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WASHINGTON, DC—Representatives Paul D. Tonko (D-NY-20) and Bill Huizenga (R-MI-4) today reintroduced the Medicare Mental Health Inpatient Equity Act, bipartisan legislation that would improve care for millions of America’s seniors by permanently repealing the Medicare 190-day lifetime limit for inpatient psychiatric care. No such limit exists for any other Medicare inpatient health care service.

“Mental illness should be treated like any other illness, but stigma continues to limit equal, quality care — too often with dire consequences,” Congressman Tonko said. “Currently, Medicare feeds into this longstanding prejudice, setting an arbitrary cap unique to mental health care that limits treatment and provides gaps in care for seniors. We’re reintroducing our Medicare Mental Health Inpatient Equity Act to remove this unjust 190-day limit. I urge my colleagues to join us in standing up for seniors and ensuring they are supported with the quality care they need and deserve.”

“Mental health policies must be modernized to answer the growing needs of the 21st century,” Congressman Huizenga said. “I am proud to help lead on this issue with bipartisan legislation to modernize Medicare policies and bring them in line with the higher standards used by the State of Michigan and private sector. Hopefully this bipartisan bill can help provide a roadmap for additional mental health reforms and challenges Congress must address."

Today, despite the enactment of the landmark Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, Medicare continues to discriminate against seniors with mental illnesses. The 190-day limit in care disproportionately harms individuals who receive Medicare coverage earlier in life due to disability. The vast majority of private health insurance has already removed this antiquated limit. MedPac, an independent congressional agency that advises on Medicare, released a March 2025 report recommending that Congress eliminate this limit.

This legislation is supported by more than three dozen organizations, including: AARP, Acadia Healthcare, Addiction Policy Forum, The Alliance for Rights and Recovery, American Association for Psychoanalysis in Clinical Social Work, American Association of Psychiatric Pharmacists, American College of Emergency Physicians, American Foundation for Suicide Prevention, The American Group Psychotherapy Association, American Hospital Association, American Mental Health Counselors Association, American Psychiatric Association, American Psychological Association Services, Community Catalyst, The Eating Disorders Coalition for Research, Policy, & Action, The Global Alliance for Behavioral Health & Social Justice, IC&RC, Inseparable, The Kennedy Forum, Legal Action Center, Mental Health America, MHANYS, NAMI, National Association for Behavioral Healthcare, The National Association for Rural Mental Health (NARMH), the National Association of County Behavioral Health and Developmental Disability Directors (NACBHDD), The National Association of Pediatric Nurse Practitioners, The National Association of Social Workers (NASW), National Association of State Alcohol and Drug Agency Directors (NASADAD), National Behavioral Health Association of Providers, National Black Harm Reduction Network (NBHRN), National Board for Certified Counselors & Affiliates, National Council for Mental Wellbeing, National Health Care for the Homeless Council, The National League for Nursing, Psychotherapy Action Network (PsiAN), Police Assisted Addiction and Recovery Initiative, Treatment Communities of America, Addiction Professionals of North Carolina, California Consortium of Addiction Programs & Professionals

A fact-sheet of the bill can be found HERE.