This bill, titled the "Improving Access to Advance Care Planning Act," seeks to enhance access to crucial healthcare planning for Medicare beneficiaries. It establishes a clear definition for advance care planning services , encompassing discussions with eligible practitioners about an individual's healthcare preferences, future medical decisions, and the completion of advance directives. Eligible practitioners include physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certain clinical social workers. To encourage these services, the legislation directs the Secretary of Health and Human Services to make payments for advance care planning, ensuring that payment is not contingent on an annual wellness visit or initial preventive physical examination. Crucially, beginning January 1, 2027, the bill mandates that Medicare will cover 100 percent of the cost for these services, waiving beneficiary cost-sharing and deductibles. Furthermore, it removes geographic restrictions for furnishing advance care planning services via telehealth, expanding accessibility. The bill also requires the Secretary of HHS to conduct comprehensive outreach and education for Medicare providers regarding the new coverage and payment policies for advance care planning. Additionally, the Medicare Payment Advisory Commission (MEDPAC) is tasked with conducting a study on the provision and billing of these services under Medicare, including an analysis of provider training, barriers to access, and the use of relevant CPT codes, with a report due by June 30, 2027.
Read twice and referred to the Committee on Finance.
Improving Access to Advance Care Planning Act
USA119th CongressS-2865| Senate
| Updated: 9/18/2025
This bill, titled the "Improving Access to Advance Care Planning Act," seeks to enhance access to crucial healthcare planning for Medicare beneficiaries. It establishes a clear definition for advance care planning services , encompassing discussions with eligible practitioners about an individual's healthcare preferences, future medical decisions, and the completion of advance directives. Eligible practitioners include physicians, physician assistants, nurse practitioners, clinical nurse specialists, and certain clinical social workers. To encourage these services, the legislation directs the Secretary of Health and Human Services to make payments for advance care planning, ensuring that payment is not contingent on an annual wellness visit or initial preventive physical examination. Crucially, beginning January 1, 2027, the bill mandates that Medicare will cover 100 percent of the cost for these services, waiving beneficiary cost-sharing and deductibles. Furthermore, it removes geographic restrictions for furnishing advance care planning services via telehealth, expanding accessibility. The bill also requires the Secretary of HHS to conduct comprehensive outreach and education for Medicare providers regarding the new coverage and payment policies for advance care planning. Additionally, the Medicare Payment Advisory Commission (MEDPAC) is tasked with conducting a study on the provision and billing of these services under Medicare, including an analysis of provider training, barriers to access, and the use of relevant CPT codes, with a report due by June 30, 2027.