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HR 4327 99th Congress House Social Welfare Ambulatory care Community health services Disabled Health Health facilities Home care services Hospitals Medicaid Medicare Mental health Mental health services Mentally handicapped Mentally ill Social security eligibility Supplemental security income program

Social Security Act Mental Health Amendments of 1986

Introduced: March 5, 1986 See on congress.gov
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This bill died when the 99th Congress ended
It never became law before the 99th Congress (1985–1986) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 6 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Mar 13, 1986
Referred to Subcommittee on Health and the Environment.
Mar 11, 1986
Referred to Subcommittee on Public Assistance and Unemployment Compensation.
Mar 11, 1986
Referred to Subcommittee on Health.
Mar 5, 1986
Referred to House Committee on Ways and Means.
Mar 5, 1986
Referred to House Committee on Energy and Commerce.
Mar 5, 1986
Introduced in House
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 Plain-English summary Congressional Research Service

Social Security Act Mental Health Amendments of 1986 - Amends titles XVI (Supplemental Security Income), XVIII (Medicare), and XIX (Medicaid) of the Social Security Act to provide benefits for chronically mentally ill individuals.

Requires State plans under title XIX to include case management services and home and community-based services for such individuals. Requires any hospital receiving funds under titles XVIII or XIX to have a case plan established for, and a case manager assigned to such individuals prior to their discharge.

Treats certain chronically mentally ill individuals about to be discharged from an institution as presumptively disabled for purposes of title XVI. Extends the period during which certain institutionalized mentally ill may receive SSI benefits if such individuals are expected to return home upon discharge.

Provides Medicaid coverage for certain SSI recipients who are chronically mentally ill and would be institutionalized but for such coverage. Preserves the eligibility of such individuals for SSI benefits for the period during which they are in transitional living facilities.

Repeals limits on coverage of outpatient services relating to mental illness under part B (Supplementary Medical Insurance) of Medicare.

What's happening now March 13, 1986

Referred to Subcommittee on Health and the Environment.

 Committees of jurisdiction 5
 Cosponsors 1
All 1 Democratic 1
D
Kaptur, Marcy
Ohio · Apr 17, 1986
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4327: Social Security Act Mental Health Amendments of 1986. 99th Congress. Open America. https://openamerica.io/bill/99-HR-4327/
MLA
"H.R. 4327: Social Security Act Mental Health Amendments of 1986." 99th Congress, 2026, Open America, https://openamerica.io/bill/99-HR-4327/.
Bluebook (legal)
H.R. 4327, 99th Cong. (2026), https://openamerica.io/bill/99-HR-4327/.
Markdown link
[H.R. 4327: Social Security Act Mental Health Amendments of 1986](https://openamerica.io/bill/99-HR-4327/)
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