# 119-hr-4484: ADAPT Act

119-hr-4484, ADAPT Act, is a 119th Congress bill sponsored by Rep. Balderson, Troy [R-OH-12] (R-OH); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4484
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4484
- Congress: 119
- Title: ADAPT Act
- Status: introduced
- Introduced: 2025-07-17
- Sponsor: Rep. Balderson, Troy [R-OH-12] (R-OH)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## 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. - 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.

## Cosponsors (3)

- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2025-07-17T00:00:00.000Z
- Rep. Miller, Carol D. [R-WV-1] (R-WV), 2025-07-17T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2025-07-17T00:00:00.000Z

## Provisions PRIA read

- Medicare could cover psychology trainee services: benefit, low. 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 supervis…

## Related bills

- 119-hr-4669: FEMA Act of 2025
- 119-hr-2725: Affordable Housing Credit Improvement Act of 2025
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-5509: Safe Step Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act

## Sources
- [119-hr-4484 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4484)

## Related
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-2725: Affordable Housing Credit Improvement Act of 2025](https://policyrisk.com/legislation/119-hr-2725)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-5509: Safe Step Act](https://policyrisk.com/legislation/119-hr-5509)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4484 (as of 2026-04-21).