Bill > S3892

This bill aims to increase access to community health workers under the Medicare and Medicaid programs. It does this by: 1) Adding "community health services" as a covered benefit under Medicare Part B, defining the types of services that qualify (such as preventive services, services to address social determinants of health, and care coordination) and the requirements for community health agencies that can provide these services. 2) Allowing states, as an optional Medicaid state plan amendment, to provide medical assistance for preventive services and services to address social determinants of health that are furnished by community health workers, promotoras, or community health representatives. The bill provides guidance on the components necessary for state plan amendments and increases the Federal Medical Assistance Percentage (FMAP) by 6 percentage points for these services. The key provisions of the bill are to expand Medicare and Medicaid coverage for community health worker services in order to improve access to preventive care and address social factors that impact health outcomes.

Budget and Finance

https://www.congress.gov/bill/118th-congress/senate-bill/3892/all-info