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H.R. 5797 (115th): Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act

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About the bill

Source: Republican Policy Committee

H.R. 5797 allows state Medicaid programs to remove the Institutions for Mental Diseases (IMD) exclusion for Medicaid beneficiaries aged 21 to 64 with an opioid use disorder for fiscal years 2019 to 2023. By removing the exclusion, Medicaid would pay for up to 30 total days of care in an IMD during a 12-month period for eligible individuals. Opioid use disorder as defined in H.R. 5797 includes, but is not limited to: heroin, fentanyl, oxycodone, tramadol and oxycodone. In addition, the legislation requires states to include in their State plan amendment information on 1) How the State will improve access to outpatient care during the State plan amendment period. 2) The process for transitioning individuals to appropriate outpatient care. 3) A description of how individuals will receive appropriate screening and …

Sponsor and status

Mimi Walters

Sponsor. Representative for California's 45th congressional district. Republican.

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Last Updated: Jun 21, 2018
Length: 11 pages
May 15, 2018
115th Congress (2017–2019)
Died in a previous Congress

This bill was introduced in a previous session of Congress and was passed by the House on June 20, 2018 but was never passed by the Senate.

Although this bill was not enacted, its provisions could have become law by being included in another bill. It is common for legislative text to be introduced concurrently in multiple bills (called companion bills), re-introduced in subsequent sessions of Congress in new bills, or added to larger bills (sometimes called omnibus bills).


5 Cosponsors (5 Republicans)


Position statements

Statement of Administration Policy

President Donald Trump [R, 2017-2021]: H.R. 5797 – Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution (IMD CARE) Act, H.R. 6082 – Overdose Prevention and Patient Safety Act, and H.R. 6 – Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (Jun 19, 2018)

What legislators are saying

House Passes Rep. Walters Bill to Expand Inpatient Opioid Treatment
    — Rep. Mimi Walters [R-CA45, 2015-2018] (Sponsor) on Jun 20, 2018

Greg Walden on combating the opioid crisis: Our communities are counting on us to deliver on solutions
    — Rep. Greg Walden [R-OR2, 1999-2020] (Co-sponsor) on May 21, 2018

Waters Offers Amendments to Provide Treatment for all Substance Abuse Disorders Rather than only Opioid Addiction
    — Rep. Maxine Waters [D-CA43] on Jun 20, 2018

More statements at ProPublica Represent...

What stakeholders are saying

R Street Institute estimates H.R. 5797 will add $991 million in new spending through 2028.


May 15, 2018

Bills and resolutions are referred to committees which debate the bill before possibly sending it on to the whole chamber.

May 17, 2018
Ordered Reported

A committee has voted to issue a report to the full chamber recommending that the bill be considered further. Only about 1 in 4 bills are reported out of committee.

Jun 12, 2018
Reported by House Committee on Energy and Commerce

A committee issued a report on the bill, which often provides helpful explanatory background on the issue addressed by the bill and the bill's intentions.

Jun 20, 2018
Passed House (Senate next)

The bill was passed in a vote in the House. It goes to the Senate next.

H.R. 5797 (115th) was a bill in the United States Congress.

A bill must be passed by both the House and Senate in identical form and then be signed by the President to become law.

Bills numbers restart every two years. That means there are other bills with the number H.R. 5797. This is the one from the 115th Congress.

This bill was introduced in the 115th Congress, which met from Jan 3, 2017 to Jan 3, 2019. Legislation not passed by the end of a Congress is cleared from the books.

How to cite this information.

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“H.R. 5797 — 115th Congress: Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act.” 2018. December 5, 2021 <>

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GovTrack automatically collects legislative information from a variety of governmental and non-governmental sources. This page is sourced primarily from, the official portal of the United States Congress. is generally updated one day after events occur, and so legislative activity shown here may be one day behind. Data via the congress project.