Constitution Index · S. 5120 · 2026-07-23

Increasing Mental Health Options Act of 2026

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

Official source ↗

Constitutional grade

A

Constitutional

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.

Article I, Section 8, Clause 1

SI-generated grade · passed automated checks (real Constitution citation, language rules) · not individually reviewed by a person · methodology · Report an error: hello@valuesforamerica.com

The five checks

Enumerated powers · passes

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.

Bill of Rights · passes

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.

Individual liberty · passes

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.

Decentralization · passes

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 necessary to administer a federal spending program that states and localities have chosen to participate in.

Due process and takings · passes

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.

Provenance

Grade ID
959
Rubric version
vfa-constitutional-grade/1.0
Graded
2026-10-14 20:20 UTC
Engine
backup SI engine
Source fetched
2026-10-14 12:07 UTC
Source SHA-256
349132759c096ba6434af2d3ad933022b11d8d6945dc3fab3c5766789e189448
Checks
si-editorial-standard/1.0: real Constitution citation, language rules

Version history · never overwritten

GradeGradedRubric Source hashStatus
A · #959 2026-10-14 vfa-constitutional-grade/1.0 349132759c09 current

Cite this

Values for America. “Constitutional grade: S. 5120, Increasing Mental Health Options Act of 2026.” VFA Constitution Index, grade 959 (rubric vfa-constitutional-grade/1.0), graded October 14, 2026. https://www.valuesforamerica.com/constitution-index/grades/959. Accessed 2026-10-19.

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