Raises Medicare payments for certain behavioral‑health services delivered in primary care for a limited time and funds hands‑on help for practices to integrate mental health into routine care. The payment bump runs from 2027 through 2029 for specific billing codes already in use as of January 1, 2024, and it does not require offsetting cuts elsewhere in Medicare’s physician fee schedule. It also directs HHS to offer technical assistance—direct support and training—to primary care practices adopting behavioral‑health integration models, and allows HHS to hire outside organizations to deliver that help using dedicated funding.
Adds a new paragraph (b)(13) to section 1848(b) of the Social Security Act creating an “Incentives for behavioral health integration” payment rule: for services listed in subparagraph (B) furnished during 2027, 2028, or 2029, the Medicare payment amount for that service shall equal the applicable percent of the otherwise-determined payment amount for that year.
Specifies the services covered by the payment rule as those identified, as of January 1, 2024, by HCPCS codes 99484, 99492, 99493, 99494, G2214, and G0323 (and any successor or similar codes as determined appropriate by the Secretary).
Defines the applicable percent for the payment rule: 175 percent for services furnished during 2027; 150 percent for services furnished during 2028; 125 percent for services furnished during 2029.
Amends section 1848(c)(2)(B)(iv) to add a new subclause stating that the increase in payment amounts resulting from the new subsection (b)(13) shall not be taken into account when applying clause (ii)(II) for 2027, 2028, or 2029 (i.e., a waiver of the budget-neutrality offset for those years). The amendment also adjusts punctuation in existing subclauses to insert the new subclause.
Requires that, not later than January 1, 2026, the Secretary of Health and Human Services must enter into contracts or agreements with appropriate entities to offer technical assistance to primary care practices seeking to adopt behavioral health integration models.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Last progress March 31, 2025 (9 months ago)
Introduced on March 31, 2025 by Nicole Malliotakis
COMPLETE Care Act
Updated 1 day ago
Last progress March 11, 2025 (10 months ago)