WELL Seniors Act of 2025
Sponsored By: Senator Angus King
Introduced
Summary
Expands Medicare annual wellness visits to include screenings for social needs, fall risk, telehealth delivery, and extra pay for more complete prevention planning. It would broaden assessments and reward fuller prevention visits.
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
10% bonus for Medicare prevention visits
If enacted, this bill would pay providers an extra 10% on top of the normal Medicare Part B payment for qualifying personalized prevention plan services. The extra payment would apply to services furnished on or after January 1, 2026. To qualify, the visit must include the element in subparagraph (F) and at least two other listed AWV elements. The 10% is calculated without regard to other extra payments under subsections (m) or (z).
Expanded Medicare Annual Wellness Visits
If enacted, this bill would let physical therapists, occupational therapists, and pharmacists provide Medicare Annual Wellness Visits starting January 1, 2026. It would expand AWV questions to cover nutrition, mobility, food and housing security, transportation access, social support, and other social needs. The visit would add a balance screening to identify fall risk and allow AWVs by telehealth for services furnished on or after January 1, 2026. The Secretary would have to issue guidance within one year on post-visit follow-up, oversight, and referrals to ensure consistency with the Health Risk Assessment and prevention plan.
Medicare Annual Wellness Visit outreach
If enacted, the Secretary would run a national education and outreach campaign about Medicare Annual Wellness Visits not later than one year after enactment. The campaign could prioritize low-income beneficiaries, non-physician providers, and providers and beneficiaries in rural or shortage areas. The Secretary would also publish a report within one year on AWV use, including 10 years of utilization by State, demographics, provider type, enrollment status, and telehealth use during the COVID-19 public health emergency. Congress could appropriate such sums as necessary for these activities for fiscal years 2026 through 2030.
Sponsors & CoSponsors
Sponsor
Angus King
ME • I
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
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