Expanding Seniors Access to Mental Health Services Act

Medicare covers more social worker care

If enacted, Medicare would cover a wider set of clinical social worker services. It would include mental health care and health and behavior assessment and intervention (HCPCS 96156, 96158–96161, 96164–96168, 96170–96171, and successors). Skilled nursing facilities could bill these services separately instead of having them bundled. Services for hospital inpatients would still not be covered. These changes would apply to care you get on or after January 1, 2026.