H.R. 6220 (119th)Bill Overview

MIRACLE Act of 2025

Health|Health
Cosponsors
Support
Lean Republican
Introduced
Nov 20, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Energy and Commerce.

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

The bill directs the Secretary of Health and Human Services to conduct a study and submit a report to Congress within 3 years on neonatal abstinence syndrome (NAS) and infant and maternal health outcomes associated with 'pediatric transitional care facilities.' The study must identify barriers to obtaining valid, up-to-date data on NAS prevalence among beneficiaries under Medicaid (Title XIX) and identify the scope of services and supports available to beneficiaries with a NAS diagnosis under State Medicaid plans or waivers. After submission to Congress the report must be published on a public website.

Why people may split

Liberals emphasize need for equity analysis, protections against punitive uses of data, and a path to funding treatment; conservatives emphasize state control, cost concerns, and limits on federal mandates.

Watch point

Relative to its intended legislative type, this bill establishes a clear, time‑bound requirement for HHS to study NAS prevalence and outcomes and to report publicly to Congress, but it omits several commonly expected implementation details (funding, prescribed methodology, data access/privacy safeguards, and interim oversight).

The bill directs the Secretary of Health and Human Services to conduct a study and submit a report to Congress within 3 years on neonatal abstinence syndrome (NAS) and infant and maternal health outcomes associated with 'pediatric transitional care facilities.' The study must identify barriers to obtaining valid, up-to-date data on NAS prevalence among beneficiaries under Medicaid (Title XIX) and identify the scope of services and supports available to beneficiaries with a NAS diagnosis under State Medicaid plans or waivers.

After submission to Congress the report must be published on a public website.

The bill defines "pediatric transitional care facility" as a residential pediatric recovery center for infants with NAS that provides inpatient or outpatient treatment, and defines "State" to include the states, DC, and U.S. territories.

Passage65/100

On substance alone, the bill is narrow, technical, and noncontroversial, which historically increases the chance of enactment relative to sweeping or highly partisan measures. Its modest scope, absence of new spending or mandates, and clear deliverable (a published HHS report) are features that typically facilitate Congressional agreement. However, it still requires committee action, floor scheduling, and Senate consent, and the lack of an appropriation could limit administrative follow-through, reducing its practical impact even if enacted.

CredibilityPartially aligned

Relative to its intended legislative type, this bill establishes a clear, time‑bound requirement for HHS to study NAS prevalence and outcomes and to report publicly to Congress, but it omits several commonly expected implementation details (funding, prescribed methodology, data access/privacy safeguards, and interim oversight).

Contention30/100

Liberals emphasize need for equity analysis, protections against punitive uses of data, and a path to funding treatment; conservatives emphasize state control, cost concerns, and limits on federal mandates.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agencies · StatesStates

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

Likely helped
  • Federal agenciesGenerates a consolidated federal assessment of NAS prevalence and service gaps that could inform more targeted policyma…
  • StatesIdentifies barriers in Medicaid data and service coverage that could lead to clearer standards, improved data collectio…
  • Potential benefitProduces evidence that could justify future funding or expansion of pediatric transitional care facilities and related…
Likely burdened
  • Potential burdenBecause the bill mandates only a study and report (with no authorized funding for interventions), critics may say it de…
  • StatesMay impose additional data-collection or reporting burdens on States, Medicaid agencies, and providers to supply accura…
  • Potential burdenCollection and publication of detailed NAS and maternal substance-use data could raise privacy and confidentiality conc…
03 · Why people split

Why the argument around this bill splits.

Liberals emphasize need for equity analysis, protections against punitive uses of data, and a path to funding treatment; conservatives emphasize state control, cost concerns, and limits on federal mandates.
Progressive85%

A mainstream liberal/left-leaning observer would likely view the bill as a constructive, evidence-building step to address NAS and to improve perinatal and infant care systems, especially through improved Medicaid data.

They would welcome attention to maternal and infant health outcomes and the emphasis on publishing findings publicly, while wanting assurances that the work centers treatment and maternal supports rather than punitive enforcement.

They would note the absence of explicit funding or mandates to expand services and might press for protections to ensure results lead to expanded treatment access, equity analyses, and safeguards for pregnant people with substance use disorders.

Leans supportive
Centrist80%

A centrist/moderate would likely see the bill as a pragmatic, low-risk federal research measure to fill knowledge gaps about NAS and Medicaid-covered care, while noting the limited scope (study only) and lack of funding or mandates.

They would generally support improved data to guide efficient policy and program decisions, but would want clarity on methodology, stakeholder input (states, providers, families), privacy protections, and how findings would be used.

They would be cautious about potential unfunded follow-on obligations and would favor an implementation plan if the study finds significant gaps.

Leans supportive
Conservative60%

A mainstream conservative would generally view a federal study of NAS as reasonable because it addresses infant health and maternal outcomes without immediately imposing new federal regulations or spending mandates.

Some conservatives may be cautious about federal encroachment into state-run Medicaid administration and about data collection burdens.

They may favor the bill as a step toward understanding problems that could be addressed at the state level or through targeted grants rather than broad federal programs.

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 likelihood65/100

On substance alone, the bill is narrow, technical, and noncontroversial, which historically increases the chance of enactment relative to sweeping or highly partisan measures. Its modest scope, absence of new spending or mandates, and clear deliverable (a published HHS report) are features that typically facilitate Congressional agreement. However, it still requires committee action, floor scheduling, and Senate consent, and the lack of an appropriation could limit administrative follow-through, reducing its practical impact even if enacted.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • The bill does not authorize or appropriate funds; it is unclear whether HHS would have budget authority or resources to complete the study within the timeline without additional appropriations.
  • The timeline (3 years) is long; overlapping or existing HHS/Medicaid studies or data initiatives may duplicate efforts or lead committees to seek different legislative vehicles.
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

Liberals emphasize need for equity analysis, protections against punitive uses of data, and a path to funding treatment; conservatives emph…

On substance alone, the bill is narrow, technical, and noncontroversial, which historically increases the chance of enactment relative to s…

Unlocked analysis

Relative to its intended legislative type, this bill establishes a clear, time‑bound requirement for HHS to study NAS prevalence and outcomes and to report publicly to Congress, but it omits several commonly expected im…

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
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