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Primary and Behavioral Health Care Access Act of 2026

USA119th CongressS-4754| Senate 
| Updated: 6/11/2026
Angus S. King

Angus S. King

Independent Senator

Maine

Health, Education, Labor, and Pensions Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This bill, titled the "Primary and Behavioral Health Care Access Act of 2026," aims to significantly improve access to essential health services by amending the Employee Retirement Income Security Act of 1974 (ERISA) , the Public Health Service Act (PHSA) , and the Internal Revenue Code of 1986 (IRC) . The core provision mandates that all group health plans and health insurance issuers, whether offering group or individual coverage, must cover a minimum of three primary care visits and three behavioral health care visits per plan year. These six visits must be provided without any cost-sharing requirements , such as deductibles, copayments, or coinsurance, thereby removing financial barriers to early intervention and preventive care. The legislation further stipulates that treatment limitations for these specific visits cannot be more restrictive than those applied to other primary or behavioral health care visits covered by the plan, and reimbursement rates must be consistent. It defines "primary care visit" as an in-person visit to a designated primary care provider for specific services, and "behavioral health care visit" as a visit to a qualified provider for diagnosis, treatment, screening, or prevention of a behavioral health condition. An important amendment to the Internal Revenue Code ensures that high deductible health plans can offer coverage for these six cost-free visits without jeopardizing their status. These changes are set to take effect for plan years beginning two years after the bill's enactment.
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Timeline

Bill from Previous Congress

S 116-4761
Primary and Behavioral Health Care Access Act of 2020

Bill from Previous Congress

S 117-4905
Primary and Behavioral Health Care Access Act of 2022

Bill from Previous Congress

S 118-4835
Primary and Behavioral Health Care Access Act of 2024
Jun 11, 2026

Latest Companion Bill Action

HR 119-9257
Introduced in House
Jun 11, 2026
Introduced in Senate
Jun 11, 2026
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
  • Bill from Previous Congress

    S 116-4761
    Primary and Behavioral Health Care Access Act of 2020


  • Bill from Previous Congress

    S 117-4905
    Primary and Behavioral Health Care Access Act of 2022


  • Bill from Previous Congress

    S 118-4835
    Primary and Behavioral Health Care Access Act of 2024


  • June 11, 2026

    Latest Companion Bill Action

    HR 119-9257
    Introduced in House


  • June 11, 2026
    Introduced in Senate


  • June 11, 2026
    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Health

Primary and Behavioral Health Care Access Act of 2026

USA119th CongressS-4754| Senate 
| Updated: 6/11/2026
This bill, titled the "Primary and Behavioral Health Care Access Act of 2026," aims to significantly improve access to essential health services by amending the Employee Retirement Income Security Act of 1974 (ERISA) , the Public Health Service Act (PHSA) , and the Internal Revenue Code of 1986 (IRC) . The core provision mandates that all group health plans and health insurance issuers, whether offering group or individual coverage, must cover a minimum of three primary care visits and three behavioral health care visits per plan year. These six visits must be provided without any cost-sharing requirements , such as deductibles, copayments, or coinsurance, thereby removing financial barriers to early intervention and preventive care. The legislation further stipulates that treatment limitations for these specific visits cannot be more restrictive than those applied to other primary or behavioral health care visits covered by the plan, and reimbursement rates must be consistent. It defines "primary care visit" as an in-person visit to a designated primary care provider for specific services, and "behavioral health care visit" as a visit to a qualified provider for diagnosis, treatment, screening, or prevention of a behavioral health condition. An important amendment to the Internal Revenue Code ensures that high deductible health plans can offer coverage for these six cost-free visits without jeopardizing their status. These changes are set to take effect for plan years beginning two years after the bill's enactment.
View Full Text

Suggested Questions

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

Timeline

Bill from Previous Congress

S 116-4761
Primary and Behavioral Health Care Access Act of 2020

Bill from Previous Congress

S 117-4905
Primary and Behavioral Health Care Access Act of 2022

Bill from Previous Congress

S 118-4835
Primary and Behavioral Health Care Access Act of 2024
Jun 11, 2026

Latest Companion Bill Action

HR 119-9257
Introduced in House
Jun 11, 2026
Introduced in Senate
Jun 11, 2026
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
  • Bill from Previous Congress

    S 116-4761
    Primary and Behavioral Health Care Access Act of 2020


  • Bill from Previous Congress

    S 117-4905
    Primary and Behavioral Health Care Access Act of 2022


  • Bill from Previous Congress

    S 118-4835
    Primary and Behavioral Health Care Access Act of 2024


  • June 11, 2026

    Latest Companion Bill Action

    HR 119-9257
    Introduced in House


  • June 11, 2026
    Introduced in Senate


  • June 11, 2026
    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Angus S. King

Angus S. King

Independent Senator

Maine

Health, Education, Labor, and Pensions Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted