summary
Introduced
03/05/2019
03/05/2019
In Committee
03/06/2019
03/06/2019
Crossed Over
Passed
Dead
12/31/2020
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)
Barbara Lee (D)*,
Cindy Axne (D),
Sanford Bishop (D),
Ed Case (D),
Yvette Clarke (D),
Peter DeFazio (D),
Dwight Evans (D),
Raúl Grijalva (D),
Katie Hill (D),
Sheila Jackson-Lee (D),
Hank Johnson (D),
Marcy Kaptur (D),
Derek Kilmer (D),
John Larson (D),
Susie Lee (D),
John Lewis (D),
Betty McCollum (D),
Gregory Meeks (D),
Chellie Pingree (D),
Mark Pocan (D),
Katie Porter (D),
Mary Gay Scanlon (D),
Jan Schakowsky (D),
José Serrano (D),
Terri Sewell (D),
Darren Soto (D),
Mike Thompson (D),
Paul Tonko (D),
Bonnie Watson Coleman (D),
Susan Wild (D),
Last Action
Referred to the Subcommittee on Health. (on 03/06/2019)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://www.congress.gov/bill/116th-congress/house-bill/1533/all-info | 03/06/2019 |
| BillText | https://www.congress.gov/116/bills/hr1533/BILLS-116hr1533ih.pdf | 03/22/2019 |
| Bill | https://www.congress.gov/116/bills/hr1533/BILLS-116hr1533ih.pdf.pdf | 03/22/2019 |
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