COMPLETE Care Act
Sponsored By: Senator Catherine Cortez Masto
Introduced
Summary
Higher Medicare payments to spur behavioral health integration in primary care. The bill would create a three-year payment incentive and a federal technical assistance program to help primary care practices adopt integrated behavioral health models like Collaborative Care and Primary Care Behavioral Health.
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- Primary care clinicians would get larger Medicare payments for integrated behavioral health services, peaking at 175 percent in 2027 and tapering to 125 percent by 2029. These incentives target models that combine behavioral health into routine primary care.
- Patients and families could gain easier access to mental health care during regular primary care visits as practices expand integrated behavioral health services.
- The Department of Health and Human Services would start a technical assistance program by January 1, 2026 and fund support through fiscal 2029 to help practices implement these models.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Higher Medicare pay and practice help
If enacted, Medicare would pay providers more for certain integrated behavioral health services furnished in 2027–2029. Payments for services billed with HCPCS codes 99484, 99492, 99493, 99494, G2214, and G0323 (and successor codes the Secretary approves) would be 175% of the usual rate in 2027, 150% in 2028, and 125% in 2029. The bill would prevent those increases from being offset by Medicare budget-neutrality rules for those years. The bill would also require HHS to contract for technical assistance by January 1, 2026 to help primary care practices adopt models like Collaborative Care and Primary Care Behavioral Health. Congress could provide whatever funds are needed for that help for fiscal years 2025 through 2029.
Sponsors & CoSponsors
Sponsor
Catherine Cortez Masto
NV • D
Cosponsors
John Cornyn
TX • R
Sponsored 3/11/2025
Roll Call Votes
No roll call votes available for this bill.
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