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 c…
The bill temporarily increases Medicare physician fee schedule payments for specific behavioral health integration services (HCPCS codes 99484, 99492, 99493, 99494, G2214, G0323) for calendar years 2027–2029 (175% in 2027, 150% in 2028, 125% in 2029).
It prevents those payment increases from being offset by budget-neutrality adjustments for those years and directs HHS to contract with entities to provide technical assistance to primary care practices adopting behavioral health integration models, with appropriations authorized through FY2029.
Targeted, time-limited Medicare incentives with technical assistance increase plausibility, but added spending and waived budget neutrality invite fiscal scrutiny and negotiation.
Relative to its intended legislative type, this bill clearly effects substantive Medicare payment changes and establishes an HHS technical-assistance obligation. The statutory edits for payment multipliers, code identification, and waiver of budget-neutrality are precise; however, implementation details for the assistance program, fiscal quantification, safeguards against misuse, and measurement/oversight provisions are limited or absent.
Budget impact: liberals accept spending; conservatives object to no offsets
Budget impact: liberals accept spending; conservatives object to no offsets
Likely supportive: expands incentives for integrated behavioral health in primary care and funds technical assistance to scale evidence-based models.
Would view the temporary payment bump and waiving of budget neutrality as a practical step to jump-start adoption, while seeking stronger long-term commitments and equity-focused implementation.
Cautious support: pragmatic, incremental approach to integrating behavioral health into primary care with technical assistance.
Sees value in incentives but wants clarity on fiscal impact, oversight, and measurable outcomes before broader or permanent adoption.
Likely skeptical: opposes expanding Medicare payments and additional federal technical assistance as federal overreach and fiscal cost.
May support improving behavioral health access but prefers market-based, state-led, or targeted pilot approaches with budget offsets.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Targeted, time-limited Medicare incentives with technical assistance increase plausibility, but added spending and waived budget neutrality invite fiscal scrutiny and negotiation.
The bill has not accumulated any surfaced votes yet.
Budget impact: liberals accept spending; conservatives object to no offsets
Targeted, time-limited Medicare incentives with technical assistance increase plausibility, but added spending and waived budget neutrality…
Relative to its intended legislative type, this bill clearly effects substantive Medicare payment changes and establishes an HHS technical-assistance obligation. The statutory edits for payment multipliers, code identif…
Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.