# 119-hr-1096: HOPE and Mental Wellbeing Act of 2025

119-hr-1096, HOPE and Mental Wellbeing Act of 2025, is a 119th Congress bill sponsored by Rep. Salinas, Andrea [D-OR-6] (D-OR); status introduced; PRIA reads it as touching household money (as of 2026-07-15).

- Canonical: https://policyrisk.com/legislation/119-hr-1096
- As of: 2026-07-15
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1096
- Congress: 119
- Title: HOPE and Mental Wellbeing Act of 2025
- Status: introduced
- Introduced: 2025-02-06
- Sponsor: Rep. Salinas, Andrea [D-OR-6] (D-OR)
- Cosponsors: 8
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-15

## Summary

**Three primary care visits per year with no patient cost-sharing across Medicare, Medicaid, and Medicare Advantage.** The bill defines "primary care visit" to include outpatient mental and behavioral health services, nonspecialty medical services, and care coordination, effective in 2026. - Medicare beneficiaries: In fee-for-service Medicare the first 3 primary care visits each year are paid at 100% of the lesser of the actual charge or the recognized outpatient payment, so beneficiaries owe no cost sharing for those visits. - Medicare Advantage enrollees: Plans must treat the first 3 primary care visits per year as covered without patient cost sharing starting in 2026. - Medicaid enrollees and states: States must cover the first 3 primary care visits each year with no additional cost sharing and treat them as covered Medicaid services beginning in 2026.

## Cosponsors (8)

- Rep. Watson Coleman, Bonnie [D-NJ-12] (D-NJ), 2025-02-06T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-02-06T00:00:00.000Z
- Rep. Doggett, Lloyd [D-TX-37] (D-TX), 2025-02-06T00:00:00.000Z
- Rep. Goldman, Daniel S. [D-NY-10] (D-NY), 2025-02-06T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2025-02-07T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-02-07T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2025-03-11T00:00:00.000Z
- Rep. Ross, Deborah K. [D-NC-2] (D-NC), 2026-07-13T00:00:00.000Z

## Provisions PRIA read

- Three free primary care visits in Medicaid: benefit, medium. Starting in 2026, this bill would make your first three primary care visits each year cost $0 under Medicaid. States would have to treat these visits as covered with no copays. Primary care includes outpatient mental and behavioral health, nonspecialty medical care, and care coordination.
- Three no-cost Medicare primary care visits: benefit, medium. Starting in 2026, this bill would make your first three primary care visits each year cost $0 under Medicare. For Part B, Medicare would pay 100% of the allowed amount for up to three qualifying outpatient primary care visits, so you would owe no coinsurance. Medicare Advantage plans would also hav…
- What counts as a primary care visit: benefit, medium. This bill would define what counts as a primary care visit starting in 2026. It would include outpatient mental and behavioral health, nonspecialty medical care, and care coordination. This definition would decide which visits qualify for the first three no-cost visits in Medicare and Medicaid.

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-7973: Momnibus Act
- 119-hr-7853: PrEP Access and Coverage Act of 2026
- 119-hres-1058: Recognizing that it is the duty of the Federal Government to develop and implement a Transgender Bill of Rights to protect and codify the rights of transgender…
- 119-hr-2045: Medicare Dental, Vision, and Hearing Benefit Act of 2025

## Sources
- [119-hr-1096 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1096)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-7853: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-hr-7853)
- [119-hres-1058: Recognizing that it is the duty of the Federal Government to develop and implem…](https://policyrisk.com/legislation/119-hres-1058)
- [119-hr-2045: Medicare Dental, Vision, and Hearing Benefit Act of 2025](https://policyrisk.com/legislation/119-hr-2045)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1096 (as of 2026-07-15).