S. 784Senate109th Congress (2005-2007)In Committee

Seniors Mental Health Access Improvement Act of 2005

Introduced April 14, 2005

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S3657-3658)

April 14, 2005

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SenateIntro Referral

Introduced in Senate

April 14, 2005

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S3657)

April 14, 2005

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S3657-3658)

April 14, 2005

Floor Debate

17 members

What members said about S. 784 on the floor

10 Republicans7 Democrats
Christopher J. Dodd
Sen. Christopher J. DoddD-CT · Apr 14, 2005

Mr. President, I rise with my colleague from Virginia, Senator Warner, to introduce the Safe Teen and Novice Driver Uniform Protection (STAND UP) Act of 2005--an important piece of legislation that…

Lisa Murkowski
Sen. Lisa MurkowskiR-AK · Apr 14, 2005

Mr. President. I am today reintroducing a very important bill on a subject that was not resolved last year, and which continues to be an outstanding issue for those of us who are dependent on healthy…

Orrin G. Hatch
Sen. Orrin G. HatchR-UT · Apr 14, 2005

Mr. President, it is with a sense of honor that my friend and colleague, Senator Feinstein, and I rise to introduce a bipartisan constitutional amendment that would allow Congress to prohibit the…

Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Apr 14, 2005

Mr. President, today I introduce legislation on behalf of myself and Senators Corzine, Dayton, Durbin, Lautenberg, Mikulski, and Murray, that would bring a small measure of relief to the families of…

John Thune
Sen. John ThuneR-SD · Apr 14, 2005

Mr. President, today, it is my distinct honor and privilege to rise and speak on behalf of Senator Hatch, Senator Feinstein, Senator Talent, myself, and 47 other senators, as we introduce bipartisan…

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Rick Santorum
Sen. Rick SantorumR-PA · Apr 14, 2005

Mr. President, I rise to introduce the National Weather Services Duties Act of 2005 to clarify the responsibilities of the National Weather Service (NWS) within the National Oceanic and Atmospheric…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Apr 14, 2005

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record. Madam President, I rise today to introduce the Conserve by Bike Act to promote energy conservation and…

Tim Johnson
Sen. Tim JohnsonD-SD · Apr 14, 2005

Mr. President, I rise today in support of bipartisan National Drought Preparedness Act of 2005. For the last 5 years a devastating drought has forced many families across South Dakota and the United…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Apr 14, 2005

Mr. President, I am pleased to join with my colleague from Illinois in reintroducing the Conserve by Bike Act to recognize and promote bicycling's important impact on energy savings and public…

Larry E. Craig
Sen. Larry E. CraigR-ID · Apr 14, 2005

Mr. President, I rise on behalf of myself and the distinguished ranking member of the Veterans Committee, Senator Akaka, to introduce legislation providing a traumatic injury protection rider for…

Frank R. Lautenberg
Sen. Frank R. LautenbergD-NJ · Apr 14, 2005

Mr. President, today I am introducing the Access to Legal Pharmaceuticals Act (ALPhA). I want to thank Senators Corzine and Boxer for cosponsoring this important piece of legislation. This bill is…

Edward M. Kennedy
Sen. Edward M. KennedyD-MA · Apr 14, 2005

Mr. President, America is facing a major public health problem because of the epidemic of obesity in the nation's children. Nine million children today are obese. Over the past three decades, the…

Craig Thomas
Sen. Craig ThomasR-WY · Apr 14, 2005

Mr. President, I am pleased to rise today to introduce the ``Seniors Mental Health Access Improvement Act of 2005'' with my distinguished colleague from Arkansas, Mrs. Lincoln. Specifically, the…

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Craig Thomas
Sen. Craig ThomasR-WY · Apr 14, 2005

Mr. President, I am pleased to rise today to introduce the ``Seniors Mental Health Access Improvement Act of 2005'' with my distinguished colleague from Arkansas, Mrs. Lincoln. Specifically, the…

Jon Kyl
Sen. Jon KylR-AZ · Apr 14, 2005

Mr. President, I rise today to introduce the Material Support to Terrorism Prohibition Improvements Act of 2005. Mr. Barry Sabin, the Chief of the Counterterrorism Section of the Justice Department's…

Norm Coleman
Sen. Norm ColemanR-MN · Apr 14, 2005

Mr. President, I am pleased to introduce the Help Expand Access to Recovery and Treatment (HEART) Act of 2005 with my friend and colleague, Senator Clinton of New York. By passing this life-saving…

Conrad R. Burns
Sen. Conrad R. BurnsR-MT · Apr 14, 2005

Mr. President, I come to the floor today to voice my support for the flag amendment. The flag of the United States of America is a symbol of freedom. The flag of the United States of America has been…

Ben Nelson
Sen. Ben NelsonD-NE · Apr 14, 2005

Mr. President, today I rise to introduce a bill designating a Jacksonville courthouse as the John Milton Bryan Simpson United States Courthouse. John Milton Bryan Simpson was born in Kissimmee, FL,…

Bill Text

Latest available legislative text

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Introduced in SenateIssued April 14, 2005
        [Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[S. 784 Introduced in Senate (IS)]

109th CONGRESS
1st Session
S. 784

To amend title XVIII of the Social Security Act to provide for the
coverage of marriage and family therapist services and mental health
counselor services under part B of the medicare program, and for other
purposes.

_______________________________________________________________________

IN THE SENATE OF THE UNITED STATES

April 14, 2005

Mr. Thomas (for himself and Mrs. Lincoln) introduced the following
bill; which was read twice and referred to the Committee on Finance

_______________________________________________________________________

A BILL

To amend title XVIII of the Social Security Act to provide for the
coverage of marriage and family therapist services and mental health
counselor services under part B of the medicare program, and for other
purposes.

Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the ``Seniors Mental Health Access
Improvement Act of 2005''.

SEC. 2. COVERAGE OF MARRIAGE AND FAMILY THERAPIST SERVICES AND MENTAL
HEALTH COUNSELOR SERVICES UNDER PART B OF THE MEDICARE
PROGRAM.

(a) Coverage of Services.--
(1) In general.--Section 1861(s)(2) of the Social Security
Act (42 U.S.C. 1395x(s)(2)) is amended--
(A) in subparagraph (Y), by striking ``and'' after
the semicolon at the end;
(B) in subparagraph (Z), by inserting ``and'' after
the semicolon at the end; and
(C) by adding at the end the following new
subparagraph:
``(AA) marriage and family therapist services (as defined
in subsection (bbb)(1)) and mental health counselor services
(as defined in subsection (bbb)(3));''.
(2) Definitions.--Section 1861 of the Social Security Act
(42 U.S.C. 1395x) is amended by adding at the end the following
new subsection:

``Marriage and Family Therapist Services; Marriage and Family
Therapist; Mental Health Counselor Services; Mental Health Counselor

``(bbb)(1) The term `marriage and family therapist services' means
services performed by a marriage and family therapist (as defined in
paragraph (2)) for the diagnosis and treatment of mental illnesses,
which the marriage and family therapist is legally authorized to
perform under State law (or the State regulatory mechanism provided by
State law) of the State in which such services are performed, as would
otherwise be covered if furnished by a physician or as an incident to a
physician's professional service, but only if no facility or other
provider charges or is paid any amounts with respect to the furnishing
of such services.
``(2) The term `marriage and family therapist' means an individual
who--
``(A) possesses a master's or doctoral degree which
qualifies for licensure or certification as a marriage and
family therapist pursuant to State law;
``(B) after obtaining such degree has performed at least 2
years of clinical supervised experience in marriage and family
therapy; and
``(C) in the case of an individual performing services in a
State that provides for licensure or certification of marriage
and family therapists, is licensed or certified as a marriage
and family therapist in such State.
``(3) The term `mental health counselor services' means services
performed by a mental health counselor (as defined in paragraph (4))
for the diagnosis and treatment of mental illnesses which the mental
health counselor is legally authorized to perform under State law (or
the State regulatory mechanism provided by the State law) of the State
in which such services are performed, as would otherwise be covered if
furnished by a physician or as incident to a physician's professional
service, but only if no facility or other provider charges or is paid
any amounts with respect to the furnishing of such services.
``(4) The term `mental health counselor' means an individual who--
``(A) possesses a master's or doctor's degree in mental
health counseling or a related field;
``(B) after obtaining such a degree has performed at least
2 years of supervised mental health counselor practice; and
``(C) in the case of an individual performing services in a
State that provides for licensure or certification of mental
health counselors or professional counselors, is licensed or
certified as a mental health counselor or professional
counselor in such State.''.
(3) Provision for payment under part b.--Section
1832(a)(2)(B) of the Social Security Act (42 U.S.C.
1395k(a)(2)(B)) is amended by adding at the end the following
new clause:
``(v) marriage and family therapist
services and mental health counselor
services;''.
(4) Amount of payment.--Section 1833(a)(1) of the Social
Security Act (42 U.S.C. 1395l(a)(1)) is amended--
(A) by striking ``and (V)'' and inserting ``(V)'';
and
(B) by inserting before the semicolon at the end
the following: ``, and (W) with respect to marriage and
family therapist services and mental health counselor
services under section 1861(s)(2)(AA), the amounts paid
shall be 80 percent of the lesser of the actual charge
for the services or 75 percent of the amount determined
for payment of a psychologist under subparagraph (L)''.
(5) Exclusion of marriage and family therapist services and
mental health counselor services from skilled nursing facility
prospective payment system.--Section 1888(e)(2)(A)(ii) of the
Social Security Act (42 U.S.C. 1395yy(e)(2)(A)(ii)) is amended
by inserting ``marriage and family therapist services (as
defined in section 1861(bbb)(1)), mental health counselor
services (as defined in section 1861(bbb)(3)),'' after
``qualified psychologist services,''.
(6) Inclusion of marriage and family therapists and mental
health counselors as practitioners for assignment of claims.--
Section 1842(b)(18)(C) of the Social Security Act (42 U.S.C.
1395u(b)(18)(C)) is amended by adding at the end the following
new clauses:
``(vii) A marriage and family therapist (as defined in
section 1861(bbb)(2)).
``(viii) A mental health counselor (as defined in section
1861(bbb)(4)).''.
(b) Coverage of Certain Mental Health Services Provided in Certain
Settings.--
(1) Rural health clinics and federally qualified health
centers.--Section 1861(aa)(1)(B) of the Social Security Act (42
U.S.C. 1395x(aa)(1)(B)) is amended by striking ``or by a
clinical social worker (as defined in subsection (hh)(1)),''
and inserting ``, by a clinical social worker (as defined in
subsection (hh)(1)), by a marriage and family therapist (as
defined in subsection (bbb)(2)), or by a mental health
counselor (as defined in subsection (bbb)(4)),''.
(2) Hospice programs.--Section 1861(dd)(2)(B)(i)(III) of
the Social Security Act (42 U.S.C. 1395x(dd)(2)(B)(i)(III)) is
amended by inserting ``or one marriage and family therapist (as
defined in subsection (bbb)(2))'' after ``social worker''.
(c) Authorization of Marriage and Family Therapists to Develop
Discharge Plans for Post-Hospital Services.--Section 1861(ee)(2)(G) of
the Social Security Act (42 U.S.C. 1395x(ee)(2)(G)) is amended by
inserting ``marriage and family therapist (as defined in subsection
(bbb)(2)),'' after ``social worker,''.
(d) Effective Date.--The amendments made by this section shall
apply with respect to services furnished on or after January 1, 2006.
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