PolicyBrief
H.R. 6131
119th CongressNov 19th 2025
Increasing Access to Mental Health in Schools Act
IN COMMITTEE

This Act establishes grant programs and student loan repayment to increase the number of mental health service providers working in low-income schools.

Judy Chu
D

Judy Chu

Representative

CA-28

LEGISLATION

New Bill Offers Up to $200K in Loan Repayment for School Mental Health Providers in High-Need Districts

This bill, the Increasing Access to Mental Health in Schools Act, is a major workforce push designed to get more school counselors, psychologists, and social workers into the districts that need them most. It tackles the problem from two angles: creating a pipeline to train new professionals and offering massive student loan relief to keep them there. The goal is to move low-income schools closer to the recommended staffing ratios—for example, aiming for 1 school counselor for every 250 students, down from the current, often much higher, ratios they face.

The core of the bill establishes a competitive grant program (Sec. 3) for partnerships between universities and low-income local educational agencies (LEAs). To qualify as a "low-income LEA," a district must have at least 20% of its students living in poverty and currently exceed the recommended student-to-provider ratios. For instance, if a district has more than 1 school psychologist for every 500 students, they could qualify. The grant money, authorized at $200 million annually, can be used to pay for administrative costs, develop specialized coursework, and even cover a portion of a new graduate’s salary for up to three years if they agree to work in that low-income school.

The $200,000 Carrot: Loan Repayment

For anyone considering a career change or fresh out of a graduate program in school psychology, counseling, or social work, Section 4 is the game-changer. It sets up a new student loan repayment program specifically for these school-based mental health providers. If you commit to working for five consecutive years in a qualifying low-income LEA, the Secretary of Education will pay down your federal student loans. The repayment schedule is front-loaded: 15% of the principal and interest paid for each of the first four years, with the remaining balance paid off after the fifth year. The total cap is substantial—up to $200,000 per individual.

This is a huge deal for two reasons. First, it makes a high-debt graduate degree in these fields financially viable, especially in public service where salaries are often lower than private practice. Second, the bill explicitly states that receiving benefits under this program does not disqualify you from also pursuing Public Service Loan Forgiveness (PSLF). In fact, every year you receive a benefit here counts as 12 months toward the 120 payments required for PSLF. For a provider juggling massive debt, this dual benefit—paying down the principal and counting toward eventual full forgiveness—is a powerful incentive to choose a high-need school.

Who Benefits and What’s the Catch?

This legislation is a clear win for students in high-need districts who often lack crucial mental health support. It’s also a boon for the providers themselves, offering significant debt relief. The bill also includes smart provisions, like allowing a provider to remain eligible for repayment even if their LEA stops meeting the "low-income" criteria after their first year of service (Sec. 4). This avoids penalizing a worker if the district's demographics shift slightly.

However, like any large federal program, there are areas of administrative wiggle room. The bill’s definition of "best practices" is broad, relying on external professional organizations, which means the quality of training across different university partnerships might vary. Furthermore, the Secretary of Education has the final say on grant awards, even if a peer review panel recommends otherwise. While the Secretary must provide a written explanation if they ignore the panel, this still gives the Department significant discretion over how the $200 million is distributed and what specific activities qualify under the grant's “similar activities” clause. Overall, though, these are minor structural concerns in a bill that otherwise delivers a very direct and much-needed solution to a major staffing crisis in schools.