Us Congress House Bill HB9133

Us Congress 2023-2024 Regular Session

• Introduced: 7/25/24
• Refer: 7/25/24

Caption

Primary and Behavioral Health Care Access Act of 2024

Impact

The bill amends existing laws under the Employee Retirement Income Security Act of 1974, the Public Health Service Act, and the Internal Revenue Code, aiming to align healthcare policy with modern needs. By preventing cost-sharing for these specific visits, it is expected to encourage more individuals to seek care, potentially leading to better health outcomes and less reliance on emergency services. Moreover, the bill requires that the treatment limitations for these visits be consistent with other covered services to ensure equity in healthcare treatment.

Summary

House Bill 9133, titled the 'Primary and Behavioral Health Care Access Act of 2024', proposes significant changes to healthcare coverage by mandating that group health plans and health insurance issuers allow for up to three primary care and three behavioral health care visits each year without imposing any cost-sharing requirements on individuals. This bill is intended to improve access to essential healthcare services and reduce the financial burden on patients seeking care for both physical and mental health issues.

Contention

While the intent of HB 9133 is largely viewed positively, aiming to enhance access to care, there may be contention regarding the implications for insurers and healthcare providers. Critics may argue that mandating coverage without cost-sharing could place additional financial pressures on insurance companies, which could ultimately lead to higher premiums for consumers. Additionally, healthcare providers may express concerns regarding reimbursement rates and potential administrative burdens associated with complying with the new requirements.