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U.S. Psychiatric Hospitals Under Medicaid’s Institutions for Mental Diseases (IMD) Exclusion

Many Americans with serious mental illness lack access to inpatient psychiatric care. For decades, Medicaid’s “institutions for mental diseases” (IMD) exclusion has been a major barrier to expanding psychiatric hospital bed capacity, but the ongoing mental-health crisis has recently led policymakers to consider repealing or modifying the IMD exclusion. This report analyzes the size, ownership, […]

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manhattan.institute broke the news in on Thursday, August 14, 2025.
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