S 931 — COMPLETE Care Act

Summary

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

Bill Text

• Introduced Introduced in Senate Current html March 11, 2025

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill introduces incentives for behavioral health integration into Medicare services and modifies the budget neutrality rules for related payment increases.

• 42 U.S.C. 1395w-4(b)

  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.

  This addition establishes payment incentives for specified behavioral health services provided in 2027-2029, significantly increasing the reimbursement rate for these services.

• 42 U.S.C. 1395w-4(c)(2)(B)(iv)

  and → and

  This change maintains the continuity of the existing clauses while allowing for the addition of a new provision.

• 42 U.S.C. 1395w-4(c)(2)(B)(iv)

  the period at the end and inserting → ; and

  This change allows for the addition of further provisions by modifying the end of an existing clause.

• 42 U.S.C. 1395w-4(c)(2)(B)(iv)

  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.

  This new clause exempts the payment increases from behavioral health integration from budget neutrality calculations for the specified years.

• the Secretary of Health and Human Services 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.

  This provision ensures technical assistance is provided to encourage implementation of behavioral health integration in primary care.

• 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.

  This addition secures funding for implementing the behavioral health integration provisions through 2029.

Action History

1. March 11, 2025

   Introduced in Senate

2. March 11, 2025

   Read twice and referred to the Committee on Finance.

Sponsors

• Catherine Cortez Masto · Primary
• John Cornyn · Cosponsor

Subjects