PolicyBrief
S. 1448
119th CongressApr 10th 2025
Pursuing Equity in Mental Health Act
IN COMMITTEE

The Pursuing Equity in Mental Health Act increases funding for mental health grants and research, mandates studies on racial and ethnic minority mental health disparities, and establishes culturally competent outreach strategies.

Mazie Hirono
D

Mazie Hirono

Senator

HI

LEGISLATION

Mental Health Equity Bill Boosts Research Funding by $900M, Prioritizes Minority Care Providers Through 2031

The Pursuing Equity in Mental Health Act is designed to tackle the significant gaps in mental healthcare access and outcomes for racial and ethnic minority communities. It does this by increasing funding for existing grant programs, mandating critical research, and requiring better training for health professionals. Essentially, this bill puts its resources where the disparities are.

More Cash for Community Care

First, let’s talk money for the folks on the ground. The bill adjusts the Primary and Behavioral Health Care grant program (Sec. 2). While the funding remains at $60 million for Fiscal Year 2025, it jumps to $80 million annually starting in FY 2026 and runs through 2031. That’s a significant, sustained increase for community-based mental health services. Crucially, the Secretary is now given the option to grant “special attention” to organizations that primarily serve racial and ethnic minority groups when deciding who gets these grants. This isn't a mandate, but it gives the government the clear ability to prioritize funding for providers who are already embedded in and serving underserved communities.

Fixing the Research Blind Spots

If you’ve ever wondered why mental health research often seems disconnected from diverse real-world experiences, this bill is trying to fix that. Section 3 requires the National Institutes of Health (NIH) to contract with the National Academies of Sciences, Engineering, and Medicine to conduct a major study. This study must look specifically at the gaps in mental health research concerning racial and ethnic minority populations. The report must assess how factors like community violence, childhood trauma, and structural bias affect mental health in these groups and then offer concrete recommendations to Congress on how to close those gaps. For researchers, this means a clear roadmap for where funding should go next. For the rest of us, it means future treatments and understanding should be far more relevant and effective across the board.

Training the Next Generation of Therapists

It’s not enough to fund services; the people providing them need the right skills. Section 4 allows funds to be used to develop and share “core competencies” for health professionals (including social workers, psychologists, and psychiatrists) on how to effectively address mental health disparities. This means that if you’re seeing a new therapist or counselor in the future, they should have training specifically focused on providing culturally and linguistically appropriate care. The goal is to move beyond one-size-fits-all mental healthcare and ensure providers understand the nuances of diverse patient experiences.

A National Plan to Fight Stigma

Section 5 mandates the creation of a national outreach and education strategy aimed at reducing the stigma around mental health and substance use in minority communities. This isn't a generic PSA campaign; it must be culturally and linguistically appropriate, raise awareness about specific symptoms common in these groups, and promote effective treatments. The strategy also requires the involvement of the very people it aims to serve, including younger adults and teens, ensuring the message actually lands with the intended audience. Congress is authorized to spend $20 million annually on this effort from 2026 through 2031.

Massive Boost for Health Disparities Research

Finally, the bill throws serious money at the research institutions responsible for health equity. Section 6 authorizes an extra $150 million annually for the NIH, specifically earmarked for clinical research focusing on health outcomes among racial and ethnic groups, and for implementing the existing plan to address youth mental health disparities. Section 7 provides an even bigger boost to the National Institute on Minority Health and Health Disparities (NIMHD), authorizing an additional $750 million per year from 2026 through 2031. This combined $900 million annual authorization signals a major, long-term federal commitment to understanding and eliminating health inequities. However, like all authorizations, this money isn't guaranteed; Congress still needs to appropriate the funds each year, so watch the budget debates closely.