Michelle Alyssa Go Act

HR 5462, the Michelle Alyssa Go Act, changes Medicaid rules to exclude small mental health facilities with 36 beds or fewer from the definition of "institution for mental diseases" if they meet specific national standards. This directly affects small mental health and substance use disorder treatment facilities (36 beds or less) that comply with evidence-based standards for services, care hours, staffing, and clinical programs. The bill modifies Medicaid funding eligibility by removing these small facilities from the restrictive "institution" category, allowing them to remain eligible for Medicaid coverage under state plans. The change takes effect 180 days after the law is enacted, applying to all state Medicaid plans starting then.