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HR1638FEDERALIN_COMMITTEE

Proposed Changes to Medicare Mental Health Coverage

Original title: Improving Access to Mental Health Act of 2023

December 17, 2024

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Where This Stands

Introduced
Committee
Floor Vote
Passed
Signed

Currently IN_COMMITTEE. The next step in the legislative lifecycle is Floor Vote.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

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The Frame

What this does

If passed, this bill would change how much Medicare pays clinical social workers for their services and expand the range of mental health and behavioral assessments covered for Medicare patients, effective January 1, 2024.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Clinical social workers

Their Medicare reimbursement rates are increased and the scope of services they can provide under Medicare is expanded.

Medicare beneficiaries in skilled nursing facilities

Their access to clinical social worker services is modified by removing these services from the facility's bundled payment system.

Skilled nursing facilities

The billing structure for clinical social worker services provided to their residents is changed.

What changed

Current stage: IN_COMMITTEE.

What's next

Floor Vote.

Summary

This bill increases Medicare payment rates for clinical social workers and expands the types of mental health services they can provide to Medicare beneficiaries. It also changes how these services are billed for residents in skilled nursing facilities to ensure they are covered separately from the facility's standard payment.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

How does this bill change Medicare payments for social workers?
It increases the payment rate for clinical social workers to 85% of the , up from the previous 75% of the psychologist rate.
Will Medicare cover more types of mental health services under this bill?
Yes, it adds coverage for health and behavior assessment and intervention services, specifically identifying several .
How does this affect residents in skilled nursing facilities?
It allows to be billed separately from the facility's standard payment, rather than being bundled into the facility's .

Why It Matters

If passed, this bill would change how much Medicare pays clinical social workers for their services and expand the range of mental health and behavioral assessments covered for Medicare patients, effective January 1, 2024.

News Coverage

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Sponsors

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Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Expansion of Medicare Mental Health Coverage

The bill explicitly adds specific HCPCS codes for health and behavior assessment and intervention, signaling a move to broaden the definition of covered mental health services under Medicare.

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz15
    Current news / social attention level

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