Bill > HR3266

This bill establishes a comprehensive loan and loan guarantee program administered by the Secretary of Health and Human Services to support the development and improvement of mental health and substance use disorder treatment facilities across the United States. The program allows for loans and guarantees to eligible entities (including hospitals, treatment facilities, and healthcare alliances) to construct, renovate, or improve facilities serving both pediatric and adult populations. At least 25% of funding is specifically reserved for pediatric and adolescent facility projects. The bill prioritizes facilities that increase treatment bed capacity in underserved areas, provide integrated care, or serve high-need rural communities. Key provisions include strict loan terms such as a maximum 20-year loan period, limits on loan guarantee amounts, requirements for borrowers to finance at least 25% of projects from non-federal sources, and mechanisms to minimize government financial risk. The program is funded up to $200 million annually from fiscal years 2026-2030, with any excess revenues to be deposited into a new Mental Health and Substance Use Treatment Trust Fund, which will support community mental health block grants. The bill aims to address critical gaps in mental health and substance use disorder treatment infrastructure across the United States.

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https://www.congress.gov/bill/119th-congress/house-bill/3266/all-info