The Rural Emergency Hospital Designation Improvement Act expands Medicaid coverage for services provided by rural emergency hospitals and allows these facilities to offer additional inpatient units for psychiatric, rehabilitation, and obstetric care. It also creates a pathway for existing facilities that operate similarly to rural emergency hospitals to convert their status by waiving certain requirements, while permitting them to provide skilled nursing "swing bed" services under specific agreements.
To support financial sustainability, the bill increases Medicare payments for diagnostic laboratory tests performed at these hospitals by 5 percent starting in 2027 and ensures that facilities reverting to critical access hospital status can regain their necessary provider designation. Additionally, the legislation designates rural emergency hospitals as health professional shortage areas to facilitate National Health Service Corps placements and includes them in the Small Rural Hospital Improvement Program grant eligibility.
The 9-8-8 Community Infrastructure Act authorizes $1 billion in grants for capital projects at health centers and crisis response facilities. Eligible recipients include federally funded health centers, tribal organizations, and specialized non-hospital facilities that provide 24/7 mental health and substance use crisis services. Funds may be used for construction, renovation, expansion, or loan repayment to improve these infrastructure sites. The bill specifically defines eligible crisis facilities as those offering stabilization beds, sliding-scale payment options, and no-wrong-door admission without rejecting patients based on ability to pay or other factors.
The 9-8-8 Crisis Response Act expands federal funding for mental health crisis response and broadens Medicaid coverage to include regional lifeline call centers and crisis stabilization facilities. The bill increases the annual budget for the Mental Health Crisis Response Partnership Pilot Program from $10 million to $100 million for fiscal years 2027 through 2029. It also allows states to use Medicaid funds to pay for these new services, with the federal government covering 85 percent of the costs. To qualify, crisis stabilization facilities must provide 24-hour care without rejecting patients based on their ability to pay or other factors, and they must maintain an average patient stay of less than 150 hours.
The Supporting 9-8-8 Crisis Stabilization Act amends Medicaid rules to allow federal funding for specific community-based mental health facilities that were previously excluded from coverage. It defines two new types of eligible sites: crisis receiving and stabilization facilities, which must operate 24/7 with an average stay under 150 hours, and mental health and substance use urgent care centers where individuals can walk in without an appointment. These facilities are required to accept referrals from law enforcement and emergency personnel while prohibiting service denials based on factors like ability to pay or criminal justice history. The bill also directs the Department of Health and Human Services to issue implementation guidance within 180 days and submit a report to Congress one year later analyzing how these changes affect hospital admissions, incarceration rates, and overall crisis response utilization.
The MORE Savings Act aims to reduce financial barriers for individuals seeking treatment for opioid use disorders by eliminating out-of-pocket costs for specific services. For Medicare beneficiaries, it establishes a five-year pilot program in 15 selected states that removes coinsurance, copayments, and deductibles for prescription drugs, behavioral health care, and community recovery support. Additionally, the bill mandates that private group health plans and individual insurance policies cover these same opioid treatments without cost-sharing requirements starting in 2027. Finally, it increases the federal funding match to 90 percent for states providing medication-assisted treatment through Medicaid and allows states to include recovery support services in this coverage.
The Behavioral Health Crisis Services Expansion Act of 2026 mandates that Medicare, Medicaid, and most private health insurance plans cover mental health and substance use crisis response services for individuals experiencing acute episodes. These covered services include care provided by mobile crisis teams, urgent care facilities, and stabilization centers that offer short-term observation without rejecting patients based on their ability to pay or other factors. The legislation also requires ambulance providers to transport individuals in crisis to appropriate facilities and extends coverage requirements to TRICARE, veterans' benefits, federal employee health plans, and the Children's Health Insurance Program. These new coverage mandates generally take effect three years after the bill is enacted, with specific provisions ensuring that financial restrictions on these services are no more severe than those applied to standard medical care.
The Vet CENTERS for Mental Health Act of 2026 requires the Secretary of Veterans Affairs to ensure that every state meets a specific minimum number of mental health treatment centers within one year of enactment. For states in the contiguous United States, this minimum is calculated as the greater of one center per 30,000 square miles of land or one center per 55,000 veterans based on census data. Non-contiguous states and territories must maintain at least one center or match their existing count from January 1, 2020, whichever is higher. To achieve these targets, the Secretary may open new facilities using buildings provided by state, local, or tribal governments, and can establish outstations in place of full centers if multiple additional sites are needed in a single state.
The 9-8-8 Implementation Act of 2026 expands federal funding and mandates insurance coverage for behavioral health crisis services, directly affecting individuals experiencing mental health or substance use emergencies as well as the providers who serve them. The bill authorizes grants to upgrade local lifeline call centers, build new crisis stabilization facilities, and train a larger workforce of behavioral health professionals. It requires Medicare, Medicaid, private group health plans, TRICARE, and other federal insurance programs to cover crisis response services with financial terms no more restrictive than standard medical care. Additionally, the legislation establishes a federal panel to develop training protocols for 9-1-1 dispatchers to better connect callers to appropriate crisis care rather than law enforcement responses.
The Public Transit Mental Health Awareness Act requires public transit agencies that receive federal assistance to display information about the national suicide prevention hotline in areas visible to passengers. This information must state that the service is free, confidential, and available around the clock. Agencies can meet this requirement by placing the notice on all their vehicles or in all their transit facilities, provided it does not block existing revenue-generating advertising space. The law includes a provision allowing agencies to remain compliant if they make reasonable efforts to restore displays that are damaged or removed, with the mandate taking effect one year after enactment.
This Pennsylvania Senate Resolution designates September 28, 2026, as "Green Star Veterans and Families Day" to honor veterans who died by suicide in connection with their military service. The bill formally recognizes the Green Star Service Banner as a symbol of remembrance for these individuals. It aims to acknowledge the resilience of the families left behind and raise public awareness about the mental health challenges and suicide crisis affecting veterans.
