S. 1797Senate119th Congress (2025-2027)In Committee

Expanding Seniors Access to Mental Health Services Act

Introduced May 15, 2025

AI-Generated Summary

Updated November 24, 2025 at 12:33 AM UTC

The Expanding Seniors Access to Mental Health Services Act amends the Social Security Act to improve Medicare coverage for mental health care. It makes clinical social worker services in skilled nursing facilities reimbursable and broadens the types of mental health and behavioral health services that Medicare will pay for, using a set of identified HCPCS codes. The changes apply to services starting January 1, 2026 and affect seniors receiving Medicare benefits, especially those in skilled nursing facilities.

Key Provisions

  • Adds clinical social worker services for residents of skilled nursing facilities to the Medicare prospective payment system, making those services reimbursable.
  • Removes language that excluded certain services from coverage, allowing clinical social workers to provide a full range of mental health and behavioral health assessments and interventions.
  • Expands the definition of covered services to include diagnosis, treatment, and health/behavior assessment and intervention identified by specific HCPCS codes (e.g., 96156, 96158‑96161, 96164‑96168, 96170‑96171).
  • Sets the changes to take effect for services provided on or after January 1, 2026.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text: CR S2954)

May 15, 2025

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SenateIntro Referral

Introduced in Senate

May 15, 2025

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text: CR S2954)

May 15, 2025

Floor Debate

2 members

What members said about S. 1797 on the floor

1 Republican1 Democrat
Alex Padilla
Sen. Alex PadillaD-CA · May 15, 2025

Mr. President, I rise today to introduce the Joshua Tree National Park Expansion Act, which would do two things: expand the boundary of Joshua Tree National Park by 20,000 acres and rename the…

John Barrasso
Sen. John BarrassoR-WY · May 15, 2025

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

John Barrasso
Sen. John BarrassoR-WY · May 15, 2025

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

Latest available legislative text

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Introduced in SenateIssued May 15, 2025

II

119th CONGRESS

1st Session

S. 1797

IN THE SENATE OF THE UNITED STATES

May 15, 2025

Mr. Barrasso (for himself and Mr. Coons) 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 improve access to mental health services under the Medicare program.

1.

Short title

This Act may be cited as the Expanding Seniors Access to Mental Health Services Act.

2.

Improved access to mental health services under the Medicare program

(a)

Access to clinical social worker services provided to residents of skilled nursing facilities

(1)

Exclusion of clinical social worker services from the skilled nursing facility prospective payment system

Section 1888(e)(2)(A)(iii) of the Social Security Act (42 U.S.C. 1395yy(e)(2)(A)(iii)) is amended by adding at the end the following new subclause:

(VII)

Clinical social worker services (as defined in section 1861(hh)(2)).

.

(2)

Conforming amendment

Section 1861(hh)(2) of the Social Security Act (42 U.S.C. 1395x(hh)(2)) is amended by striking and other than services furnished to an inpatient of a skilled nursing facility which the facility is required to provide as a requirement for participation.

(b)

Access to the complete set of clinical social worker services

Section 1861(hh)(2) of the Social Security Act (42 U.S.C. 1395x(hh)(2)), as amended by subsection (a)(2), is amended—

(1)

by striking for the diagnosis and treatment of mental illnesses (other than services and inserting , including services for the diagnosis and treatment of mental illnesses or services for health and behavior assessment and intervention (identified as of January 1, 2023, by HCPCS codes 96156, 96158–96161, 96164–96168, and 96170–96171 (and any succeeding codes)) but not including services; and

(2)

by striking inpatient of a hospital) and inserting inpatient of a hospital,.

(c)

Effective date

The amendments made by this section shall apply to items and services furnished on or after January 1, 2026.