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

The "Pursuing Equity in Mental Health Act" aims to improve mental health equity for racial and ethnic minority groups through grants, research, training, outreach, and increased funding for the National Institutes of Health.

Mazie Hirono
D

Mazie Hirono

Senator

HI

LEGISLATION

Mental Health Equity Act: Targets Disparities with $1 Billion Annual Funding Boost for Minority Communities, New Grants & Research Starting FY2026

The "Pursuing Equity in Mental Health Act" is a significant piece of legislation aiming to directly address mental health disparities, especially within racial and ethnic minority communities. If passed, it would channel substantial new federal resources—over $1 billion annually starting in Fiscal Year 2026, plus $60 million in FY2025—into grants, research, and targeted outreach programs. The bill focuses on enhancing access to care, deepening our understanding of existing health gaps, training a more culturally competent workforce, and reducing the stigma often associated with seeking mental health support.

More Money, More Support: Bolstering Frontline Care

So, what’s the practical impact here? First, the bill aims to put more money into the hands of those providing direct care. It proposes amending Section 520K of the Public Health Service Act, which supports the integration of primary and behavioral healthcare. The change would give "special consideration" for these grants to clinics and programs that serve a high number of individuals from racial and ethnic minority groups. Funding for this grant program is set at $60 million for Fiscal Year 2025, increasing to $80 million annually from FY2026 through FY2031 (Sec. 2). Imagine a community health center in a diverse urban area or a rural clinic serving a specific ethnic population; this provision could mean a better chance at securing federal funds to hire bilingual therapists, expand mental health screening, or develop culturally tailored wellness programs.

Beyond grants, the Act would establish a new national outreach and education strategy under a new Section 554 of the Public Health Service Act (Sec. 5). With an authorized $20 million per year from FY2026 to FY2031, this strategy is tasked with promoting mental wellness and fighting stigma in minority communities. We're talking about age-appropriate and culturally sensitive campaigns, information on symptoms and treatments, and importantly, ensuring that the voices of those receiving services and community members are part of the planning. Think PSAs in multiple languages, workshops led by trusted local figures, or online resources designed to resonate deeply within specific cultural contexts.

Smarter Approaches: Researching Gaps and Training Professionals

This legislation isn't just about funding existing models; it's also about getting smarter. Section 3 mandates a comprehensive study, to be arranged with the National Academies of Sciences, Engineering, and Medicine within nine months. This study will dig into research gaps concerning mental health disparities among racial and ethnic minority groups, as defined in section 1707(g) of the Public Health Service Act (which includes groups like American Indians, Asian Americans, Black individuals, Hispanics, and Native Hawaiians/Pacific Islanders). The goal is to pinpoint what we don't know – for instance, the precise impact of community violence or structural bias on mental health outcomes in these populations – and to get solid recommendations on how to fill those knowledge gaps.

To ensure future mental health professionals are better prepared, Section 4 amends the existing Minority Fellowship Program (Section 597 of the Public Health Service Act). This change would allow fellowship funds to be used to develop and share best practices and core skills for addressing mental health disparities. This means students training in fields like social work, psychology, psychiatry, and addiction medicine could receive enhanced education on providing culturally competent care, directly impacting the quality of services available to minority communities through 2031.

Powering Up Research: A Big Bet on NIH and NIMHD

The bill also signals a major investment in the engines of medical research. Section 6 authorizes an additional $150 million per year from FY2026 through FY2031 for the National Institutes of Health (NIH). These funds are earmarked to help build community relationships, support clinical research (using the definition from section 409 of the Public Health Service Act), including a focus on racial and ethnic health disparities, and to implement the National Institute of Mental Health's existing plan for addressing youth mental health disparities.

Perhaps the most significant single funding boost comes in Section 7, which authorizes an additional $750 million per year for the National Institute on Minority Health and Health Disparities (NIMHD) for each fiscal year from 2026 through 2031. This substantial increase underscores a commitment to empowering the lead federal agency dedicated to improving minority health and reducing health disparities through rigorous research. Together, these funding streams aim to accelerate our understanding and ability to effectively address complex mental health challenges.