Bill · H.R. 1096· House(119-HR-1096)

HOPE and Mental Wellbeing Act of 2025

Age: 57 years

Oregon

Introduced: 2/6/2025
Last activity: 2/6/2025 — 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.
Sponsored by: Andrea Salinas
Cosponsors: - 8 - 0

Health

Introduced
In Committee

What this bill would do

This bill, known as the "HOPE and Mental Wellbeing Act of 2025," aims to amend the Social Security Act. It requires coverage for the first three primary care visits of a year without cost sharing for individuals under Medicare and Medicaid. Starting in 2026, these visits would be covered at 100 percent of the lesser of the actual charge or the recognized payment amount. The bill defines a "primary care visit" to include outpatient mental and behavioral health services, nonspecialty medical services, and care coordination services. These changes also apply to Medicare Advantage enrollees.

Yes· 3 of 8

Does this make mental health care easier to get?+7
The bill explicitly includes outpatient mental and behavioral health services within the definition of zero-cost primary care visits.
Does this make health care easier to get in general?+6
The bill increases healthcare accessibility by eliminating cost sharing for the first three primary care visits annually for Medicare and Medicaid recipients.
Would people over 65 be better off under this?+6
The bill reduces out-of-pocket costs for Medicare-eligible seniors by covering the first three primary care visits without cost sharing.