S. 604Senate112th Congress (2011-2013)In Committee

Seniors Mental Health Access Improvement Act of 2011

Sponsored by Ron WydenSen. Ron Wyden (D-OR)
Introduced March 17, 2011

Legislative Activity

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SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

March 17, 2011

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SenateIntro Referral

Introduced in Senate

March 17, 2011

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S1829-1830)

March 17, 2011

SenateIntro Referral

Read twice and referred to the Committee on Finance.

March 17, 2011

Floor Debate

16 members

What members said about S. 604 on the floor

6 Republicans10 Democrats
Lisa Murkowski
Sen. Lisa MurkowskiR-AK · Mar 17, 2011

Mr. President, I rise today to introduce legislation that really has been 97 years in the making, legislation to authorize the land conveyances needed to permit the Alaska Railroad to be extended…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Mar 17, 2011

Mr. President, I rise today, along with Senator Warner, to reintroduce legislation that provides greater technical resources to the Commissioners of the Federal Communications Commission. Such…

Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Mar 17, 2011

Mr. President, I rise today to introduce the Earthquake Insurance Affordability Act. This bill makes important changes that will increase availability and reduce cost of catastrophic insurance for…

Herb Kohl
Sen. Herb KohlD-WI · Mar 17, 2011

Mr. President, I rise today with Senator Graham to introduce the Sunshine in Litigation Act of 2011, a bill that will curb the ongoing abuse of secrecy orders in Federal courts. The result of this…

Ron Wyden
Sen. Ron WydenD-OR · Mar 17, 2011

Mr. President. I am honored to join my colleague from Wyoming, Senator John Barrasso, in introducing a bill essential to enhancing the delivery of mental health services to our senior citizens, The…

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Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Mar 17, 2011

Mr. President, this week, the Nation commemorates Sunshine Week, a time to educate the public about the importance of open government. In recognition of Sunshine Week 2011, I am pleased to join with…

Maria Cantwell
Sen. Maria CantwellD-WA · Mar 17, 2011

Mr. President, I am pleased to join with my colleagues Senators Vitter, Carper, Cochran, Inouye, Landrieu, and Murray to introduce the American Shipping Reinvestment Act of 2011. This legislation…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Mar 17, 2011

Mr. President, I rise today to introduce with Senator Lieberman the Securing Terrorist Intelligence Act. Last Congress, the Senate Homeland Security and Governmental Affairs Committee heard testimony…

Tom Udall
Sen. Tom UdallD-NM · Mar 17, 2011

Mr. President, who will develop a computer small enough to fit into our eyeglasses? Who will build the first fully-automated, completely sustainable house or hospital? Which country will successfully…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Mar 17, 2011

Mr. President, on March 22, countries around the world will celebrate World Water Day--a day to mark the progress we have made protecting this most important resource and to reflect on the many…

Daniel K. Akaka
Sen. Daniel K. AkakaD-HI · Mar 17, 2011

Mr. President, I rise today to introduce the Furthering International Nuclear Safety Act of 2011 to enhance the implementation of the Convention on Nuclear Safety by taking a more systematic approach…

Chuck Grassley
Sen. Chuck GrassleyR-IA · Mar 17, 2011

Mr. President, all too often we learn of new and emerging drug threats to our communities that often have a huge negative impact on our youth. When these drug threats emerge it is crucial that we…

Tom Harkin
Sen. Tom HarkinD-IA · Mar 17, 2011

Mr. President, ensuring that all students, regardless of background or ability, receive an education that gives them the opportunity to live a successful and fulfilling life has always been a major…

Show 5 more
Harry Reid
Sen. Harry ReidD-NV · Mar 17, 2011

Mr. President, I rise today to reintroduce the Elko Motocross and Tribal Conveyance Act of 2011. This bill would transfer two small parcels of public land to Elko County and the Elko Indian Colony…

John Barrasso
Sen. John BarrassoR-WY · Mar 17, 2011

Mr. President, I am honored to join my colleague from Oregon, Senator Ron Wyden, to introduce the Seniors Mental Health Access Improvement Act. For over a decade, Senator Wyden has been a strong…

John Barrasso
Sen. John BarrassoR-WY · Mar 17, 2011

Mr. President, I am honored to join my colleague from Oregon, Senator Ron Wyden, to introduce the Seniors Mental Health Access Improvement Act. For over a decade, Senator Wyden has been a strong…

Ron Wyden
Sen. Ron WydenD-OR · Mar 17, 2011

Mr. President. I am honored to join my colleague from Wyoming, Senator John Barrasso, in introducing a bill essential to enhancing the delivery of mental health services to our senior citizens, The…

James M. Inhofe
Sen. James M. InhofeR-OK · Mar 17, 2011

Mr. President, I rise today to bring to the Senate's attention H.R. 473. This is the HALE Scouts Act, and the House author is Congressman Dan Boren, D-Okla. I am announcing today introduction of a…

Bill Text

Latest available legislative text

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Introduced in SenateIssued March 17, 2011

II

112th CONGRESS

1st Session

S. 604

IN THE SENATE OF THE UNITED STATES

March 17, 2011

Mr. Wyden (for himself, Mr. Barrasso, Mr. Brown of Ohio, Mr. Inouye, Mr. Johnson of South Dakota, Mr. Begich, and Mr. Durbin) 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 2011.

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

(B)

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

(C)

by adding at the end the following new subparagraph:

(GG)

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

(iii)

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(iii)(1)) and mental health counselor services (as defined in section 1861(iii)(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 (Z) and inserting (Z); and

(B)

by inserting before the semicolon at the end the following: , and (AA) with respect to marriage and family therapist services and mental health counselor services under section 1861(s)(2)(GG), 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(iii)(1)), mental health counselor services (as defined in section 1861(iii)(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(iii)(2)).

(viii)

A mental health counselor (as defined in section 1861(iii)(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 (iii)(2)), or by a mental health counselor (as defined in subsection (iii)(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 , marriage and family therapist, or mental health counselor after social worker.

(c)

Authorization of marriage and family therapists and mental health counselors 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 , including a marriage and family therapist and a mental health counselor who meets qualification standards established by the Secretary before the period at the end.

(d)

Effective Date

The amendments made by this section shall apply with respect to services furnished on or after January 1, 2012.