Expanding Seniors Access to Mental Health Services Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3808 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 3808

 To amend title XVIII of the Social Security Act to improve access to 
           mental health services under the Medicare program.


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                    IN THE HOUSE OF REPRESENTATIVES

                              June 6, 2025

 Mr. Fitzpatrick (for himself and Mr. Tonko) introduced the following 
  bill; which was referred to the Committee on Ways and Means, and in 
 addition to the Committee on Energy and Commerce, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

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                                 A BILL


 
 To amend title XVIII of the Social Security Act to improve access to 
           mental health services under the Medicare program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Expanding Seniors Access to Mental 
Health Services Act''.

SEC. 2. IMPROVED ACCESS TO MENTAL HEALTH SERVICES UNDER THE MEDICARE 
              PROGRAM.

    (a) Exclusion of Clinical Social Worker Services From the Skilled 
Nursing Facility Prospective Payment System.--Section 
1888(e)(2)(A)(iii) of the Social Security Act (42 U.S.C. 
1395yy(e)(2)(A)(iii)) is amended by adding at the end the following new 
subclause:
                                    ``(VII) Clinical social worker 
                                services (as defined in section 
                                1861(hh)(2)).''.
    (b) Access to the Complete Set of Clinical Social Worker 
Services.--Section 1861(hh)(2) of the Social Security Act (42 U.S.C. 
1395x(hh)(2)), is amended by striking ``for the diagnosis and treatment 
of mental illnesses (other than services furnished to an inpatient of a 
hospital and other than services furnished to an inpatient of a skilled 
nursing facility which the facility is required to provide as a 
requirement for participation)'' and inserting ``, including services 
for the diagnosis and treatment of mental illnesses or services for 
health and behavior assessment and intervention (identified as of 
January 1, 2023, by HCPCS codes 96156, 96158-96161, 96164-96168, and 
96170-96171 (and any succeeding codes)), but not including services 
furnished to an inpatient of a hospital,''.
    (c) Effective Date.--The amendments made by this section shall 
apply to items and services furnished on or after January 1, 2026.
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