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H.R. 5819

BillFederalHouseIn Committee
Connecting Our Medical Providers with Links to Expand Tailored and Effective Care Act
About This Bill
Committee
Latest Action · December 17, 2024
Referred to the Subcommittee on Health.
Congress
118th (2023–2025)
Introduced
September 28, 2023
Cosponsors (36)
24D 12R
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Summary

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This bill creates financial incentives for primary care doctors and practitioners to integrate mental health and substance abuse treatment services into their practices under Medicare. Specifically, it increases payment rates for five behavioral health integration service codes by 75 percent in 2025, 50 percent in 2026, and 25 percent in 2027, making these services more profitable for providers to offer. The legislation also requires Medicare to establish quality measurement standards for practices that combine behavioral and primary care, and directs the federal government to provide technical assistance to help primary care practices adopt integrated care models. The bill appropriates necessary funding through fiscal year 2027 to support these technical assistance programs and waives budget neutrality requirements so the increased payment rates do not trigger automatic cuts elsewhere in Medicare payments.

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