119-hr2509

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2509 Introduced in House

    (IH) ]

<DOC>

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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