Legis Daily

HOPE and Mental Wellbeing Act of 2025

USA119th CongressHR-1096| House 
| Updated: 2/6/2025
Andrea Salinas

Andrea Salinas

Democratic Representative

Oregon

Cosponsors (7)
Melanie A. Stansbury (Democratic)Paul Tonko (Democratic)Jill N. Tokuda (Democratic)Daniel S. Goldman (Democratic)Eleanor Holmes Norton (Democratic)Bonnie Watson Coleman (Democratic)Lloyd Doggett (Democratic)

Ways and Means Committee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This legislation aims to significantly enhance access to primary healthcare services for beneficiaries of federal health programs. It mandates that both Medicare and Medicaid cover the first three primary care visits each year without any cost sharing, beginning in 2026. Specifically, for Medicare beneficiaries, this means traditional Medicare and Medicare Advantage plans will be required to pay 100 percent of the approved amount for these initial visits, waiving deductibles and copayments. Similarly, Medicaid programs will be prohibited from imposing cost sharing for these first three primary care visits annually. A "primary care visit" is broadly defined to include essential services such as outpatient mental and behavioral health services , nonspecialty medical services, and care coordination. These services are intended for the prevention, diagnosis, treatment, or management of a wide array of physical, mental, or behavioral health conditions, thereby promoting earlier intervention and better overall health outcomes.
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Timeline

Bill from Previous Congress

HR 118-5510
HOPE and Mental Wellbeing Act of 2023
Feb 6, 2025
Introduced in House
Feb 6, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  • Bill from Previous Congress

    HR 118-5510
    HOPE and Mental Wellbeing Act of 2023


  • February 6, 2025
    Introduced in House


  • February 6, 2025
    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Health

Health care coverage and accessHealth promotion and preventive careMedicaidMedicareMental health

HOPE and Mental Wellbeing Act of 2025

USA119th CongressHR-1096| House 
| Updated: 2/6/2025
This legislation aims to significantly enhance access to primary healthcare services for beneficiaries of federal health programs. It mandates that both Medicare and Medicaid cover the first three primary care visits each year without any cost sharing, beginning in 2026. Specifically, for Medicare beneficiaries, this means traditional Medicare and Medicare Advantage plans will be required to pay 100 percent of the approved amount for these initial visits, waiving deductibles and copayments. Similarly, Medicaid programs will be prohibited from imposing cost sharing for these first three primary care visits annually. A "primary care visit" is broadly defined to include essential services such as outpatient mental and behavioral health services , nonspecialty medical services, and care coordination. These services are intended for the prevention, diagnosis, treatment, or management of a wide array of physical, mental, or behavioral health conditions, thereby promoting earlier intervention and better overall health outcomes.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

HR 118-5510
HOPE and Mental Wellbeing Act of 2023
Feb 6, 2025
Introduced in House
Feb 6, 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  • Bill from Previous Congress

    HR 118-5510
    HOPE and Mental Wellbeing Act of 2023


  • February 6, 2025
    Introduced in House


  • February 6, 2025
    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Andrea Salinas

Andrea Salinas

Democratic Representative

Oregon

Cosponsors (7)
Melanie A. Stansbury (Democratic)Paul Tonko (Democratic)Jill N. Tokuda (Democratic)Daniel S. Goldman (Democratic)Eleanor Holmes Norton (Democratic)Bonnie Watson Coleman (Democratic)Lloyd Doggett (Democratic)

Ways and Means Committee, Energy and Commerce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Health care coverage and accessHealth promotion and preventive careMedicaidMedicareMental health