H.R. 5357 (119th)Bill Overview

College Students Continuation of Mental Health Care Act of 2025

Health|Health
Cosponsors
Support
Bipartisan
Introduced
Sep 15, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Education and Workforce, 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 establishes limited licensing reciprocity to allow a mental health provider employed by a college or university (a “college mental health provider”) to furnish telehealth mental health services to students of that institution when those students are located in a different State than the institution, so long as the provider is not affirmatively excluded from practice in the State where the student is located. The bill requires identity verification, documented patient acknowledgment of telehealth care and treatment relationship (or a real‑time first encounter), and at least one backup means of contact in case of technology failure.

Why people may split

Scope and federalism: liberals/centrists emphasize access and administrative efficiency; conservatives emphasize protection of state licensing authority and limiting federal preemption.

Watch point

Relative to its intended legislative type, this bill clearly establishes a federal exception allowing college-employed mental health providers to furnish telehealth services to students located in other States and supplies several specific operational requirements and definitions.

This bill establishes limited licensing reciprocity to allow a mental health provider employed by a college or university (a “college mental health provider”) to furnish telehealth mental health services to students of that institution when those students are located in a different State than the institution, so long as the provider is not affirmatively excluded from practice in the State where the student is located.

The bill requires identity verification, documented patient acknowledgment of telehealth care and treatment relationship (or a real‑time first encounter), and at least one backup means of contact in case of technology failure.

It directs that malpractice insurance treat services provided under this section as furnished in the provider’s primary State, permits interstate compacts consistent with the section, and defines covered students to include those registered and those who attended within the prior three months.

Passage45/100

On content alone this is a focused, administratively feasible measure addressing student access to mental health care via telehealth—a policy area that attracts bipartisan support. The key friction points are its limited federal intrusion into professional licensure and possible pushback from state licensing authorities and insurers over malpractice and regulatory treatment. Because the bill is short, non‑spending, and includes compromise features (state prohibitions, affirmative exclusions, limited population), it has a realistic path to enactment but is not guaranteed—passage will depend on stakeholder responses and legislative prioritization.

CredibilityPartially aligned

Relative to its intended legislative type, this bill clearly establishes a federal exception allowing college-employed mental health providers to furnish telehealth services to students located in other States and supplies several specific operational requirements and definitions. It sets substantive legal changes (a limited licensing reciprocity) with moderate specificity about provider responsibilities and scope-of-practice limits.

Contention65/100

Scope and federalism: liberals/centrists emphasize access and administrative efficiency; conservatives emphasize protection of state licensing authority and limiting federal preemption.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Students · Local governmentsFederal agencies · Students

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

Likely helped
  • StudentsImproves continuity of care for students who live, study abroad, or travel outside the institution's State by enabling…
  • StudentsExpands access to mental health services for students in locations with clinician shortages or limited campus resources…
  • Local governmentsSimplifies administrative and licensing burdens for campus health centers by relying on the institution-State license,…
Likely burdened
  • Federal agenciesReduces State regulatory authority over health professional licensure and scope of practice by allowing federal-level e…
  • StudentsCreates potential patient-safety and liability concerns if students receive care under the primary State's practice rul…
  • StatesMay shift or obscure malpractice jurisdiction and insurance responsibilities in practice despite the bill's instruction…
03 · Why people split

Why the argument around this bill splits.

Scope and federalism: liberals/centrists emphasize access and administrative efficiency; conservatives emphasize protection of state licensing authority and limiting federal preemption.
Progressive90%

A mainstream progressive view would likely be broadly favorable because the bill increases access to mental health care for college students, including those who travel home, study remotely, or live in areas with few local providers.

The safeguards required (identity verification, informed acknowledgment, backup contact methods) will be seen as reasonable baseline protections, though advocates may want stronger privacy and equity provisions.

Progressives will appreciate continuity of care and reduced barriers that come from state-by-state licensing when students move across state lines.

Leans supportive
Centrist70%

A pragmatic moderate would likely view this bill positively overall because it addresses a concrete access problem for college students while including procedural safeguards.

They would appreciate the limited, targeted nature—only institution-employed providers and only for students affiliated with the institution—and the checks such as identity verification and treatment-relationship requirements.

However, a centrist will be attentive to legal and implementation details: how malpractice coverage will operate in practice, potential state-federal tensions over licensure, and any unfunded administrative burdens on institutions.

Leans supportive
Conservative30%

A mainstream conservative would likely have reservations because the bill effectively limits the power of individual States to enforce their professional licensing regimes for out-of-state practitioners, even if limited to college-employed providers.

While conservatives may welcome increased access to mental health resources for students, they will focus on federal overreach, potential erosion of state regulatory authority, and unintended legal consequences.

They will also examine malpractice allocation and whether the measure creates liability risks or incentives that undermine quality or accountability.

Likely resistant
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 likelihood45/100

On content alone this is a focused, administratively feasible measure addressing student access to mental health care via telehealth—a policy area that attracts bipartisan support. The key friction points are its limited federal intrusion into professional licensure and possible pushback from state licensing authorities and insurers over malpractice and regulatory treatment. Because the bill is short, non‑spending, and includes compromise features (state prohibitions, affirmative exclusions, limited population), it has a realistic path to enactment but is not guaranteed—passage will depend on stakeholder responses and legislative prioritization.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No cost estimate or formal analysis is included in the bill text; potential administrative or litigation costs and insurer responses are unknown.
  • Reactions from state licensing boards, state attorneys general, and professional associations (which could pressure legislators or seek legal challenges) are uncertain.
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

Scope and federalism: liberals/centrists emphasize access and administrative efficiency; conservatives emphasize protection of state licens…

On content alone this is a focused, administratively feasible measure addressing student access to mental health care via telehealth—a poli…

Unlocked analysis

Relative to its intended legislative type, this bill clearly establishes a federal exception allowing college-employed mental health providers to furnish telehealth services to students located in other States and suppl…

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