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Introduced on March 31, 2025 by Nicole Malliotakis
This bill encourages doctors’ offices to add mental and behavioral health care into regular primary care for people with Medicare. For three years, Medicare would pay more for certain “behavioral health integration” services: about 1.75 times the usual amount in 2027, 1.5 times in 2028, and 1.25 times in 2029, for services billed under specific codes (99484, 99492–99494, G2214, G0323). During these years, Medicare would not make offsetting cuts elsewhere to balance out these higher payments.
By January 1, 2026, the Department of Health and Human Services must offer technical help to primary care practices that want to adopt these models, including Collaborative Care and Primary Care Behavioral Health approaches. The bill provides funding as needed for this support from fiscal years 2025 through 2029.