITAL ASSOCIATION | 1 | 2 | — |
| AARP | 1 | 1 | — |
| INSEPARABLE ACTION INC. | 1 | 1 | — |
| THE PICARD GROUP, LLC | 1 | 1 | $40K |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 83.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| GLEN MASON | 1 | 2 | 5 |
| ABIGAIL GRIFFIN | 1 | 1 | 4 |
| ANDREW STRICKLAND | 1 | 1 | 4 |
| BENJAMIN VONACHEN | 1 | 1 | 4 |
| BROOKE TRAINUM | 1 | 1 | 4 |
| DANIEL STANFORD | 1 | 1 | 4 |
| DORIS PARFAITE-CLAUDE | 1 | 1 | 4 |
| HANNAH WESOLOWSKI | 1 | 1 | 4 |
| JOANNA ROSEN | 1 | 1 | 4 |
| JULIO ABREU | 1 | 1 | 4 |
| KAREN CONWELL SMITH | 1 | 1 | 4 |
| KAREN STUDWELL | 1 | 1 | 4 |
| KATHERINE MCGUIRE | 1 | 1 | 4 |
| KENNETH POLISHCHUK | 1 | 1 | 4 |
| MAUREEN MAGUIRE | 1 | 1 | 4 |
| MICHAEL LINSKEY | 1 | 1 | 4 |
| MIKAEL TROUBH | 1 | 1 | 4 |
| REBECCA KILMER | 1 | 1 | 4 |
| SCOTT BARSTOW | 1 | 1 | 4 |
| STEFANIE REEVES | 1 | 1 | 4 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN HOSPITAL ASSOCIATION | AMERICAN HOSPITAL ASSOCIATION | 2025 fourth_quarter | $6.6M | 4th Quarter - Report |
| AMERICAN HOSPITAL ASSOCIATION | AMERICAN HOSPITAL ASSOCIATION | 2025 third_quarter | $5.7M | 3rd Quarter - Report |
| AARP | AARP | 2025 third_quarter | $3.8M | 3rd Quarter - Report |
| AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | 2026 first_quarter | $580K | 1st Quarter - Report |
| AMERICAN PSYCHIATRIC ASSOCIATION | AMERICAN PSYCHIATRIC ASSOCIATION | 2025 fourth_quarter | $392K | 4th Quarter - Report |
| AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | 2026 second_quarter | $340K | 2nd Quarter - Report |
| AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | 2025 fourth_quarter | $340K | 4th Quarter - Report |
| AMERICAN PSYCHIATRIC ASSOCIATION | AMERICAN PSYCHIATRIC ASSOCIATION | 2025 third_quarter | $221.4K | 3rd Quarter - Report |
| AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | 2025 third_quarter | $220K | 3rd Quarter - Report |
| AMERICAN PSYCHIATRIC ASSOCIATION | AMERICAN PSYCHIATRIC ASSOCIATION | 2026 first_quarter | $205.8K | 1st Quarter - Report |
| AMERICAN PSYCHIATRIC ASSOCIATION | AMERICAN PSYCHIATRIC ASSOCIATION | 2026 second_quarter | $137.4K | 2nd Quarter - Report |
| INSEPARABLE ACTION INC. | INSEPARABLE ACTION INC. | 2026 first_quarter | $60K | 1st Quarter - Report |
| OCEANS ACQUISITION, INC. | THE PICARD GROUP, LLC | 2026 second_quarter | $40K | 2nd Quarter - Report |
| SHEPPARD PRATT HEALTH SYSTEM | MCALLISTER & QUINN, LLC | 2026 second_quarter | $30K | 2nd Quarter - Report |
| SHEPPARD PRATT HEALTH SYSTEM | MCALLISTER & QUINN, LLC | 2026 first_quarter | $30K | 1st Quarter - Termina… |
| SHEPPARD PRATT HEALTH SYSTEM | MCALLISTER & QUINN, LLC | 2025 fourth_quarter | $30K | 4th Quarter - Report |
| NATIONAL LEAGUE FOR NURSING | MASON CONSULTING, LLC | 2026 second_quarter | $29.1K | 2nd Quarter - Report |
| NATIONAL LEAGUE FOR NURSING | MASON CONSULTING, LLC | 2026 first_quarter | $29.1K | 1st Quarter - Report |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | MASON CONSULTING, LLC | 2026 second_quarter | $24K | 2nd Quarter - Report |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | MASON CONSULTING, LLC | 2026 first_quarter | $24K | 1st Quarter - Report |
Classification
The Congressional Research Service files H.R. 4619 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 4619’s is Health.
hr4619/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 4619, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 125 (Tuesday, July 22, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. TONKO:H.R. 4619.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8, Clause 1[Page H3554]
Source: congress.gov · legiscan.com
