H.R. 4186 (119th)Bill Overview

Connecting Students with Mental Health Services Act

Education|Education
Cosponsors
Support
Lean Democratic
Introduced
Jun 26, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the Committee on Education and Workforce, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each c…

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill (Connecting Students with Mental Health Services Act) authorizes the Secretary of Education, in coordination with the Secretary of Health and Human Services, to run a grant program awarding funds to eligible partnerships of local education agencies and community health care providers or educational service agencies to support K–12 students' mental and behavioral health. Grant funds may be used to buy or upgrade equipment (including technology) to implement telehealth mental health services, secure space and personnel to run telehealth in schools, and hire or provide additional compensation to staff administering telehealth programs.

Why people may split

Scale and sufficiency of funding: liberals see funding as too small; centrists see it as a pilot; conservatives note limited size but worry about precedents.

Watch point

Relative to its intended legislative type, this bill establishes a targeted grant program to expand telehealth-based mental and behavioral health services for K–12 students and supplies a concise statutory framework (uses of funds, priorities, definitions, authorization level, and a required impact report) while leaving substantial operational detail to agency implementation.

This bill (Connecting Students with Mental Health Services Act) authorizes the Secretary of Education, in coordination with the Secretary of Health and Human Services, to run a grant program awarding funds to eligible partnerships of local education agencies and community health care providers or educational service agencies to support K–12 students' mental and behavioral health.

Grant funds may be used to buy or upgrade equipment (including technology) to implement telehealth mental health services, secure space and personnel to run telehealth in schools, and hire or provide additional compensation to staff administering telehealth programs.

Applications must include a telehealth plan and privacy assurances; priority is given to applicants serving high-poverty schools, rural schools, or schools in Health Professional Shortage Areas.

Passage55/100

On content alone, this bill is relatively likely to become law compared with sweeping or costly proposals: it is narrow, technocratic, modestly funded, contains bipartisan-appealing elements (school mental-health access, telehealth for underserved areas), and includes evaluation requirements. However, it is also low in legislative priority and would likely need to be advanced as part of a broader education/health package or attached to must-pass legislation to secure floor time and final enactment, which reduces its standalone likelihood.

CredibilityAligned

Relative to its intended legislative type, this bill establishes a targeted grant program to expand telehealth-based mental and behavioral health services for K–12 students and supplies a concise statutory framework (uses of funds, priorities, definitions, authorization level, and a required impact report) while leaving substantial operational detail to agency implementation.

Contention55/100

Scale and sufficiency of funding: liberals see funding as too small; centrists see it as a pilot; conservatives note limited size but worry about precedents.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Students · Local governmentsStudents

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • StudentsLikely increases access to mental and behavioral health services for K–12 students in rural, high‑poverty, or health‑pr…
  • Local governmentsBuilds local telehealth infrastructure (technology and trained personnel) in schools, which could enable ongoing remote…
  • Local governmentsMay create or fund local jobs (e.g., telehealth coordinators, clinicians contracted to provide remote care, IT support)…
Likely burdened
  • StudentsAppropriated funding level ($5 million/year) is small relative to national need for school mental health services, so c…
  • Potential burdenAdministrative and compliance burdens (application requirements, privacy assurances, reporting, coordination with Medic…
  • StudentsPrivacy and civil‑liberties concerns about student health data transmitted via telehealth: while the bill requires comp…
03 · Why people split

Why the argument around this bill splits.

Scale and sufficiency of funding: liberals see funding as too small; centrists see it as a pilot; conservatives note limited size but worry about precedents.
Progressive85%

A mainstream liberal would likely view the bill positively as a targeted, federal investment to expand access to mental health care for students who lack local services, especially in rural and high-poverty areas.

They would welcome the explicit focus on telehealth to reach underserved populations and the priority for schools in Health Professional Shortage Areas.

However, they would also note the authorization level is small relative to national need and press for stronger provisions on privacy, workforce quality, and equitable access.

Leans supportive
Centrist70%

A centrist/technocratic observer would likely view the bill favorably as a targeted, modest federal grant program to expand access to school mental health via telehealth, with reasonable prioritization for high-need schools.

They would appreciate the supplement-not-supplant language and the planned 2027 report to assess effectiveness.

However, they would be cautious about the small appropriation, the absence of detailed performance metrics in the statutory text, and the sustainability of services after grant funds expire.

Leans supportive
Conservative40%

A mainstream conservative would be cautiously skeptical: they may accept the goal of improving student mental health but would be concerned about expanding federal roles in education and potential long-term fiscal and administrative burdens.

They would flag telehealth in schools as raising questions about parental rights, local control, and the possibility of federal priorities shaping school services.

The small authorization amount reduces fiscal concern, but the open-ended grant authority, requirements left to federal agencies, and the Medicaid-related provider exclusion could generate pushback.

Split reaction
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood55/100

On content alone, this bill is relatively likely to become law compared with sweeping or costly proposals: it is narrow, technocratic, modestly funded, contains bipartisan-appealing elements (school mental-health access, telehealth for underserved areas), and includes evaluation requirements. However, it is also low in legislative priority and would likely need to be advanced as part of a broader education/health package or attached to must-pass legislation to secure floor time and final enactment, which reduces its standalone likelihood.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No CBO or official cost estimate is attached to the bill text provided; the small authorization suggests a low budgetary impact but exact offsets (if any) and scoring are unknown.
  • The bill’s prospects depend on legislative calendar and prioritization—whether it is considered as a standalone bill or folded into a larger appropriations or health/education package.
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Scale and sufficiency of funding: liberals see funding as too small; centrists see it as a pilot; conservatives note limited size but worry…

On content alone, this bill is relatively likely to become law compared with sweeping or costly proposals: it is narrow, technocratic, mode…

Unlocked analysis

Relative to its intended legislative type, this bill establishes a targeted grant program to expand telehealth-based mental and behavioral health services for K–12 students and supplies a concise statutory framework (us…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis