[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2509 Introduced in House (IH)]
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119th CONGRESS
1st Session
H. R. 2509
To amend title XVIII of the Social Security Act to provide incentives
for behavioral health integration.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
March 31, 2025
Ms. Malliotakis (for herself, Mrs. Fletcher, Mr. Pfluger, Mr. Horsford,
Mr. Carey, and Mr. Suozzi) introduced the following bill; which was
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
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to provide incentives
for behavioral health integration.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Connecting Our Medical Providers
with Links to Expand Tailored and Effective Care'' or the ``COMPLETE
Care Act''.
SEC. 2. MEDICARE INCENTIVES FOR BEHAVIORAL HEALTH INTEGRATION WITH
PRIMARY CARE.
(a) Incentives.--
(1) In general.--Section 1848(b) of the Social Security Act
(42 U.S.C. 1395w-4(b)) is amended by adding at the end the
following new paragraph:
``(13) Incentives for behavioral health integration.--
``(A) In general.--For services described in
subparagraph (B) that are furnished during 2027, 2028,
or 2029, instead of the payment amount that would
otherwise be determined under this section for such
year, the payment amount shall be equal to the
applicable percent (as defined in subparagraph (C)) of
such payment amount for such year.
``(B) Services described.--The services described
in this subparagraph are services 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).
``(C) Applicable percent.--In this paragraph, the
term `applicable percent' means, with respect to a
service described in subparagraph (A), the following:
``(i) For services furnished during 2027,
175 percent.
``(ii) For services furnished during 2028,
150 percent.
``(iii) For services furnished during 2029,
125 percent.''.
(2) Waiver of budget neutrality.--Section 1848(c)(2)(B)(iv)
of such Act (42 U.S.C. 1395w-4(c)(2)(B)(iv)) is amended--
(A) in subclause (V), by striking ``and'' at the
end;
(B) in subclause (VI), by striking the period at
the end and inserting ``; and'' and
(C) by adding at the end the following new
subclause:
``(VII) the increase in payment
amounts as a result of the application
of subsection (b)(13) shall not be
taken into account in applying clause
(ii)(II) for 2027, 2028, or 2029.''.
(b) Technical Assistance for the Adoption of Behavioral Health
Integration.--
(1) In general.--Not later than January 1, 2026, the
Secretary of Health and Human Services (in this subsection
referred to as the ``Secretary'') shall enter into contracts or
agreements with appropriate entities to offer technical
assistance to primary care practices that are seeking to adopt
behavioral health integration models in such practices.
(2) Behavioral health integration models.--For purposes of
paragraph (1), behavioral health integration models include the
Collaborative Care Model (with services identified as of
January 1, 2024, by HCPCS codes 99492, 99493, 99494, and G2214
(and any successor codes)), the Primary Care Behavioral Health
model (with services identified as of January 1, 2024, by HCPCS
codes 99484 and G0323 (and any successor code)), and other
models identified by the Secretary.
(3) Implementation.--Notwithstanding any other provision of
law, the Secretary may implement the provisions of this
subsection by program instruction or otherwise.
(4) Funding.--In addition to amounts otherwise available,
there is appropriated to the Secretary for each of fiscal years
2025 through 2029, out of any money in the Treasury not
otherwise appropriated, such sums as are necessary, to remain
available until expended, for purposes of carrying out this
subsection.
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