I 
119TH CONGRESS 
1ST SESSION H. R. 2509 
To amend title XVIII of the Social Security Act to provide incentives for 
behavioral health integration. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 31, 2025 
Ms. MALLIOTAKIS
(for herself, Mrs. FLETCHER, Mr. PFLUGER, Mr. 
HORSFORD, Mr. CAREY, and Mr. SUOZZI) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committee on Ways and Means, for a period to be subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to provide 
incentives for behavioral health integration. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Connecting Our Med-
ical Providers with Links to Expand Tailored and Effec-
tive Care’’ or the ‘‘COMPLETE Care Act’’. 
VerDate Sep 11 2014 
04:33 Apr 04, 2025
Jkt 059200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H2509.IH
H2509
kjohnson on DSK7ZCZBW3PROD with $$_JOB
SEC. 2. MEDICARE INCENTIVES FOR BEHAVIORAL HEALTH 
INTEGRATION WITH PRIMARY CARE. 
(a) INCENTIVES.— 
(1) IN GENERAL.—Section 1848(b) of the So-
cial Security Act (42 U.S.C. 1395w–4(b)) is amend-
ed by adding at the end the following new para-
graph: 
‘‘(13) INCENTIVES FOR BEHAVIORAL HEALTH 
INTEGRATION.— 
‘‘(A) IN GENERAL.—For services described 
in subparagraph (B) that are furnished during 
2027, 2028, or 2029, instead of the payment 
amount that would otherwise be determined 
under this section for such year, the payment 
amount shall be equal to the applicable percent 
(as defined in subparagraph (C)) of such pay-
ment amount for such year. 
‘‘(B) SERVICES DESCRIBED.—The services 
described in this subparagraph are services 
identified, as of January 1, 2024, by HCPCS 
codes 99484, 99492, 99493, 99494, G2214, 
and G0323 (and any successor or similar codes 
as determined appropriate by the Secretary). 
‘‘(C) 
APPLICABLE
PERCENT.—In 
this 
paragraph, the term ‘applicable percent’ means, 
VerDate Sep 11 2014 
04:33 Apr 04, 2025
Jkt 059200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H2509.IH
H2509
kjohnson on DSK7ZCZBW3PROD with $$_JOB
with respect to a service described in subpara-
graph (A), the following: 
‘‘(i) For services furnished during 
2027, 175 percent. 
‘‘(ii) For services furnished during 
2028, 150 percent. 
‘‘(iii) For services furnished during 
2029, 125 percent.’’. 
(2) WAIVER OF BUDGET NEUTRALITY.—Section 
1848(c)(2)(B)(iv) of such Act (42 U.S.C. 1395w– 
4(c)(2)(B)(iv)) is amended— 
(A) in subclause (V), by striking ‘‘and’’ at 
the end; 
(B) in subclause (VI), by striking the pe-
riod at the end and inserting ‘‘; and’’ and 
(C) by adding at the end the following new 
subclause: 
‘‘(VII) the increase in payment 
amounts as a result of the application 
of subsection (b)(13) shall not be 
taken into account in applying clause 
(ii)(II) for 2027, 2028, or 2029.’’. 
(b) TECHNICAL ASSISTANCE FOR THE ADOPTION OF 
BEHAVIORAL HEALTH INTEGRATION.— 
VerDate Sep 11 2014 
04:33 Apr 04, 2025
Jkt 059200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H2509.IH
H2509
kjohnson on DSK7ZCZBW3PROD with $$_JOB
(1) IN GENERAL.—Not later than January 1, 
2026, the Secretary of Health and Human Services 
(in this subsection referred to as the ‘‘Secretary’’) 
shall enter into contracts or agreements with appro-
priate entities to offer technical assistance to pri-
mary care practices that are seeking to adopt behav-
ioral health integration models in such practices. 
(2) BEHAVIORAL HEALTH INTEGRATION MOD-
ELS.—For purposes of paragraph (1), behavioral 
health integration models include the Collaborative 
Care Model (with services identified as of January 
1, 2024, by HCPCS codes 99492, 99493, 99494, 
and G2214 (and any successor codes)), the Primary 
Care Behavioral Health model (with services identi-
fied as of January 1, 2024, by HCPCS codes 99484 
and G0323 (and any successor code)), and other 
models identified by the Secretary. 
(3) IMPLEMENTATION.—Notwithstanding any 
other provision of law, the Secretary may implement 
the provisions of this subsection by program instruc-
tion or otherwise. 
(4) FUNDING.—In addition to amounts other-
wise available, there is appropriated to the Secretary 
for each of fiscal years 2025 through 2029, out of 
any money in the Treasury not otherwise appro-
VerDate Sep 11 2014 
04:33 Apr 04, 2025
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H2509.IH
H2509
kjohnson on DSK7ZCZBW3PROD with $$_JOB
priated, such sums as are necessary, to remain avail-
able until expended, for purposes of carrying out 
this subsection. 
Æ 
VerDate Sep 11 2014 
04:33 Apr 04, 2025
Jkt 059200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6301
E:\BILLS\H2509.IH
H2509
kjohnson on DSK7ZCZBW3PROD with $$_JOB