S. 5120 explained  ·  119th Congress  ·  Pending in Congress

Increasing Mental Health Options Act of 2026

Create a free account or sign in to follow S. 5120 and get alerts. Policy area: Health Create a free account or sign in to follow the Health policy area and get alerts. ▲ 88 days since action Sponsor: Martin Heinrich, NM-Senate, D → Congress.gov

Cosponsors: 1 (0 D, 1 R) · per Congress.gov, 2026-10-14

Introduced: 2026-07-23

Latest action (2026-07-23): Read twice and referred to the Committee on Finance.

What S. 5120 does, in plain terms

Increasing Mental Health Options Act of 2026 This bill provides for an additional payment for clinical psychologists under Medicare who provide services in designated health professional shortage areas. It also allows clinical psychologists to provide behavioral health services (in accordance with state law) for purposes of hospitalization services, home health services, and other services under Medicare.

Official summary by the Congressional Research Service, via Congress.gov.

Constitution Index

“VFA Constitution grade”

A

Constitutionally sound

Graded 2026-10-14

SI-generated grade · five published checks · not individually reviewed by a person · methodology

This bill is fully constitutional. It operates within Congress's enumerated power to regulate Medicare spending under the General Welfare Clause, does not infringe any Bill of Rights protections, respects individual sovereignty by expanding access to voluntary healthcare services, passes all decentralization tests by leaving implementation to state law and local market conditions, and involves no deprivation of due process or property takings.

  • ✓ Passes · Enumerated powers
    Congress has explicit authority under Article I, Section 8, Clause 1 to provide for the general welfare through spending programs like Medicare. This bill merely adjusts payment rates and provider eligibility within an existing federal spending program, staying well within enumerated powers.
  • ✓ Passes · Bill of Rights
    The bill imposes no restrictions on speech, religion, press, assembly, petition, arms, quartering, search and seizure, self-incrimination, due process, trial rights, jury rights, cruel and unusual punishment, or unenumerated rights. It does not infringe any provision of the first ten amendments.
  • ✓ Passes · Individual sovereignty
    The bill expands voluntary access to behavioral health services by allowing clinical psychologists to provide Medicare-covered services. It does not compel any individual to receive treatment or restrict any person's control over their own person, property, speech, labor, or belief. The government bears no burden to justify a restriction because no restriction exists.
  • ✓ Passes · Decentralization
    The bill passes all four decentralization questions. Individuals and families can choose whether to seek services. Local communities and counties can determine their own health professional shortage area designations. States retain full authority under state law to define the scope of practice for clinical psychologists. The bill does not consolidate decision-making upward beyond the minimum neces…
  • ✓ Passes · Due process and takings
    The bill involves no deprivation of life, liberty, or property without due process. It does not impose fines, penalties, or forfeitures. It does not take private property for public use without just compensation. It merely authorizes additional Medicare payments to providers who choose to participate, which is a voluntary contractual arrangement, not a taking.

Sources: Congress.gov: S 5120 summary

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