ADAPT Act
Sponsored By: Senator John Barrasso
Introduced
Summary
Expands billable supervised psychology care by letting advanced psychology trainees provide reimbursable services under Medicare. The ADAPT Act would create a Medicare payment pathway for services furnished by advanced psychology trainees under general supervision and direct the Department of Health and Human Services to help states adopt coverage through Medicaid and the Children’s Health Insurance Program.
Show full summary
- Families and patients: More access to mental and behavioral health services because advanced psychology trainees could deliver billable care. This applies to services furnished on or after one year after enactment.
- Trainees and supervisors: Defines advanced psychology trainees as APA‑accredited doctoral interns at least one year before degree and postdoctoral residents in 1‑ or 2‑year supervised training for licensure. Supervising clinical psychologists could bill for those services and a new billing modifier would identify APT-provided care.
- States and programs: Requires HHS to issue guidance within one year on legal mechanisms, recommended billing codes and modifiers, and examples of using Medicaid or CHIP waivers, plus technical assistance and best practices to expand state coverage.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More psychology care for Medicare and Medicaid
If enacted, Medicare would be allowed to pay for services given by certain advanced psychology trainees. Those trainees would include APA‑accredited doctoral interns in programs lasting at least one year before the degree. They would also include postdoctoral residents in 1- or 2-year supervised programs who are pursuing licensure. Services must be given under the general supervision of a clinical psychologist and billed by that supervising psychologist. Medicare coverage would start for services furnished one year after enactment. HHS would have to create a "GC" billing modifier within one year to identify these services. HHS would also issue guidance to states within one year. That guidance would include model legal steps, recommended billing codes and modifiers, and examples of state Medicaid or CHIP waiver use.
Sponsors & CoSponsors
Sponsor
John Barrasso
WY • R
Cosponsors
Michael Bennet
CO • D
Sponsored 7/17/2025
Jon Ossoff
GA • D
Sponsored 2/12/2026
Roll Call Votes
No roll call votes available for this bill.
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