Michelle Alyssa Go Act

This bill changes Medicaid rules to exclude small mental health facilities (36 beds or fewer) from the definition of "institution for mental diseases" if they meet specific national standards for care. It directly affects small mental health and substance use disorder treatment centers seeking Medicaid coverage. Facilities must follow evidence-based standards approved by the federal Secretary, covering service types, clinical hours, and staff qualifications. The changes take effect 180 days after the law is signed, applying to state Medicaid plans from that date.