# 119-s-2865: Improving Access to Advance Care Planning Act

119-s-2865, Improving Access to Advance Care Planning Act, is a 119th Congress bill sponsored by Sen. Warner, Mark R. [D-VA] (D-VA); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-2865
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-2865
- Congress: 119
- Title: Improving Access to Advance Care Planning Act
- Status: introduced
- Introduced: 2025-09-18
- Sponsor: Sen. Warner, Mark R. [D-VA] (D-VA)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**No-cost advance care planning under Medicare.** This bill would make conversations about care preferences and advance directives a covered Part B benefit, expand who can provide them, enable telehealth delivery, and remove patient cost-sharing. - Families and seniors: Medicare beneficiaries would be able to receive advance care planning services with no Part B cost-sharing for services furnished on or after January 1, 2027. The deductible would not apply to these services. - Providers: Physicians, physician assistants, nurse practitioners, clinical nurse specialists, and clinical social workers with relevant certification would be eligible to furnish and bill advance care planning. Payment rules would allow only one provider to be paid per period and would prevent duplicate payments and require no annual wellness visit as a condition of payment. - Telehealth and oversight: Telehealth advance care planning would be exempt from Medicare geographic limits, making remote ACP visits easier. The Department of Health and Human Services would run outreach to clinicians identifying HCPCS codes 99497 and 99498 and report within one year. The Medicare Payment Advisory Commission would study ACP billing and delivery and submit recommendations by June 30, 2027.

## Cosponsors (1)

- Sen. Collins, Susan M. [R-ME] (R-ME), 2025-09-18T00:00:00.000Z

## Provisions PRIA read

- No-cost advance care planning for Medicare: benefit, low. If enacted, Medicare Part B would cover advance care planning (ACP) visits with no patient cost-sharing. From enactment, Medicare would pay for ACP under the physician fee schedule when eligible practitioners provide the service. Eligible practitioners would include doctors, physician assistants, n…

## Related bills

- 119-s-1748: Kids Online Safety Act
- 119-s-1959: A bill to protect integrity, fairness, and objectivity in decisions regarding access to classified information, and for other purposes.
- 119-s-554: United States-Israel Defense Partnership Act of 2025
- 119-s-3990: PrEP Access and Coverage Act of 2026
- 119-s-4189: INSULIN Act of 2026
- 119-s-2178: Equal Dignity for Married Taxpayers Act of 2025

## Sources
- [119-s-2865 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/2865)

## Related
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-1959: A bill to protect integrity, fairness, and objectivity in decisions regarding a…](https://policyrisk.com/legislation/119-s-1959)
- [119-s-554: United States-Israel Defense Partnership Act of 2025](https://policyrisk.com/legislation/119-s-554)
- [119-s-3990: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-s-3990)
- [119-s-4189: INSULIN Act of 2026](https://policyrisk.com/legislation/119-s-4189)
- [119-s-2178: Equal Dignity for Married Taxpayers Act of 2025](https://policyrisk.com/legislation/119-s-2178)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-2865 (as of 2026-04-21).