S. 2865

119th CONGRESS 1st Session

To amend title XVIII of the Social Security Act to waive cost-sharing for advance care planning services, and for other purposes.

IN THE SENATE OF THE UNITED STATES · September 18 (legislative day, September 16), 2025 · Sponsor: Mr. Warner · Committee: Committee on Finance

Table of contents

• S. 2865
  • SEC. 1. Short title
  • SEC. 2. Medicare coverage of advance care planning services
  • SEC. 3. HHS provider outreach
  • SEC. 4. MedPAC report on the furnishing of advance care planning services and the use of advance care planning codes under the Medicare program

SEC. 1. Short title

• This Act may be cited as the Improving Access to Advance Care Planning Act.

SEC. 2. Medicare coverage of advance care planning services

• (a) Advance care planning services defined
  • Section 1861 of the Social Security Act () is amended by adding at the end the following new subsection: 42 U.S.C. 1395x
    • (nnn) Advance care planning services
      • (1) In general
        • The term advance care planning services means services provided by an eligible practitioner (as defined in paragraph (2)) to an individual, a family member of such individual, a caregiver of such individual, or such individual’s representative, to discuss—
          • the health care preferences of such individual;
          • future health care decisions that may need to be made by, or on behalf of, such individual; and
          • advance directives or other standard forms, which may be completed by, or on behalf of, such individual.
      • (2) Eligible practitioner
        • For purposes of paragraph (1), the term eligible practitioner means—
          • a physician (as defined in subsection (r));
          • a physician assistant (as defined in subsection (aa)(5));
          • a nurse practitioner (as defined in subsection (aa)(5));
          • a clinical nurse specialist (as defined in subsection (aa)(5));
          • a clinical social worker (as defined in subsection (hh)(1)) who possesses—
            • (i) a relevant care planning certification; or
            • (ii) experience providing care planning conversations or similar services, as defined by the Secretary; or
          • any other practitioner determined appropriate by the Secretary.
• (b) Encouraging advance care planning
  • (1) Payment
    • Section 1848(b) of the Social Security Act () is amended by adding at the end the following new paragraph: 42 U.S.C. 1395w–4(b)
      • (13) Encouraging advance care planning services
        • (A) In general
          • In order to encourage advance care planning services, the Secretary shall, subject to subparagraph (B), make payments (as the Secretary determines to be appropriate) under this section for advance care planning services (as defined in section 1861(nnn)) furnished on or after the date of enactment of this paragraph.
        • (B) Policies related to payment
          • In carrying out this paragraph, with respect to advance care planning services, the Secretary—
            • (i) shall make payment to only 1 applicable provider for such services furnished to an individual during a period;
            • (ii) shall not make a payment under subparagraph (A) if such payment would be duplicative of a payment that is otherwise made under this title for such services; and
            • (iii) shall not require that an annual wellness visit (as defined in section 1861(hhh)) or an initial preventive physical examination (as defined in section 1861(ww)) be furnished as a condition of payment for such services.
  • (2) Removing cost-sharing responsibilities for advance care planning services under part B of the Medicare program
    • Section 1833 of the Social Security Act () is amended— 42 U.S.C. 1395l
      • in subsection (a)(1)—
        • (i) in subparagraph (GG), by striking at the end; and
        • (ii) in subparagraph (HH), by striking the semicolon at the end and inserting the following: and
      • in subsection (b), in the first sentence—
        • (i) by striking , and (13)and inserting (13); and
        • (ii) by striking section 1861(n).and inserting the following: .
• (c) Improvements To advance care planning through telehealth
  • Section 1834(m) of the Social Security Act () is amended— 42 U.S.C. 1395m(m)
    • in paragraph (4)(C)—
      • in clause (i), in the matter preceding subclause (I), by striking and (7)and inserting (7), and (10); and
      • in clause (ii)(X), by inserting before the period at the end; and
      • (10) Treatment of advance care planning services
        • The geographic requirements described in paragraph (4)(C)(i) shall not apply with respect to telehealth services furnished on or after the date of enactment of this paragraph for purposes of furnishing advance care planning services (as defined in section 1861(nnn)).
    • by adding at the end the following new paragraph:
• (d) Aligning definitions
  • Section 1861 of the Social Security Act () is amended— 42 U.S.C. 1395x
    • in subsection (ww)—
    • in subsection (hhh)(2)—

SEC. 3. HHS provider outreach

• (a) Outreach
  • The Secretary of Health and Human Services (in this section referred to as the ) shall conduct outreach to physicians and appropriate non-physician practitioners participating under the Medicare program under title XVIII of the Social Security Act with respect to Medicare payment for advance care planning services furnished to individuals to discuss their health care preferences, identified by Healthcare Common Procedure Coding System (HCPCS) codes 99497 and 99498 (or any successor to such codes). Such outreach shall include a new, comprehensive, one-time education initiative to inform such physicians and practitioners of the addition of such services as a covered benefit under the Medicare program, including the requirements for beneficiary eligibility for such services.
• (b) Report
  • Not later than 1 year after the date of completion of the outreach described in subsection (a), the Secretary shall submit to the Committee on Finance of the Senate and the Committee on Ways and Means and the Committee on Energy and Commerce of the House of Representatives a report on the outreach conducted under subsection (a). Such report shall include a description of the methods used for such outreach.

SEC. 4. MedPAC report on the furnishing of advance care planning services and the use of advance care planning codes under the Medicare program

• (a) Study
  • The Medicare Payment Advisory Commission (in this section referred to as the ) shall conduct a study on advance care planning under the Medicare program under title XVIII of the Social Security Act. Such study shall include an analysis of—
    • the furnishing of advance care planning services to Medicare beneficiaries, including—
      • which providers are trained to provide such services;
      • which providers are eligible to provide such services under the Medicare program;
      • the length and frequency of the visits for furnishing such services; and
      • any barriers related to providers furnishing, or beneficiaries being furnished, such services;
    • the use of advance care planning Current Procedural Terminology (CPT) codes to bill for the furnishing of advance care planning services to Medicare beneficiaries, including—
      • circumstances under which codes other than advance care planning CPT codes are used to bill for such services under the Medicare program and why providers do not use advance care planning CPT codes; and
      • any barriers to providers using advance care planning CPT codes to bill for such services under the Medicare program; and
    • such other items determined appropriate by the Commission.
• (b) Report
  • Not later than June 30, 2027, the Commission shall submit to the Committee on Finance of the Senate and the Committee on Ways and Means and the Committee on Energy and Commerce of the House of Representatives a report on the study conducted under subsection (a), together with recommendations for such legislation and administrative action as the Commission determines appropriate.