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January 21, 2009
U.S. House Resolution 619
Since 1965, federal
Medicaid rules have excluded coverage for inpatient psychiatric care for
people between the ages of 21 and 64 in free-standing or state-run
psychiatric facilities with more than 16 beds. Medicaid rules refer to
larger inpatient psychiatric facilities as institutions of mental disease
(IMD). House Resolution (HR) 619 will amend title XIX of the Social
Security Act to remove the exclusion from medical assistance under the
Medicaid Program of items and services for patients in an IMD. The bill
was immediately referred to the House Committee on Energy and Commerce.

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