HR9847119th CongressWALLET

Improving CARE for Youth Act

Sponsored By: Representative Dunn, Neal P. [R-FL-2]

Introduced

Summary

Guarantees Medicaid payment when a patient receives both a primary care service and a mental health or substance use disorder service on the same day from the same provider network. The bill would let plans pay for both services, including when one or both are delivered by telehealth, by clarifying how “same-day qualifying services” work in Medicaid rules.

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  • Families and beneficiaries: Fewer billing denials when a person gets primary care and mental health or substance use treatment the same day at the same clinic. This aims to make same-day, coordinated visits easier to use.
  • Providers and clinics: Physician offices, Federally Qualified Health Centers, rural health clinics, and other outpatient facilities could bill for both services when furnished the same day by staff or contractors. Telehealth counts for either or both services.
  • State Medicaid programs: Changes payment eligibility rules under existing Medicaid authority to support integrated care. The bill does not create separate funding streams or set new payment amounts.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Medicaid same-day care payment protection

If enacted, this bill would stop a State Medicaid plan from denying payment just because services were provided the same day. It would protect payment for a primary care visit and a mental health or substance use disorder visit on the same day. Visits may be in person or by telehealth and must come from clinicians in the same office, FQHC, rural clinic, or outpatient facility. The protection would apply only when payment would otherwise be available under the plan. This change would take effect upon enactment.

Sponsors & CoSponsors

Sponsor

Dunn, Neal P. [R-FL-2]

FL • R

Cosponsors

  • Rep. Carter, Troy A. [D-LA-2]

    LA • D

    Sponsored 7/22/2026

  • Rep. Craig, Angie [D-MN-2]

    MN • D

    Sponsored 7/22/2026

Roll Call Votes

No roll call votes available for this bill.

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