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Filing registrants (3)
2026 · third_quarter · Medicare/Medicaid
H.R. 1096: HOPE and Mental Wellbeing Act of 2025 mandates coverage of three annual primary care visits without cost-sharing under Medicare and Medicaid. H.R. 1867: Removes in-person requirements for mental health services under Medicare. H.R. 1598: Ensuring Access to Medicaid Buy-in Programs Act lifts the age cap for Medicaid buy-in programs for those with disabilities who choose to work S. 752/H.R. 1509: Accelerating Kids Access to Care Act expands Medicaid enrollment across state lines. S. 683: More Behavioral Health Providers Act of 2025 creates workforce incentives under Medicare. H.R. 2540: SSI Savings Penalty Elimination Act updates resource limits for SSI income eligibility. Reject cuts to Medicaid and other mental health and or substance use disorder programs in the reconciliation process. Support for state waivers for federal financial participation for services furnished to Medicaid members during short-term stays for acute care in psychiatric hospitals or residential treatment facilities that qualify as institutions for mental disease. -- H.R. 1: One Big Beautiful Bill Act reauthorizes and reforms major federal programs including Medicaid. H.R. 2590: Mental and Physical Health Care Comorbidities Act of 2025 establishes a Medicare demonstration program to promote collaborative treatment of mental and physical health comorbidities. S. 1264/H.R. 3320: Strengthening Medicaid for Serious Mental Illness Act increases federal Medicaid funding for states providing intensive community-based services for adults with serious mental illness. H.R. 4022: Increasing Behavioral Health Treatment Act removes the Medicaid exclusion for mental health services in institutions for mental diseases for patients under 65. S. 2011/H.R. 3884: Telemental Health Care Access Act removes the statutory requirement that Medicare beneficiaries be seen in-person within six months of being treated for mental and behavioral health services through telehealth. S. 2024/H.R. 3907: Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act strengthens and expands the navigator program by increasing funding, broadening duties, and ensuring nonprofit participation. H.R. 2495: Nutrition CARE Act of 2025 provides Medicare coverage for medical nutrition therapy for individuals with eating disorders. H.R. 2263: Telehealth Coverage Act of 2025: permanently expands telehealth services under Medicare H.R. 3384 Telemental Health Care Access Act: Expands Medicaid to include both mental and behavioral health services provided by telehealth. H.R. 4037/S.2847: Occupational Therapy Mental Health parity Act: Clarifies that Medicare covers occupational therapy for mental health and substance use disorders HR 4619 Medicare Mental Health Impatient Equity Act of 2025: Removes the 190-day lifetime limit on Medicare coverage on inpatient Psychiatric hospital services. HR 5462: Michelle Alyssa Go Act: Would expand Medicaid coverage for mental health and substance use disorder treatment by increasing the facility size limit from 16 to 36 beds. S. 2401/H.R. 4745: Medicaid Bump Act: Increase federal Medicaid funds for certain mental health services S. 1797 Expanding Seniors Access to Mental Health Services Act: expands Medicaid coverage and reimbursement for clinical social workers to provide mental health services S.2050 ASSIST Act: Increases federal Medicaid funding for school-based behavioral health services S.2069/HR 4028: Stabilize Medicaid and CHIP Coverage Act: mandates 12-month continuous enrollment for all individuals in Medicaid and CHIP S.2037/H.R.4313 Hospital Inpatient Services Modernization Act: Extends Medicare's acute hospital care at home waiver flexibilities S.2709/ H.R.5081: Telehealth Modernization Act: Extends and expands Medicare telehealth flexibilities S.3300/H.R.6408: ANCHOR Act of 2025 allows states to expand Medicaid coverage to low income, uninsured individuals with serious mental illness or substance use disorders S.3486 Expand the Behavioral Health Workforce Now Act: Requires federal guidance to help states strengthen the behavioral health workforce in Medicaid and CHIP S. 3522 No Red Tape for Addiction Treatment Act: Requires State Medicaid programs to cover at least one formulation of each medication for opioid use disorder without prior Authorization H.R. 6096 NEST Act funds and distributes essential newborn supply kits to mothers. S.1816/ H.R. 3514: Improving Seniors' Timely Access to Care Act: Streamlining prior authorization to increase timely access to care. Support for the extension of the enhanced advance premium tax credits (eAPTC) Support for an extension or permanent authorization of telehealth/telemental health flexibilities Support for continued access to Medicaid Ensuring that new community engagement requirements do not lead to individuals being unfairly removed from Medicaid. H.R. 7535: Second Chance Mental Health Access Act of 2026 requires Medicaid to cover 12 annual mental health telehealth visits for individuals transitioning from incarceration to home confinement. H.R. 5662: Improving Access to Institutional Mental Health Care Act removes the Medicaid exclusion for coverage of services provided to patients in mental health institutions. H.R. 6296: Advancing Access to Telehealth Act makes several telehealth flexibilities permanent under Medicare. H.R. 6727: Repealing the IMD Exclusion Act removes the Medicaid exclusion for mental health and substance use disorder treatment in institutions for mental diseases. H.R. 7324: More Behavioral Health Providers Act of 2026 expands Medicare bonus payments to a wider range of behavioral health practitioners. S. 2709: Telehealth Modernization Act extends and expands Medicare telehealth flexibilities. S. 3521/H.R. 6841: PEERS Act of 2025 expands Medicare to cover peer support services for mental health and substance use recovery. S. 3690: Ensuring Access to Medicaid Buy-in Programs Act of 2026 removes the age limit for working adults with disabilities to qualify for Medicaid buy-in programs. S. 3750: REAL Health Providers Act requires Medicare Advantage plans to maintain accurate provider directories. S. 4076: Removing Medicare Mental Health Inpatient Limitations Act of 2026 removes the 190-day lifetime limit on Medicare coverage for inpatient psychiatric hospital services. S. 4202: Mental Health Access and Provider Support Act of 2026 increases Medicare reimbursement rates for certain mental health providers. ___ H.R. 3514: Improving Seniors Timely Access to Care Act of 2025 requires Medicare Advantage plans to implement electronic prior authorization, increase transparency, protect enrollees, and adhere to new response timeframes H.R. 5944: Restoring Inpatient Mental Health Access Act of 2025 allows federal Medicaid funding for inpatient mental health services in institutions for mental diseases H.R. 8081: Mental Health Access and Provider Support Act of 2026 increases Medicare reimbursement rates for certain mental health providers H.R. 8487: Ensuring Excellence in Mental Health Act expands and standardizes Certified Community Behavioral Health Clinics under Medicaid and Medicare H.R.8261: Chronic Care Management Improvement Act of 2026 eliminates all cost-sharing for chronic care management services under Medicare Part B S. 4481: IMPACT to Save Moms Act demonstration project for states to test innovative Medicaid and CHIP payment models for maternity care __ Support for the continuation of the enhanced FMAP rate for mobile crisis response programs. H.R. 10240: Behavioral Health Crisis Services Expansion Act of 2026 requires Medicare, Medicaid, CHIP, TRICARE, veterans health care, FEHB, and private health insurance to cover behavioral health crisis response services. H.R. 10270: Supporting 988 Crisis Stabilization Act revises Medicaid's IMD exclusion to expand coverage for crisis stabilization and urgent mental health care facilities. H.R. 10287: 988 Crisis Response Act increases funding and expands Medicaid coverage for mental health crisis response services. H.R. 8540: HCBS Access Act a comprehensive legislative proposal aimed at transforming the delivery and accessibility of Home and Community-Based Services (HCBS) under Medicaid. H.R. 8891: Rural MOMS Act of 2026 amends Medicare regulations to exclude beds used solely for labor and delivery from the acute care inpatient bed count for critical access hospitals. H.R. 9488: Health Disparity Zones Act of 2026 establishes designated areas with significant health disparities and provides tax incentives, grants, loan repayment programs, and increased Medicare payments. H.R. 9538: Residential Recovery for Seniors Act establish Medicare coverage for residential substance use disorder services. H.R. 9847: Improving CARE for Youth Act requires Medicaid to cover and reimburse for mental health, substance use disorder, and primary care services provided to the same individual on the same day. H.R. 9867: Expand the Behavioral Health Workforce Now Act requires federal guidance to states on using Medicaid and CHIP to strengthen the behavioral health workforce. S. 5231: Equity in Pretrial Health Coverage Act removes federal restrictions that previously denied Medicaid, Medicare, CHIP, and VA health benefits to individuals in custody pending trial. S. 5236: Improving CARE for Youth Act requires Medicaid to cover both mental health and primary care services provided to an individual on the same day. S. 5321: HCBS Access Act expands and standardizes access to HCBS under Medicaid. S. 5428/H.R. 930 Stop the Wait Act eliminates the waiting periods for Social Security Disability Insurance and Medicare coverage.
