ADAPT Act
Sponsored By: Representative Balderson
Introduced
Summary
Expands access to psychological care by letting supervising clinical psychologists bill for services delivered by "advanced psychology trainees". This would open Medicare reimbursement for trainee-provided mental and behavioral health services and push HHS to help states enable similar coverage in Medicaid and CHIP.
Show full summary
- Medicare beneficiaries and providers: Medicare would cover services provided by an "advanced psychology trainee" when a clinical psychologist provides general supervision and bills for the service. "Advanced psychology trainee" includes APA‑accredited doctoral interns in programs at least one year in duration and postdoctoral residents working toward licensure.
- Supervision and billing changes: "General supervision" means the supervising psychologist does not need to be physically present while the trainee treats the patient. A new "GC" modifier would be created so services furnished by trainees can be identified and billed accurately.
- Medicaid and CHIP guidance for states: The Secretary of Health and Human Services would have to issue guidance within one year on legal ways to enable coverage, recommended billing codes and modifiers, and examples of states that used waivers to cover trainee services.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Medicare could cover psychology trainee services
This bill would let Medicare pay for some psychologist services done by a supervised trainee. The trainee would need to be a doctoral intern in an APA‑accredited program (at least one year) or a postdoctoral resident seeking licensure. A licensed clinical psychologist would provide general supervision, and the supervisor would bill for the service. HHS would create a “GC” modifier code to mark these claims. Coverage would start for services given on or after one year after enactment.
Sponsors & CoSponsors
Sponsor
Balderson
OH • R
Cosponsors
Dingell
MI • D
Sponsored 7/17/2025
Miller (WV)
WV • R
Sponsored 7/17/2025
DelBene
WA • D
Sponsored 7/17/2025
Roll Call Votes
No roll call votes available for this bill.
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