Healthcare (Mental Health · Seniors)

This bill expands Medicare coverage for mental health services provided to seniors in skilled nursing facilities. It removes a current exclusion, allowing clinical social workers to provide covered mental health services under Medicare Part A. Specifically, it adds coverage for a defined set of mental health and behavioral assessment services (using standard codes) that were previously excluded. The changes will take effect for services provided on or after January 1, 2026, directly benefiting seniors residing in skilled nursing facilities seeking these mental health services.

This bill expands Medicare coverage for mental health services provided by clinical social workers to seniors in skilled nursing facilities. It removes an exclusion that previously prevented these services from being covered under Medicare's skilled nursing facility payment system. The bill specifically adds defined mental health service codes (including those for assessment and treatment) to Medicare's coverage, ensuring seniors can access these services without additional barriers. These changes will take effect for services provided on or after January 1, 2026.