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.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
Client expense: $10,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2026 · second_quarter · Health Issues
Early Action and Responsiveness Lifts Youth Minds Act H.R. 1735/S.779. Legislation that would allow states to use up to 5% of the Mental Health Block Grant for evidence-based mental health prevention and early intervention activities. COMPLETE Care Act (S.931/H.R.2509). This bill would increase Medicare reimbursement amounts for the HCPCS billing codes for integrated behavioral health care for three years. The HCPCS codes are 99484, 99492, 99493, 99494, G2214, and G0323. Reimbursement would be 175% of current rates for 2027, 150% for 2028, and 125% for 2029. Promoting Effective and Empowering Recovery Services in Medicare Act H.R. 6841/S. 3521. This bill would allow for Medicare reimbursement for mental health and substance use disorder peer support specialists. Expanding Community Access to Health Services Act H.R. 8201. This bill requires community health centers to provide mental health and substance use disorder services.
Client expense: $22,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · second_quarter · Medicare/Medicaid
H.R. 1096: HOPE and Mental Wellbeing Act of 2025 mandates coverage of three annual primary care visits without cost-sharing under Medicare and Medicaid. H.R. 1867: Removes in-person requirements for mental health services under Medicare. H.R. 1598: Ensuring Access to Medicaid Buy-in Programs Act lifts the age cap for Medicaid buy-in programs for those with disabilities who choose to work S. 752/H.R. 1509: Accelerating Kids Access to Care Act expands Medicaid enrollment across state lines. S. 683: More Behavioral Health Providers Act of 2025 creates workforce incentives under Medicare. H.R. 2540: SSI Savings Penalty Elimination Act updates resource limits for SSI income eligibility. Reject cuts to Medicaid and other mental health and or substance use disorder programs in the reconciliation process. Support for state waivers for federal financial participation for services furnished to Medicaid members during short-term stays for acute care in psychiatric hospitals or residential treatment facilities that qualify as institutions for mental disease. -- H.R. 1: One Big Beautiful Bill Act reauthorizes and reforms major federal programs including Medicaid. H.R. 2590: Mental and Physical Health Care Comorbidities Act of 2025 establishes a Medicare demonstration program to promote collaborative treatment of mental and physical health comorbidities. S. 1264/H.R. 3320: Strengthening Medicaid for Serious Mental Illness Act increases federal Medicaid funding for states providing intensive community-based services for adults with serious mental illness. H.R. 4022: Increasing Behavioral Health Treatment Act removes the Medicaid exclusion for mental health services in institutions for mental diseases for patients under 65. S. 2011/H.R. 3884: Telemental Health Care Access Act removes the statutory requirement that Medicare beneficiaries be seen in-person within six months of being treated for mental and behavioral health services through telehealth. S. 2024/H.R. 3907: Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act strengthens and expands the navigator program by increasing funding, broadening duties, and ensuring nonprofit participation. H.R. 2495: Nutrition CARE Act of 2025 provides Medicare coverage for medical nutrition therapy for individuals with eating disorders. H.R. 2263: Telehealth Coverage Act of 2025: permanently expands telehealth services under Medicare H.R. 3384 Telemental Health Care Access Act: Expands Medicaid to include both mental and behavioral health services provided by telehealth. H.R. 4037/S.2847: Occupational Therapy Mental Health parity Act: Clarifies that Medicare covers occupational therapy for mental health and substance use disorders HR 4619 Medicare Mental Health Impatient Equity Act of 2025: Removes the 190-day lifetime limit on Medicare coverage on inpatient Psychiatric hospital services. HR 5462: Michelle Alyssa Go Act: Would expand Medicaid coverage for mental health and substance use disorder treatment by increasing the facility size limit from 16 to 36 beds. S. 2401/H.R. 4745: Medicaid Bump Act: Increase federal Medicaid funds for certain mental health services S. 1797 Expanding Seniors Access to Mental Health Services Act: expands Medicaid coverage and reimbursement for clinical social workers to provide mental health services S.2050 ASSIST Act: Increases federal Medicaid funding for school-based behavioral health services S.2069/HR 4028: Stabilize Medicaid and CHIP Coverage Act: mandates 12-month continuous enrollment for all individuals in Medicaid and CHIP S.2037/H.R.4313 Hospital Inpatient Services Modernization Act: Extends Medicare's acute hospital care at home waiver flexibilities S.2709/ H.R.5081: Telehealth Modernization Act: Extends and expands Medicare telehealth flexibilities S.3300/H.R.6408: ANCHOR Act of 2025 allows states to expand Medicaid coverage to low income, uninsured individuals with serious mental illness or substance use disorders S.3486 Expand the Behavioral Health Workforce Now Act: Requires federal guidance to help states strengthen the behavioral health workforce in Medicaid and CHIP S. 3522 No Red Tape for Addiction Treatment Act: Requires State Medicaid programs to cover at least one formulation of each medication for opioid use disorder without prior Authorization H.R. 6096 NEST Act funds and distributes essential newborn supply kits to mothers. S.1816/ H.R. 3514: Improving Seniors' Timely Access to Care Act: Streamlining prior authorization to increase timely access to care. Support for the extension of the enhanced advance premium tax credits (eAPTC) Support for an extension or permanent authorization of telehealth/telemental health flexibilities Support for continued access to Medicaid Ensuring that new community engagement requirements do not lead to individuals being unfairly removed from Medicaid. H.R. 7535: Second Chance Mental Health Access Act of 2026 requires Medicaid to cover 12 annual mental health telehealth visits for individuals transitioning from incarceration to home confinement. H.R. 5662: Improving Access to Institutional Mental Health Care Act removes the Medicaid exclusion for coverage of services provided to patients in mental health institutions. H.R. 6296: Advancing Access to Telehealth Act makes several telehealth flexibilities permanent under Medicare. H.R. 6727: Repealing the IMD Exclusion Act removes the Medicaid exclusion for mental health and substance use disorder treatment in institutions for mental diseases. H.R. 7324: More Behavioral Health Providers Act of 2026 expands Medicare bonus payments to a wider range of behavioral health practitioners. S. 2709: Telehealth Modernization Act extends and expands Medicare telehealth flexibilities. S. 3521/H.R. 6841: PEERS Act of 2025 expands Medicare to cover peer support services for mental health and substance use recovery. S. 3690: Ensuring Access to Medicaid Buy-in Programs Act of 2026 removes the age limit for working adults with disabilities to qualify for Medicaid buy-in programs. S. 3750: REAL Health Providers Act requires Medicare Advantage plans to maintain accurate provider directories. S. 4076: Removing Medicare Mental Health Inpatient Limitations Act of 2026 removes the 190-day lifetime limit on Medicare coverage for inpatient psychiatric hospital services. S. 4202: Mental Health Access and Provider Support Act of 2026 increases Medicare reimbursement rates for certain mental health providers. ___ H.R. 3514: Improving Seniors Timely Access to Care Act of 2025 requires Medicare Advantage plans to implement electronic prior authorization, increase transparency, protect enrollees, and adhere to new response timeframes H.R. 5944: Restoring Inpatient Mental Health Access Act of 2025 allows federal Medicaid funding for inpatient mental health services in institutions for mental diseases H.R. 8081: Mental Health Access and Provider Support Act of 2026 increases Medicare reimbursement rates for certain mental health providers H.R. 8487: Ensuring Excellence in Mental Health Act expands and standardizes Certified Community Behavioral Health Clinics under Medicaid and Medicare H.R.8261: Chronic Care Management Improvement Act of 2026 eliminates all cost-sharing for chronic care management services under Medicare Part B S. 4481: IMPACT to Save Moms Act demonstration project for states to test innovative Medicaid and CHIP payment models for maternity care
Client expense: $20,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2026 · second_quarter · Health Issues
SUPPORT for Patients and Communities Reauthorization Act (H.R. 2483), all provisions related to the continued bolstered funding for substance use disorder treatment and recovery. Ensuring Excellence in Mental Health Act (S.3402), all provisions relating to certified community behavioral health clinics. COMPLETE Care Act (S. 931/H.R. 2509), all provisions related to providing incentives for behavioral health integration. STAR Plus Scholarship Act (H.R. 3655), all provisions related to creating a scholarship program for students pursuing a degree to provide substance use disorder treatment, mental health and behavioral health services. PEER Support Act (H.R. 2741/S. 1329), all provisions related to background screenings for peer specialists, creating a statutory definition in the Medicare program for peer specialists, and establishing the Office of Recovery. EARLY Minds Act (S. 779/H.R. 1735), all provisions related to allowing states to allocate up to five percent of their Mental Health Block Grant funding for prevention and early intervention activities. WORK to Save Lives Act (H.R. 7479/S. 3812), all provisions related to requiring guidance for maintenance and training on opioid reversal medications in the workplace. Building Capacity for Care Act (H.R. 2223), all provisions related to creating grants, loans, and loan guarantees to fund the construction, renovation, or purchase of behavioral health facilities that provide short-term inpatient care, partial hospitalization, intensive outpatient care, and/or crisis stabilization. Expanding Student Access to Mental Health Services Act (H.R. 1649), all provisions related to improving mental health services for students. PEER Mental Health Act (H.R. 1448), all provisions related to awarding grants to train teachers, school personnel, parents/caregivers and students in mental health first aid. Parity Enforcement Act (H.R. 957), all provisions related to imposing civil monetary penalties for violations of mental health parity requirements. Telehealth Access for Tribal Communities Act of 2025 (H.R. 2639), all provisions related to providing access to healthcare services through audio-only telehealth for Medicare beneficiaries in tribal communities. Treatment and Homelessness Housing Integration Act of 2024 (H.R. 577), all provisions related to establishing a five-year demonstration program to refer qualified participants within the Continuum of Care Program to the nearest Certified Community Behavioral Health Clinic. Veteran Overmedication and Suicide Prevention Act of 2025(H.R. 136), all provisions relating to requiring the Department of Veterans Affairs (VA) to contract with the National Academies of Sciences, Engineering, and Medicine to report on the deaths of covered veterans who died by suicide during the last five years. Farmers First Act (H.R. 4400/S. 2282), all provisions related to grant recipients under the bill establishing referral relationships with Certified Community Behavioral Health Clinics. Mental Health Services for Students Act (H.R. 5557), all provisions related to bringing mental health services to students in public schools across the country and provide federal funding for school-based mental health programs to address the nations youth mental health crisis. Campus Prevention and Recovery Services Act (Not yet introduced), all provisions related to revising the illicit drug and alcohol abuse prevention program, including by expanding the program to include efforts to prevent substance misuse on campuses Community Mental Wellness Worker Training Act (H.R. 5733), all provisions related to awarding award grants to eligible entities to implement community mental wellness worker training grants. PEERS Act (H.R. 6841/S. 3521), all provisions related to permitting reimbursement of peer support services under Medicare in different community-based settings. LEAP Act (H.R. 6574), all provisions relating to equal treatment for loan eligibility among graduate degree programs. Home-Based Telemental Health Care Act of 2025 (S. 1056), all provisions relating to expanding access to mental health and substance abuse services for rural patients, particularly for individuals in the farming, fishing, and forestry industries. Written Informed Consent Act (H.R. 4837/S. 3314), all provisions relating to providing written consent to VA patients when prescribing certain drugs. No Red Tape for Addiction Treatment Act (S.3522), all provisions relating to requiring state Medicaid programs to cover at least one formulation of each FDA-approved medication for opioid use disorder without prior authorization when medically appropriate. Mental Health Access and Provider Support Act (S. 4202/H.R. 8081), all provisions relating to increasing Medicare reimbursement for behavioral health providers. STOP Suicide Act (H.R.8124), all provisions relating to creating a grant program at SAMHSA to expand the use of evidence-based models for stabilizing individuals with serious thoughts of suicide
Client expense: $150,555 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Health Issues
Early Action and Responsiveness Lifts Youth Minds Act H.R. 1735/S.779. Legislation that would allow states to use up to 5% of the Mental Health Block Grant for evidence-based mental health prevention and early intervention activities. REAL Health Providers Act, H.R. 5281. This bill requires Medicare Advantage (MA) organizations to maintain directories of in-network providers and continually ensure their accuracy. Specifically, MA organizations must publish on their websites an accurate directory of in-network providers and regularly update these directories. The bill additionally specifies that if a provider is listed as in-network in this directory when a beneficiary selects and makes an appointment with the provider, but the provider is not actually in-network, the beneficiary is still only responsible for paying in-network cost-sharing requirements. MA organizations must annually evaluate and report on the accuracy of their directories; the Centers for Medicare & Medicaid Services and MA organizations must publish this information on their websites. The bill provides funds for these purposes. The Government Accountability Office must report on the bill's implementation. COMPLETE Care Act (S.931/H.R.2509). This bill would increase Medicare reimbursement amounts for the HCPCS billing codes for integrated behavioral health care for three years. The HCPCS codes are 99484, 99492, 99493, 99494, G2214, and G0323. Reimbursement would be 175% of current rates for 2027, 150% for 2028, and 125% for 2029. Promoting Effective and Empowering Recovery Services in Medicare Act H.R. 6841/S. 3521. This bill would allow for Medicare reimbursement for mental health and substance use disorder peer support specialists.
