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H.R. 5217
U.S. House•In House Committee
Summary
H.R. 5217, the Rural Behavioral Health Improvement Act of 2025, was introduced in the House on Sep 8, 2025 by Rep. Jill Tokuda (D) with 23 co-sponsors. It was referred to Energy And Commerce, and last saw action on Sep 8, 2025: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Record
Text
H.R. 5217 has 23 co-sponsors.
hb5217/introduced-in-house.txt119 HR 5217 IH: Rural Behavioral Health Improvement Act of 2025U.S. House of Representatives2025-09-08text/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. 5217 IN THE HOUSE OF REPRESENTATIVES September 8, 2025 Ms. Tokuda (for herself, Mr. Mann , Mr. Zinke , Mr. Ciscomani , Mr. Johnson of Georgia , Mr. Fields , Mr. Mannion , Mr. Thompson of Mississippi , Mr. Costa , Mr. Baird , Mr. Graves , Mr. Valadao , Mr. Pappas , Ms. Boebert , and Mr. Smith of Nebraska ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILLTo amend title XVIII of the Social Security Act to remove certain limitations on the delivery of behavioral health services at rural health clinics under the Medicare program.1.Short titleThis Act may be cited as the Rural Behavioral Health Improvement Act of 2025 .2.Exception to behavioral health limitation(a)In generalSection 1861(aa)(2) of the Social Security Act ( 42 U.S.C. 1395x(aa)(2) ) is amended, in the first sentence in the matter following subparagraph (K), by striking or a facility which is primarily for the care and treatment of mental diseases .(b)Effective dateThe amendment made by subsection (a) shall apply beginning January 1, 2027.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-09-08
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To amend title XVIII of the Social Security Act to remove certain limitations on the delivery of behavioral health services at rural health clinics under the Medicare program.
Sponsors
Rep. Jill Tokuda (D) sponsors H.R. 5217, and 23 members have co-sponsored it, 14 of them from the day it was introduced.

Rep. · D–HI-2 · Sponsor
Introduced Sep 8, 2025

Rep. · R–IN-4 · Co-sponsor
Joined Sep 8, 2025 · Original

Rep. · R–CO-4 · Co-sponsor
Joined Sep 8, 2025 · Original

Rep. · R–AZ-6 · Co-sponsor
Joined Sep 8, 2025 · Original

Rep. · D–CA-21 · Co-sponsor
Joined Sep 8, 2025 · Original

Rep. · D–LA-6 · Co-sponsor
Joined Sep 8, 2025 · Original

Rep. · R–MO-6 · Co-sponsor
Joined Sep 8, 2025 · Original

Rep. · D–GA-4 · Co-sponsor
Joined Sep 8, 2025 · Original

Rep. · D–NY-22 · Co-sponsor
Joined Sep 8, 2025 · Original

Rep. · R–KS-1 · Co-sponsor
Joined Sep 8, 2025 · Original
Committees
H.R. 5217 went before 2 committees: Ways and Means and Energy and Commerce.
Actions
H.R. 5217 has taken 2 actions since Sep 8, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Sep 8, 2025 | House | Introduced in House | ||
Sep 8, 2025 | House | Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.Energy and Commerce Committee |
Votes
H.R. 5217 has not gone to a roll call.
Titles
H.R. 5217 goes by 3 titles, 1 of them short titles.
- Rural Behavioral Health Improvement Act of 2025 — Display Title
- Rural Behavioral Health Improvement Act of 2025 — Short Title(s) as Introduced
- To amend title XVIII of the Social Security Act to remove certain limitations on the delivery of behavioral health services at rural health clinics under the Medicare program. — Official Title as Introduced
Lobbying
6 clients hired 5 firms and 27 registered lobbyists who named H.R. 5217 in 19 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, Education, Veterans, Taxation/Internal Revenue Code, Immigration, Labor Issues/Antitrust/Workplace.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | — | Michigan | 1 | 5 | $500K |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | — | Virginia | 1 | 4 | — |
| AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | — | District of Columbia | 1 | 4 | — |
| NATIONAL LEAGUE FOR NURSING | National health care association | District of Columbia | 1 | 2 | $58.1K |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | National professional association for pediatric nurse practitioners | New Jersey | 1 | 2 | $48K |
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | — | Maryland | 1 | 2 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| CAPITOL ASSOCIATES, INC. | 1 | 5 | $500K |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 1 | 4 | — |
| AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN | 1 | 4 | — |
| MASON CONSULTING, LLC | 2 | 4 | $106.1K |
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | 1 | 2 | — |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 27.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| MAUREEN SULLIVAN | 1 | 1 | 5 |
| NATHANIEL BAUGH | 1 | 1 | 5 |
| SARAH HOHMAN | 1 | 1 | 5 |
| ADAM HORGAN | 1 | 1 | 4 |
| ANDREA BERGMAN | 1 | 1 | 4 |
| ANDREW STRICKLAND | 1 | 1 | 4 |
| BENJAMIN VONACHEN | 1 | 1 | 4 |
| DORIS PARFAITE-CLAUDE | 1 | 1 | 4 |
| FRANKLIN HARRINGTON | 1 | 1 | 4 |
| GLEN MASON | 1 | 2 | 4 |
| JESSICA TALBERT | 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 |
| MARYANNE SAPIO | 1 | 1 | 4 |
| SCOTT BARSTOW | 1 | 1 | 4 |
| STEFANIE REEVES | 1 | 1 | 4 |
| SERENA DAVILA | 1 | 1 | 3 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| 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 ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2025 fourth_quarter | $550K | 4th Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2026 second_quarter | $400K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2026 first_quarter | $400K | 1st Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2025 third_quarter | $380K | 3rd 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 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 ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | 2026 first_quarter | $110K | 1st Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2026 second_quarter | $100K | 2nd Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2026 first_quarter | $100K | 1st Quarter - Amendme… |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2026 first_quarter | $100K | 1st Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2025 fourth_quarter | $100K | 4th Quarter - Report |
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | 2025 fourth_quarter | $100K | 4th Quarter - Report |
| NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS | CAPITOL ASSOCIATES, INC. | 2025 third_quarter | $100K | 3rd 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. 5217 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 5217’s is Health.
hr5217/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 5217, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 146 (Monday, September 8, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Ms. TOKUDA:H.R. 5217.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8, Clauses 1 and 18 of the United StatesConstitution.[Page H3894]
Source: congress.gov · legiscan.com