IMD CARE Act
Official title: To amend title XIX of the Social Security Act to allow States to provide under Medicaid services for certain individuals with opioid use disorders in institutions for mental diseases.
| Date | Chamber | What was voted on | Result | Yes–No | |
|---|---|---|---|---|---|
| Jun 20, 2018 | House · vote #276 | On Passage | Passed | 261–155 | See who voted → |
| Jun 20, 2018 | House · vote #275 | On Motion to Recommit with Instructions | Failed | 190–226 | See who voted → |
Amendments propose changes to this bill. Members vote on amendments separately before the final bill vote. An agreed amendment becomes part of the bill; a failed amendment does not.
2 agreed to 1 pending / other
| Amendment | Sponsor | Status |
|---|---|---|
| HAMDT 795 | Fitzpatrick, Brian K. | Withdrawn |
| HAMDT 794 | – | Agreed to |
| HAMDT 793 | – | Agreed to |
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Received in the Senate and Read twice and referred to the Committee on Finance.
Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act or the IMD CARE Act
(Sec. 2) This bill temporarily allows states to apply to receive federal Medicaid payment for services provided in institutions for mental diseases (IMDs) and for other medically necessary services for enrollees (aged 21 to 64) with opioid-use or cocaine-use disorders. Services may be covered for a total of up to 30 days in a 12-month period for an eligible enrollee. States must include specified information in their applications, including plans to improve access to outpatient care.
Current law generally prohibits federal payment under Medicaid for services provided in IMDs for individuals under the age of 65 (although states may receive payment through certain mechanisms, such as through a Medicaid demonstration waiver).
(Sec. 3) Additionally, the bill temporarily eliminates the enhanced federal matching rate for Medicaid expenditures regarding specified medical services provided by certain managed care organizations.
- Engrossed in House Formatted Text PDF Formatted XML
- Introduced in House Formatted Text PDF Formatted XML
- Referred in Senate Formatted Text PDF Formatted XML
- Reported in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 5797: IMD CARE Act. 115th Congress. Open America. https://openamerica.io/bill/115-HR-5797/
"H.R. 5797: IMD CARE Act." 115th Congress, 2026, Open America, https://openamerica.io/bill/115-HR-5797/.
H.R. 5797, 115th Cong. (2026), https://openamerica.io/bill/115-HR-5797/.
[H.R. 5797: IMD CARE Act](https://openamerica.io/bill/115-HR-5797/)