S.931 - Connecting Our Medical Providers with Links to Expand Tailored and Effective Care; COMPLETE Care Act (119th Congress)
Summary
S.931, the COMPLETE Care Act, aims to improve behavioral health integration within primary care settings by amending Title XVIII of the Social Security Act. The bill introduces financial incentives for healthcare providers who integrate behavioral health services into their practices. It also mandates the Secretary of Health and Human Services to provide technical assistance to primary care practices adopting these integrated models.
Expected Effects
The bill will likely increase access to behavioral health services within primary care settings. This is achieved through financial incentives and technical support. The increased payment amounts for specific services (HCPCS codes) related to behavioral health integration will encourage providers to offer these services.
Potential Benefits
- Improved access to behavioral health services, particularly for Medicare beneficiaries.
- Enhanced coordination between primary care and mental health professionals.
- Increased adoption of integrated care models in primary care practices.
- Potential for better health outcomes due to holistic care.
- Technical assistance will facilitate smoother implementation of integrated care models.
Potential Disadvantages
- Increased Medicare spending due to the incentives, potentially impacting the program's long-term solvency.
- Complexity in implementing and monitoring the integrated care models.
- Potential for unintended consequences related to coding and billing practices.
- The bill's focus on specific HCPCS codes might limit flexibility in adopting innovative approaches.
- The sunset clause on the incentive payments (2027-2029) may create uncertainty for providers.
Most Disadvantaged Areas:
Constitutional Alignment
The bill's alignment with the Constitution is primarily based on the General Welfare Clause (Preamble). Congress has broad authority to enact legislation that promotes the general welfare of the United States, which includes healthcare initiatives. The bill does not appear to infringe upon any specific individual rights or liberties protected by the Constitution or its amendments.
Impact Assessment: Things You Care About ⓘ
This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).