S. 921Senate110th Congress (2007-2009)In Committee

Seniors Mental Health Access Improvement Act of 2007

Introduced March 20, 2007

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 S3356)

March 20, 2007

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SenateIntro Referral

Introduced in Senate

March 20, 2007

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S3355-3356)

March 20, 2007

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S3356)

March 20, 2007

Floor Debate

12 members

What members said about S. 921 on the floor

4 Republicans8 Democrats
Bill Nelson
Sen. Bill NelsonD-FL · Mar 20, 2007

Mr. President, I am pleased to be joined by my colleague Senator Mel Martinez as we introduce a package of bills aimed at providing a comprehensive solution to strengthen our Nation's property and…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Mar 20, 2007

Mr. President, today I rise to support introduction of the Integrated Deepwater Reform Act. Since 1790, the United States Coast Guard has served as the guardian of our shores. It began its service to…

Jack Reed
Sen. Jack ReedD-RI · Mar 20, 2007

Mr. President, today I address an issue of critical importance to Rhode Island's Federal Wage System employees. Federal Wage System (FWS) employees are the Federal Government's blue-collar employees.…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Mar 20, 2007

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record. Mr. President, when we talk about college affordability, the discussion typically focuses on tuition costs,…

Hillary Rodham Clinton
Sen. Hillary Rodham ClintonD-NY · Mar 20, 2007

Mr. President, today, I, along with my colleague Senator Allard, am proud to introduce the Expanding the Promise for Individuals with Autism Act (EPIAA.) This legislation will help to increase the…

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Maria Cantwell
Sen. Maria CantwellD-WA · Mar 20, 2007

Mr. President, I think we all agree that the United States Coast Guard plays a critical role in keeping our oceans, coasts, and waterways safe, secure, and free from environmental harm. Following the…

Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Mar 20, 2007

Mr. President, I am offering today private relief legislation to provide lawful permanent residence status to Joseph Gabra and his wife, Sharon Kamel, Egyptian nationals currently living with their…

Robert Menendez
Sen. Robert MenendezD-NJ · Mar 20, 2007

Mr. President, I rise today along with several of my colleagues to introduce the Healthy Farms, Foods, and Fuels Act of 2007. I am also proud to be joined in this effort by my friend and former…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Mar 20, 2007

Mr. President, I am pleased to join my colleague, Senator Olympia Snowe, in introducing legislation that will expand the borders of the Aroostook County Empowerment Zone to include the entire County…

Craig Thomas
Sen. Craig ThomasR-WY · Mar 20, 2007

Mr. President, I am pleased to rise today to introduce the ``Seniors Mental Health Access Improvement Act of 2007'' with my distinguished colleague from Arkansas, Mrs. Lincoln. Specifically, the…

Craig Thomas
Sen. Craig ThomasR-WY · Mar 20, 2007

Mr. President, I am pleased to rise today to introduce the ``Seniors Mental Health Access Improvement Act of 2007'' with my distinguished colleague from Arkansas, Mrs. Lincoln. Specifically, the…

Max Baucus
Sen. Max BaucusD-MT · Mar 20, 2007

Mr. President, I am pleased to join my friends and Colleagues, Senator Hatch and Senator Crapo in introducing legislation to make permanent the tax treatment in Subpart F for active financial…

John Thune
Sen. John ThuneR-SD · Mar 20, 2007

Mr. President, I rise today to introduce a bill that will sustain important air service--in South Dakota and other rural States across the country. The Airline Deregulation Act of 1978 allowed…

Bill Text

Latest available legislative text

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Latest
Introduced in SenateIssued March 20, 2007

II

110th CONGRESS

1st Session

S. 921

IN THE SENATE OF THE UNITED STATES

March 20, 2007

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.

1.

Short title

This Act may be cited as the Seniors Mental Health Access Improvement Act of 2007.

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 (Z), by striking and after the semicolon at the end;

(B)

in subparagraph (AA), by inserting and after the semicolon at the end; and

(C)

by adding at the end the following new subparagraph:

(BB)

marriage and family therapist services (as defined in subsection (ccc)(1)) and mental health counselor services (as defined in subsection (ccc)(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:

(ccc)

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

(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 (as defined in section 1861(ccc)(1)) and mental health counselor services (as defined in section 1861(ccc)(3));

.

(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)(BB), 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(ccc)(1)), mental health counselor services (as defined in section 1861(ccc)(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(ccc)(2)).

(viii)

A mental health counselor (as defined in section 1861(ccc)(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 (ccc)(2)), or by a mental health counselor (as defined in subsection (ccc)(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 (ccc)(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 (ccc)(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, 2008.