Us Congress 2025-2026 Regular Session

Us Congress Senate Bill SB931 Compare Versions

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Old	New	Differences
1	1	II
2	2	119THCONGRESS
3	3	1
4	4	STSESSION S. 931
5	5	To amend title XVIII of the Social Security Act to provide incentives for
6	6	behavioral health integration.
7	7	IN THE SENATE OF THE UNITED STATES
8	8	MARCH11 (legislative day, MARCH10), 2025
9	9	Ms. C
10	10	ORTEZMASTO(for herself and Mr. CORNYN) introduced the following
11	11	bill; which was read twice and referred to the Committee on Finance
12	12	A BILL
13	13	To amend title XVIII of the Social Security Act to provide
14	14	incentives for behavioral health integration.
15	15	Be it enacted by the Senate and House of Representa-1
16	16	tives of the United States of America in Congress assembled, 2
17	17	SECTION 1. SHORT TITLE. 3
18	18	This Act may be cited as the ‘‘Connecting Our Med-4
19	19	ical Providers with Links to Expand Tailored and Effec-5
20	20	tive Care’’ or the ‘‘COMPLETE Care Act’’. 6
21	21	SEC. 2. MEDICARE INCENTIVES FOR BEHAVIORAL HEALTH 7
22	22	INTEGRATION WITH PRIMARY CARE. 8
23	23	(a) I
24	24	NCENTIVES.— 9
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27	27	•S 931 IS
28	28	(1) IN GENERAL.—Section 1848(b) of the So-1
29	29	cial Security Act (42 U.S.C. 1395w–4(b)) is amend-2
30	30	ed by adding at the end the following new para-3
31	31	graph: 4
32	32	‘‘(13) I
33	33	NCENTIVES FOR BEHAVIORAL HEALTH 5
34	34	INTEGRATION.— 6
35	35	‘‘(A) I
36	36	N GENERAL.—For services described 7
37	37	in subparagraph (B) that are furnished during 8
38	38	2027, 2028, or 2029, instead of the payment 9
39	39	amount that would otherwise be determined 10
40	40	under this section for such year, the payment 11
41	41	amount shall be equal to the applicable percent 12
42	42	(as defined in subparagraph (C)) of such pay-13
43	43	ment amount for such year. 14
44	44	‘‘(B) S
45	45	ERVICES DESCRIBED.—The services 15
46	46	described in this subparagraph are services 16
47	47	identified, as of January 1, 2024, by HCPCS 17
48	48	codes 99484, 99492, 99493, 99494, G2214, 18
49	49	and G0323 (and any successor or similar codes 19
50	50	as determined appropriate by the Secretary). 20
51	51	‘‘(C) A
52	52	PPLICABLE PERCENT .—In this 21
53	53	paragraph, the term ‘applicable percent’ means, 22
54	54	with respect to a service described in subpara-23
55	55	graph (A), the following: 24
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58	58	•S 931 IS
59	59	‘‘(i) For services furnished during 1
60	60	2027 , 175 percent. 2
61	61	‘‘(ii) For services furnished during 3
62	62	2028, 150 percent. 4
63	63	‘‘(iii) For services furnished during 5
64	64	2029, 125 percent.’’. 6
65	65	(2) W
66	66	AIVER OF BUDGET NEUTRALITY .—Section 7
67	67	1848(c)(2)(B)(iv) of such Act (42 U.S.C. 1395w– 8
68	68	4(c)(2)(B)(iv)) is amended— 9
69	69	(A) in subclause (V), by striking ‘‘and’’ at 10
70	70	the end; 11
71	71	(B) in subclause (VI), by striking the pe-12
72	72	riod at the end and inserting ‘‘; and’’ and 13
73	73	(C) by adding at the end the following new 14
74	74	subclause: 15
75	75	‘‘(VII) the increase in payment 16
76	76	amounts as a result of the application 17
77	77	of subsection (b)(13) shall not be 18
78	78	taken into account in applying clause 19
79	79	(ii)(II) for 2027, 2028, or 2029.’’. 20
80	80	(b) T
81	81	ECHNICALASSISTANCE FOR THE ADOPTION OF 21
82	82	B
83	83	EHAVIORALHEALTHINTEGRATION.— 22
84	84	(1) I
85	85	N GENERAL.—Not later than January 1, 23
86	86	2026, the Secretary of Health and Human Services 24
87	87	(in this subsection referred to as the ‘‘Secretary’’) 25
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90	90	•S 931 IS
91	91	shall enter into contracts or agreements with appro-1
92	92	priate entities to offer technical assistance to pri-2
93	93	mary care practices that are seeking to adopt behav-3
94	94	ioral health integration models in such practices. 4
95	95	(2) B
96	96	EHAVIORAL HEALTH INTEGRATION MOD -5
97	97	ELS.—For purposes of paragraph (1), behavioral 6
98	98	health integration models include the Collaborative 7
99	99	Care Model (with services identified as of January 8
100	100	1, 2024, by HCPCS codes 99492, 99493, 99494, 9
101	101	and G2214 (and any successor codes)), the Primary 10
102	102	Care Behavioral Health model (with services identi-11
103	103	fied as of January 1, 2024, by HCPCS codes 99484 12
104	104	and G0323 (and any successor code)), and other 13
105	105	models identified by the Secretary. 14
106	106	(3) I
107	107	MPLEMENTATION.—Notwithstanding any 15
108	108	other provision of law, the Secretary may implement 16
109	109	the provisions of this subsection by program instruc-17
110	110	tion or otherwise. 18
111	111	(4) F
112	112	UNDING.—In addition to amounts other-19
113	113	wise available, there is appropriated to the Secretary 20
114	114	for each of fiscal years 2025 through 2029, out of 21
115	115	any money in the Treasury not otherwise appro-22
116	116	priated, such sums as are necessary, to remain avail-23
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119	119	•S 931 IS
120	120	able until expended, for purposes of carrying out 1
121	121	this subsection. 2
122	122	Æ
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