Mental and Physical Health Care Comorbidities Act of 2025
Latest action (2 Apr 2025): Introduced
What this bill does
**Summary of S. 1264 — Mental and Physical Health Care Comorbidities Act of 2025**
This bill would amend the Social Security Act to create a five-year Medicare demonstration program (October 2025 through September 2030) testing collaborative approaches to treating patients with both mental and physical health conditions ("comorbidities"). Participating hospitals would develop and submit plans describing specific care innovations—such as integrated care teams, improved electronic health records, "wrap-around" social services, and home- or community-based care—along with quality metrics, and enter payment agreements with the Secretary of Health and Human Services to fund these efforts. Hospitals would also join a "learning collaborative" to share results and best practices, and could face repayment requirements if they fail to meet agreement terms.
The program targets patients with serious mental illness combined with chronic conditions, high-risk pregnancy, frailty, disability, or similar challenges, who are low-income Medicare beneficiaries, Medicaid enrollees, or uninsured. Eligible hospitals include certain rural, safety-net, and large teaching hospitals serving "vulnerable communities." The bill aims to identify effective care models and potential payment reforms under Medicare and Medicaid.
The Secretary would be required to report evaluation results and policy recommendations to Congress after the program ends. The bill was introduced by Sen. Michael Bennet on April 2, 2025, and referred to the Senate Finance Committee; no further action has occurred.
Plain-English summary generated by Bill100 AI from the official record. Always verify against the source below.
Official summary
Mental and Physical Health Care Comorbidities Act of 2025
This bill establishes a demonstration program to test hospital innovations that support low-income or uninsured individuals with serious mental and physical health comorbidities and to identify appropriate payment reforms under Medicare and Medicaid.
Participating hospitals must (1) have a proportionally high number of Medicare or Medicaid patients, and (2) develop a plan and related quality metrics for innovations to provide coordinated care and address social determinants of health for individuals with serious mental illness or emotional disturbance and physical comorbidities (e.g., chronic conditions).
Common questions
- What does S. 1264 do?
- **Summary of S. 1264 — Mental and Physical Health Care Comorbidities Act of 2025** This bill would amend the Social Security Act to create a five-year Medicare demonstration program (October 2025 through September 2030) testing collaborative approaches to treating patients with both mental and physical health conditions ("comorbidities"). Participating hospitals would develop and submit plans describing specific care innovations—such as integrated care teams, improved electronic health records, "wrap-around" social services, and home- or community-based care—along with quality metrics, and enter payment agreements with the Secretary of Health and Human Services to fund these efforts. Hospitals would also join a "learning collaborative" to share results and best practices, and could face repayment requirements if they fail to meet agreement terms. The program targets patients with serious mental illness combined with chronic conditions, high-risk pregnancy, frailty, disability, or similar challenges, who are low-income Medicare beneficiaries, Medicaid enrollees, or uninsured. Eligible hospitals include certain rural, safety-net, and large teaching hospitals serving "vulnerable communities." The bill aims to identify effective care models and potential payment reforms under Medicare and Medicaid. The Secretary would be required to report evaluation results and policy recommendations to Congress after the program ends. The bill was introduced by Sen. Michael Bennet on April 2, 2025, and referred to the Senate Finance Committee; no further action has occurred.
- Has S. 1264 become law?
- Not yet. As of 2 Apr 2025, S. 1264 is introduced.
- Who sponsored S. 1264?
- S. 1264 was sponsored by Sen. Michael Bennet [D-CO] (Democrat-CO), with 0 cosponsors.
- What's the latest action on S. 1264?
- Introduced (2 Apr 2025).
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