H.R. 3808
119th CONGRESS 1st Session
To amend title XVIII of the Social Security Act to improve access to mental health services under the Medicare program.
IN THE HOUSE OF REPRESENTATIVES · June 6, 2025 · Sponsor: Mr. Fitzpatrick
Table of contents
SEC. 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 () is amended by adding at the end the following new subclause: 42 U.S.C. 1395yy(e)(2)(A)(iii)
- Clinical social worker services (as defined in section 1861(hh)(2)).
- Section 1888(e)(2)(A)(iii) of the Social Security Act () is amended by adding at the end the following new subclause: 42 U.S.C. 1395yy(e)(2)(A)(iii)
- (b) Access to the complete set of clinical social worker services
- Section 1861(hh)(2) of the Social Security Act (), 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,. 42 U.S.C. 1395x(hh)(2)
- Section 1861(hh)(2) of the Social Security Act (), is amended by striking
- (c) Effective date
- The amendments made by this section shall apply to items and services furnished on or after January 1, 2026.