Client expense: $19,500 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Medicare/Medicaid
H.R. 1096: HOPE and Mental Wellbeing Act of 2025 mandates coverage of three annual primary care visits without cost-sharing under Medicare and Medicaid. H.R. 1867: Removes in-person requirements for mental health services under Medicare. H.R. 1598: Ensuring Access to Medicaid Buy-in Programs Act lifts the age cap for Medicaid buy-in programs for those with disabilities who choose to work S. 752/H.R. 1509: Accelerating Kids Access to Care Act expands Medicaid enrollment across state lines. S. 683: More Behavioral Health Providers Act of 2025 creates workforce incentives under Medicare. H.R. 2540: SSI Savings Penalty Elimination Act updates resource limits for SSI income eligibility. Reject cuts to Medicaid and other mental health and or substance use disorder programs in the reconciliation process. Support for state waivers for federal financial participation for services furnished to Medicaid members during short-term stays for acute care in psychiatric hospitals or residential treatment facilities that qualify as institutions for mental disease. -- H.R. 1: One Big Beautiful Bill Act reauthorizes and reforms major federal programs including Medicaid. H.R. 2590: Mental and Physical Health Care Comorbidities Act of 2025 establishes a Medicare demonstration program to promote collaborative treatment of mental and physical health comorbidities. S. 1264/H.R. 3320: Strengthening Medicaid for Serious Mental Illness Act increases federal Medicaid funding for states providing intensive community-based services for adults with serious mental illness. H.R. 4022: Increasing Behavioral Health Treatment Act removes the Medicaid exclusion for mental health services in institutions for mental diseases for patients under 65. S. 2011/H.R. 3884: Telemental Health Care Access Act removes the statutory requirement that Medicare beneficiaries be seen in-person within six months of being treated for mental and behavioral health services through telehealth. S. 2024/H.R. 3907: Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act strengthens and expands the navigator program by increasing funding, broadening duties, and ensuring nonprofit participation. H.R. 2495: Nutrition CARE Act of 2025 provides Medicare coverage for medical nutrition therapy for individuals with eating disorders. H.R. 2263: Telehealth Coverage Act of 2025: permanently expands telehealth services under Medicare H.R. 3384 Telemental Health Care Access Act: Expands Medicaid to include both mental and behavioral health services provided by telehealth. H.R. 4037/S.2847: Occupational Therapy Mental Health parity Act: Clarifies that Medicare covers occupational therapy for mental health and substance use disorders HR 4619 Medicare Mental Health Impatient Equity Act of 2025: Removes the 190-day lifetime limit on Medicare coverage on inpatient Psychiatric hospital services. HR 5462: Michelle Alyssa Go Act: Would expand Medicaid coverage for mental health and substance use disorder treatment by increasing the facility size limit from 16 to 36 beds. S. 2401/H.R. 4745: Medicaid Bump Act: Increase federal Medicaid funds for certain mental health services S. 1797 Expanding Seniors Access to Mental Health Services Act: expands Medicaid coverage and reimbursement for clinical social workers to provide mental health services S.2050 ASSIST Act: Increases federal Medicaid funding for school-based behavioral health services S.2069/HR 4028: Stabilize Medicaid and CHIP Coverage Act: mandates 12-month continuous enrollment for all individuals in Medicaid and CHIP S.2037/H.R.4313 Hospital Inpatient Services Modernization Act: Extends Medicare's acute hospital care at home waiver flexibilities S.2709/ H.R.5081: Telehealth Modernization Act: Extends and expands Medicare telehealth flexibilities S.3300/H.R.6408: ANCHOR Act of 2025 allows states to expand Medicaid coverage to low income, uninsured individuals with serious mental illness or substance use disorders S.3486 Expand the Behavioral Health Workforce Now Act: Requires federal guidance to help states strengthen the behavioral health workforce in Medicaid and CHIP S. 3522 No Red Tape for Addiction Treatment Act: Requires State Medicaid programs to cover at least one formulation of each medication for opioid use disorder without prior