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Mental Health Services and the Big Beautiful Bill: Key Takeaways for 2025

The Big Beautiful Bill and Mental Health Services

At Kindred Clinical Consulting, we’re closely monitoring the passage of the One Big Beautiful Bill Act and its potential impact on the behavioral health landscape—especially for the small, community-rooted agencies we serve.

What You Need to Know:

  • Historic Medicaid Cuts: Nearly $1 trillion in reductions—the largest in U.S. history—threaten critical funding for therapy, medication management, and crisis services.

  • Coverage Loss: An estimated 10–11 million people may lose health insurance, disproportionately affecting those with mental health needs.

  • Youth Services at Risk: School-based and early intervention programs face reduced funding, limiting access for young people during a national youth mental health crisis.

  • Work Requirements: New eligibility rules may cause low-income or caregiving adults to lose Medicaid coverage—even if they are already working or supporting family members.

  • Strain on Community Providers: Agencies serving high-need populations, including culturally specific organizations, could see increased demand with fewer resources.

A Few Bright Spots:

While the broader impact raises concerns, there are a few supportive provisions, including:

  • A small rate increase for Medicare-funded occupational therapy

  • Caps on mental health copays for families

  • Temporary exemptions for some community clinics

What This Means for You:

If you're a behavioral health provider, especially one serving BIPOC, rural, or underserved communities, these policy changes could affect how you deliver and bill for services.

Kindred Clinical Consulting is here to help you:

  • Navigate documentation and compliance in a shifting policy environment

  • Prepare for Medicaid eligibility and billing changes

  • Protect your mission-driven work amid systemic disruptions

Now more than ever, we’re committed to helping agencies stay audit-ready, resilient, and rooted in equity. If you have questions or need support, contact us here.

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