Sec. 602. Coverage of marriage and family therapist services, mental health counselor services, and substance abuse counselor services under part B of the Medicare program
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/bill/116/hr/6637/ih/section-602A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
B of the Medicare program Section 1861(s)(2) of the Social Security Act ( 42 U.S.C. 1395x(s)(2) ), as amended by section 431(c), is amended— in subparagraph (GG), by striking and at the end; in subparagraph (HH), by inserting and at the end; and by adding at the end the following new subparagraph: marriage and family therapist services (as defined in subsection (lll)(1)) and mental health counselor services (as defined in subsection (lll)(3)) and substance abuse counselor services (as defined in subsection (lll)(5)); .
Section 1861 of the Social Security Act ( 42 U.S.C. 1395x ), as amended by sections 205(b)(a), 413(a), and 431(c), is amended by adding at the end the following new subsection: 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.
The term marriage and family therapist means an individual who— possesses a master’s or doctoral degree that qualifies for licensure or certification as a marriage and family therapist pursuant to State law, including but not limited to, clinical social workers and occupational therapists; after obtaining such degree has performed at least 2 years of clinical supervised experience in marriage and family therapy; and 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.
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 that 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.
The term mental health counselor means an individual who— possesses a master’s or doctor’s degree in mental health counseling or a related field, including clinical social workers and occupational therapists; after obtaining such a degree has performed at least 2 years of supervised mental health counselor practice; and 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.
The term substance abuse counselor services means services performed by a substance abuse counselor (as defined in paragraph (6)) for the diagnosis and treatment of substance abuse and addiction that the substance abuse 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.
The term substance abuse counselor means an individual who— has performed at least 2 years of supervised substance abuse counselor practice; in the case of an individual performing services in a State that provides for licensure or certification of substance abuse counselors or professional counselors, is licensed or certified as a substance abuse counselor or professional counselor in such State; or is a drug and alcohol counselor as defined in section 40.281 of title 49, Code of Federal Regulations.
The term peer support specialist means an individual who— is an individual living in recovery with mental illness, addiction, or systems involvement; has skills learned in formal training; and delivers services in behavioral health settings to promote mind-body recovery and resiliency. . Section 1832(a)(2)(B) of the Social Security Act ( 42 U.S.C. 1395k(a)(2)(B) ) is amended— by striking and at the end of clause (iv); and by adding at the end the following new clause: marriage and family therapist services, mental health counselor services, and substance abuse counselor services; and .
Section 1833(a)(1) of the Social Security Act ( 42 U.S.C. 1395l(a)(1) ), as amended by section 431(c)(3), is amended— by striking and before
(DD); and by inserting before the semicolon at the end the following: , and
(EE)with respect to marriage and family therapist services, mental health counselor services, and substance abuse counselor services under section 1861(s)(2)(II), 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). 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(lll)(1)), mental health counselor services (as defined in section 1861(lll)(3)), after qualified psychologist services, . 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: A marriage and family therapist (as defined in section 1861(lll)(2)). A mental health counselor (as defined in section 1861(lll)(4)). A substance abuse counselor (as defined in section 1861(lll)(6)). A peer support specialist (as defined in section 1861(III)(7)). . 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 (lll)(2)), or by a mental health counselor (as defined in subsection (lll)(4)), or by a substance abuse counselor (as defined in section 1861 (lll)(6)). . 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 (lll)(2)) after social worker . 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 (lll)(2)), after social worker, . The amendments made by this section shall apply with respect to services furnished on or after January 1, 2021.
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Sec. 602
Coverage of marriage and family therapist services, mental health counselor services, and substance abuse counselor services under part B of the Medicare program
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