Official Summaries

Connecting Our Medical Providers with Links to Expand Tailored and Effective Care or the COMPLETE Care Act

This bill increases payments and establishes certain requirements to support integrated behavioral health services under Medicare.

Specifically, the bill increases payments for integrated behavioral health services that are provided by physicians under Medicare for 2027-2029, with payments increased by 175% in 2027, 150% in 2028, and 125% in 2029.

The bill provides funds for FY2025-FY2029 for the Centers for Medicare & Medicaid Services to contract with entities to provide technical assistance to primary care practices that want to adopt models for behavioral health integration.

Current Full Text

[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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