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Bill > HR1533


US HR1533

US HR1533
Improving Access to Mental Health Act


summary

Introduced
03/05/2019
In Committee
03/06/2019
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

116th Congress

Bill Summary

To amend title XVIII of the Social Security Act to improve access to mental health services under the Medicare program. This bill increases the Medicare reimbursement rate for clinical social worker services. The bill excludes clinical social worker services from the prospective payment system in which predetermined amounts form the basis for payment under Medicare. Additionally, the bill alters the definition of clinical social worker services as it relates to Medicare. Under current law, such services (1) include services performed for the diagnosis and treatment of mental illnesses, and (2) exclude services furnished to an inpatient of a skilled nursing facility as a condition of the facility's participation in the Medicare program. The bill repeals these provisions and instead specifies that such services include certain types of health behavior assessment and intervention.

AI Summary

This bill, the Improving Access to Mental Health Act, aims to improve access to mental health services under the Medicare program. The key provisions of the bill are: 1) It increases the Medicare reimbursement rate for clinical social worker services from 75% to 85% of the fee schedule amount. 2) It excludes clinical social worker services provided to residents of skilled nursing facilities from the prospective payment system, allowing these services to be reimbursed separately. 3) It expands the definition of "clinical social worker services" under Medicare to include certain health behavior assessment and intervention services, in addition to the diagnosis and treatment of mental illnesses. 4) The amendments made by the bill will apply to items and services furnished on or after January 1, 2020. The bill is intended to improve access to mental health care for Medicare beneficiaries by increasing reimbursement rates and coverage for clinical social worker services.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (30)

Last Action

Referred to the Subcommittee on Health. (on 03/06/2019)

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