Authorization H.R. 6096 NEST Act funds and distributes essential newborn supply kits to mothers. S.1816/ H.R. 3514: Improving Seniors' Timely Access to Care Act: Streamlining prior authorization to increase timely access to care. Support for the extension of the enhanced advance premium tax credits (eAPTC) Support for an extension or permanent authorization of telehealth/telemental health flexibilities Support for continued access to Medicaid Ensuring that new community engagement requirements do not lead to individuals being unfairly removed from Medicaid. H.R. 7535: Second Chance Mental Health Access Act of 2026 requires Medicaid to cover 12 annual mental health telehealth visits for individuals transitioning from incarceration to home confinement. H.R. 5662: Improving Access to Institutional Mental Health Care Act removes the Medicaid exclusion for coverage of services provided to patients in mental health institutions. H.R. 6296: Advancing Access to Telehealth Act makes several telehealth flexibilities permanent under Medicare. H.R. 6727: Repealing the IMD Exclusion Act removes the Medicaid exclusion for mental health and substance use disorder treatment in institutions for mental diseases. H.R. 7324: More Behavioral Health Providers Act of 2026 expands Medicare bonus payments to a wider range of behavioral health practitioners. S. 2709: Telehealth Modernization Act extends and expands Medicare telehealth flexibilities. S. 3521/H.R. 6841: PEERS Act of 2025 expands Medicare to cover peer support services for mental health and substance use recovery. S. 3690: Ensuring Access to Medicaid Buy-in Programs Act of 2026 removes the age limit for working adults with disabilities to qualify for Medicaid buy-in programs. S. 3750: REAL Health Providers Act requires Medicare Advantage plans to maintain accurate provider directories. S. 4076: Removing Medicare Mental Health Inpatient Limitations Act of 2026 removes the 190-day lifetime limit on Medicare coverage for inpatient psychiatric hospital services. S. 4202: Mental Health Access and Provider Support Act of 2026 increases Medicare reimbursement rates for certain mental health providers.
2025 · fourth_quarter · Health Issues
Early Action and Responsiveness Lifts Youth Minds Act H.R. 1735/S.779. Legislation that would allow states to use up to 5% of the Mental Health Block Grant for evidence-based mental health prevention and early intervention activities. REAL Health Providers Act, H.R. 5281. This bill requires Medicare Advantage (MA) organizations to maintain directories of in-network providers and continually ensure their accuracy. Specifically, MA organizations must publish on their websites an accurate directory of in-network providers and regularly update these directories. The bill additionally specifies that if a provider is listed as in-network in this directory when a beneficiary selects and makes an appointment with the provider, but the provider is not actually in-network, the beneficiary is still only responsible for paying in-network cost-sharing requirements. MA organizations must annually evaluate and report on the accuracy of their directories; the Centers for Medicare & Medicaid Services and MA organizations must publish this information on their websites. The bill provides funds for these purposes. The Government Accountability Office must report on the bill's implementation. H.R.2483 - SUPPORT for Patients and Communities Reauthorization Act of 2025. This bill would reauthorize the many programs originally created in the SUPPORT Act of 2018 that address the opioid epidemic, focusing on overdose prevention, substance use disorder treatment, and co-occurring mental health conditions. COMPLETE Care Act (S.931/H.R.2509). This bill would increase Medicare reimbursement amounts for the HCPCS billing codes for integrated behavioral health care for three years. The HCPCS codes are 99484, 99492, 99493, 99494, G2214, and G0323. Reimbursement would be 175% of current rates for 2027, 150% for 2028, and 125% for 2029. Promoting Effective and Empowering Recovery Services in Medicare Act H.R. 6841/S. 3521. This bill would allow for Medicare reimbursement for mental health and substance use disorder peer support specialists.
Client expense: $10,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Client expense: $18,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE