I 
117TH CONGRESS 
2D SESSION 
H. R. 9328 
To amend title XVIII of the Social Security Act to establish a demonstration 
program to promote collaborative treatment of mental and physical health 
comorbidities under the Medicare program. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 17, 2022 
Mr. BRENDAN F. BOYLE of Pennsylvania (for himself and Ms. BROWN of 
Ohio) 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 subsequently determined by the Speaker, 
in each case for consideration of such provisions as fall within the juris-
diction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to establish 
a demonstration program to promote collaborative treat-
ment of mental and physical health comorbidities under 
the Medicare program. 
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 ‘‘Mental and Physical 
Health Care Comorbidities Act of 2022’’. 
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SEC. 2. ESTABLISHING A DEMONSTRATION PROGRAM TO 
PROMOTE COLLABORATIVE TREATMENT OF 
MENTAL 
AND 
PHYSICAL 
HEALTH 
COMORBIDITIES UNDER THE MEDICARE PRO-
GRAM. 
Title XVIII of the Social Security Act (42 U.S.C. 
1395 et seq.) is amended by inserting after section 1866F 
the following new section: 
‘‘SEC. 
1866G. 
MENTAL 
AND 
PHYSICAL 
HEALTH 
COMORBIDITIES 
COLLABORATIVE 
DEM-
ONSTRATION PROGRAM. 
‘‘(a) IN GENERAL.—Consistent with the model de-
scribed in section 1115A(b)(2)(B)(xv) (relating to pro-
moting improved quality and reduced cost by developing 
a collaborative of high-quality, low-cost health care institu-
tions), the Secretary shall conduct a demonstration pro-
gram (in this section referred to as the ‘program’) to test 
and evaluate innovations implemented by eligible hospitals 
(as defined in subsection (f)) in the furnishing of items 
and services to applicable individuals (as defined in sub-
section (f)) with mental and physical health comorbidities 
(and those at risk of developing such comorbidities), in-
cluding by addressing the adverse social determinants of 
health that such individuals often experience. 
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‘‘(b) ACTIVITIES UNDER PROGRAM.—Under the pro-
gram, the Secretary shall, in coordination with eligible 
hospitals participating in the program— 
‘‘(1) identify, validate, and disseminate innova-
tive, effective evidence-based best practices and mod-
els that improve care and outcomes for applicable in-
dividuals 
with 
mental 
and 
physical 
health 
comorbidities located in vulnerable communities, in-
cluding by addressing the social determinants of 
health that adversely impact such individuals; and 
‘‘(2) assist in the identification of potential pay-
ment reforms under this title and title XIX that 
could more broadly effectuate such improvements. 
‘‘(c) DURATION
AND SCOPE.—The program con-
ducted under this section shall operate during the period 
beginning on October 1, 2023, and ending no later than 
September 30, 2028. 
‘‘(d) PROGRAM ELEMENTS.— 
‘‘(1) IN GENERAL.—An eligible hospital electing 
to participate in the program shall enter into an 
agreement with the Secretary for purposes of car-
rying out the activities described in subsection (b). 
Such an agreement shall include the plan described 
in paragraph (2), along with an annualized payment 
arrangement as described in paragraph (3) to sup-
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port implementation of such plan. Such agreement 
shall include a requirement for the hospital to— 
‘‘(A) engage in the learning collaborative 
established under subsection (e); 
‘‘(B) certify that all proposed innovations 
under such plan will supplement and not sup-
plant existing activities, whether by augmenting 
existing activities or initiating new activities; 
and 
‘‘(C) remit payments made under such ar-
rangement to the Secretary if the Secretary de-
termines that such hospital has not complied 
with the terms of such agreement. 
‘‘(2) PROGRAM
ELEMENTS.—An eligible hos-
pital electing to participate in the program shall sub-
mit a proposed plan and associated quality metrics 
for review and approval by the Secretary. Such plan 
and metrics shall, at a minimum, address— 
‘‘(A) the specific innovations addressing 
mental and physical health comorbidities (as de-
fined in subsection (f)) and innovations ad-
dressing social determinants of health (as de-
fined in such subsection) that will be employed 
and the evidence base supporting the proposed 
approach; 
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