II 

118TH CONGRESS 

2D SESSION S. 3628 

To amend title XVIII of the Social Security Act to improve mobility crisis 

under the Medicare program. 

IN THE SENATE OF THE UNITED STATES 

JANUARY 18, 2024 

Ms. CORTEZ MASTO (for herself and Mr. CORNYN) 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 

mobility crisis under the Medicare program. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Medicare Mobility Cri5 sis Improvement Act’’. 


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1 SEC. 2. PAYMENT FOR MOBILE CRISIS RESPONSE INTER2 VENTION SERVICES UNDER PHYSICIAN FEE 

3 SCHEDULE. 

4 Section 1848(b) of the Social Security Act (42 U.S.C. 

5 1395w–4(b)) is amended by adding at the end the fol6 lowing new paragraph: 

7 ‘‘(13) MOBILE CRISIS RESPONSE TEAM SERV8 ICES.— 

9 ‘‘(A) IN GENERAL.—Beginning January 1, 

10 2025, the Secretary shall, subject to the suc11 ceeding provisions of this paragraph, make a 

12 single global payment (as determined by the 

13 Secretary under subparagraph (C)) under this 

14 section for mobile crisis response team services 

15 (as defined in subparagraph (B)) furnished by 

16 a physician (as defined in section 1861(r)(1)), 

17 physician assistant or nurse practitioner (as de18 fined in section 1861(aa)(5)(A)), clinical nurse 

19 specialist (as defined in section 

20 1861(aa)(5)(B)), clinical social worker (as de21 fined in section 1861(hh)(1)), or clinical psy22 chologist (as defined by the Secretary for pur23 poses of section 1861(ii)). 

24 ‘‘(B) DEFINITION OF MOBILE CRISIS RE25 SPONSE TEAM SERVICES.—In this paragraph, 

26 the term ‘mobile crisis response team services’ 


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1 means physicians’ services that are furnished 

2 outside of a hospital, other facility setting, or 

3 physician office to an individual experiencing a 

4 mental health or substance use disorder crisis 

5 to— 

6 ‘‘(i) provide screening and assessment 

7 for the individual’s mental health or sub8 stance use disorder crisis; 

9 ‘‘(ii) support the de-escalation of the 

10 individual’s mental health or substance use 

11 disorder crisis; 

12 ‘‘(iii) facilitate or support subsequent 

13 referral to health, social, and other serv14 ices, as determined appropriate by the Sec15 retary; or 

16 ‘‘(iv) otherwise address the individ17 ual’s pressing behavioral health needs, as 

18 determined appropriate by the Secretary. 

19 ‘‘(C) DETERMINATION OF SINGLE GLOBAL

20 PAYMENT.— 

21 ‘‘(i) IN GENERAL.—The Secretary 

22 shall determine an appropriate global pay23 ment for mobile crisis response team serv24 ices under the fee schedule under this sec25 tion to account for the work, practice exVerDate Sep 11 2014 03:59 Jan 25, 2024 Jkt 049200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S3628.IS S3628

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1 penses, and malpractice expenses involved 

2 in furnishing physicians’ services that 

3 would typically be furnished to an indi4 vidual experiencing a mental health or sub5 stance use disorder crisis to accomplish the 

6 objectives described in clauses (i) through 

7 (iv) of subparagraph (B) (as identified by 

8 the Secretary). 

9 ‘‘(ii) RELATIVE VALUES.—In deter10 mining work, practice expenses, and mal11 practice expenses under clause (i), the Sec12 retary shall account for differences in 

13 work, practice expenses, and malpractice 

14 expenses between furnishing physicians’ 

15 services identified in clause (i) in a physi16 cian office and the work, practice expenses, 

17 and malpractice expenses involved in fur18 nishing such services at the site at which 

19 at individual is experiencing a mental or 

20 substance use disorder crisis, including po21 tential practice expenses associated with 

22 transportation to such site. 

23 ‘‘(iii) ENSURING NO DUPLICATE PAY24 MENT.—The Secretary shall ensure that if 

25 a physician or practitioner receives payVerDate Sep 11 2014 03:59 Jan 25, 2024 Jkt 049200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S3628.IS S3628

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1 ment for mobile crisis response team serv2 ices under this paragraph, additional pay3 ment is not made under this section for 

4 physicians’ services identified in clause (i) 

5 that are furnished to the same individual 

6 by the same physician or practitioner on 

7 the same day on which such mobile crisis 

8 response team services are furnished. 

9 ‘‘(D) REQUIREMENTS FOR PHYSICIANS

10 AND PRACTITIONERS RECEIVING PAYMENT.—In 

11 order to receive payment for mobile crisis re12 sponse team services, a physician or practi13 tioner who submits a claim for payment for 

14 such services must document, in a form and 

15 manner determined appropriate by the Sec16 retary, that the physician or practitioner fur17 nishing such services and any auxiliary per18 sonnel (as defined in section 410.26(a)(1) of 

19 title 42, Code of Federal Regulations, or any 

20 successor regulation) furnishing such services 

21 under the supervision of the physician or practi22 tioner— 

23 ‘‘(i) are trained in trauma-informed 

24 care, de-escalation strategies, and harm re25 duction; 


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1 ‘‘(ii) are capable of coordinating with 

2 emergency response systems, crisis inter3 vention hotlines, and hospitals furnishing 

4 crisis stabilization services (as defined in 

5 section 1833(t)(23)); and 

6 ‘‘(iii) meet other criteria determined 

7 appropriate by the Secretary to ensure 

8 quality of care and program integrity. 

9 ‘‘(E) ADDITIONAL CLARIFICATION.—The 

10 Secretary shall allow for auxiliary personnel (as 

11 defined in section 410.26(a)(1) of title 42, Code 

12 of Federal Regulations, or any successor regula13 tion), including peer support specialists (as de14 fined in subsection (i)(4)(B)), to furnish mobile 

15 crisis response team services under the super16 vision of a physician or practitioner billing for 

17 such services under this section.’’. 

Æ 


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