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Creates a time‑limited Medicare pilot that lets hospitals test new ways to coordinate mental and physical health care, with special attention to vulnerable communities. Participating hospitals submit a plan, join a learning network, and receive negotiated, predictable annual payments to carry it out. The Secretary of Health and Human Services will evaluate results and report to Congress after the pilot ends. The program runs starting October 1, 2025 and may continue through no later than September 30, 2030, using existing innovation funds without new appropriations.
Establish a demonstration program called the "Mental and physical health comorbidities collaborative demonstration program" to test and evaluate hospital-implemented innovations for furnishing items and services to individuals with mental and physical health comorbidities (and those at risk), including addressing adverse social determinants of health.
Under the program, the Secretary must identify, validate, and disseminate evidence-based best practices and models that improve care and outcomes for applicable individuals in vulnerable communities, including addressing social determinants of health.
Under the program, the Secretary must assist in identifying potential payment reforms under Title XVIII (Medicare) and Title XIX (Medicaid) that could more broadly effectuate improvements.
Set program operation period beginning October 1, 2025 and ending no later than September 30, 2030.
Participating (eligible) hospitals must enter into an agreement with the Secretary to carry out program activities; the agreement must include the hospital’s proposed plan (with quality metrics) and an annualized payment arrangement to support the plan.
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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.
Introduced April 2, 2025 by Brendan Francis Boyle · Last progress April 2, 2025
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.
Introduced in House