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Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act or the IMD CARE Act
(Sec. 2) This bill temporarily allows states to apply to receive federal Medicaid payment for services provided in institutions for mental diseases (IMDs) and for other medically necessary services for enrollees (aged 21 to 64) with opioid-use or cocaine-use disorders. Services may be covered for a total of up to 30 days in a 12-month period for an eligible enrollee. States must include specified information in their applications, including plans to improve access to outpatient care.
Current law generally prohibits federal payment under Medicaid for services provided in IMDs for individuals under the age of 65 (although states may receive payment through certain mechanisms, such as through a Medicaid demonstration waiver).
(Sec. 3) Additionally, the bill temporarily eliminates the enhanced federal matching rate for Medicaid expenditures regarding specified medical services provided by certain managed care organizations.
Written by the nonpartisan Congressional Research Service, describing H.R. 5797 as passed House amended on Jun 20, 2018. It is not the text of the measure; a later amendment may have changed what it does.
Jun 20, 2018Each bar: ✓ Yea from the bottom, ✕ Nay aboveJun 20, 2018
House Jun 20, 2018 · the primary vote
Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act
Passed
261 Yea 155 Nay 11 not voting
Crossed both parties 65 of 416 voting members broke with their own party: 50 Democrats, 15 Republicans.
DemocratsRepublicansFilled: YeaRing: NayGrey: not voting or present
427 members on this roll call, from the official House record. Party majorities need at least five voting members, so an independent never counts as breaking with a party.
Signing on is not a vote: a member can cosponsor H.R. 5797 and vote against it. 2 signed when it was filed.
Organizations that named H.R. 5797 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.
72 disclosures name this measure. Retrieved from LDA.gov on 2026-10-05. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.