Occupational Therapy Mental Health Parity Act.
Sponsored By: Representative Kennedy (NY)
Introduced
Summary
Clarifies Medicare coverage of occupational therapy for mental health and substance use disorders. This bill would direct the Secretary of Health and Human Services to carry out education and outreach, within 1 year of enactment, about how the Medicare Benefit Policy Manual and applicable HCPCS codes apply to occupational therapy for those conditions.
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- Providers: Occupational therapists and billing staff would get clearer guidance on which OT services for mental health and substance use disorders are described in the Medicare Benefit Policy Manual and which HCPCS codes apply.
- Patients and families: People with mental health or substance use disorders would have clearer information about when occupational therapy can be part of their Medicare-covered care.
- Medicare stakeholders: Targeted outreach aims to align understanding across providers, beneficiaries, and other interested parties using existing manual language and HCPCS coding.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Medicare would explain occupational therapy for mental health
If enacted, HHS would run education and outreach within 1 year of enactment. It would explain how the Medicare Benefit Policy Manual treats occupational therapy for mental health and substance use disorders. Guidance would use the correct HCPCS billing codes. This would clarify coverage and billing, but would not change who qualifies or how much Medicare pays.
Sponsors & CoSponsors
Sponsor
Kennedy (NY)
NY • D
Cosponsors
Rep. Nunn, Zachary [R-IA-3]
IA • R
Sponsored 6/17/2025
Davis (NC)
NC • D
Sponsored 7/29/2025
Rep. Lee, Summer L. [D-PA-12]
PA • D
Sponsored 8/26/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 9/3/2025
Bresnahan
PA • R
Sponsored 9/30/2025
Jackson (IL)
IL • D
Sponsored 10/28/2025
Mannion
NY • D
Sponsored 10/28/2025
Simon
CA • D
Sponsored 11/10/2025
Rep. Balint, Becca [D-VT-At Large]
VT • D
Sponsored 11/17/2025
Rep. Dean, Madeleine [D-PA-4]
PA • D
Sponsored 11/19/2025
Rep. Moulton, Seth [D-MA-6]
MA • D
Sponsored 11/20/2025
Rep. Bacon, Don [R-NE-2]
NE • R
Sponsored 12/5/2025
Rep. Pocan, Mark [D-WI-2]
WI • D
Sponsored 3/25/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov