with respect to a service described in subpara-
graph (A), the following: 
‘‘(i) For services furnished during 
2025, 175 percent. 
‘‘(ii) For services furnished during 
2026, 150 percent. 
‘‘(iii) For services furnished during 
2027, 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 2025, 2026, or 2027.’’. 
(b) QUALITY MEASUREMENT.— 
(1) IN GENERAL.—Section 1833(z) of the So-
cial Security Act (42 U.S.C. 1395l(z)) is amended— 
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(A) by redesignating paragraph (4) as 
paragraph (5); and 
(B) by inserting after paragraph (3) the 
following new paragraph: 
‘‘(4) QUALITY
MEASUREMENT
RELATING
TO 
BEHAVIORAL HEALTH INTEGRATION.— 
‘‘(A) IN
GENERAL.—The Secretary shall 
establish quality measurement reporting re-
quirements for applicable physicians and practi-
tioners (as defined in subparagraph (B)) with 
respect to the extent to which clinician practices 
are integrating behavioral health services and 
primary care services, in accordance with the 
succeeding provisions of this paragraph. 
‘‘(B) APPLICABLE PHYSICIANS AND PRAC-
TITIONERS.—For purposes of this paragraph, 
the term ‘applicable physician or practitioner’ 
means, with respect to a year, a physician or a 
practitioner described in section 1842(b)(18)(C) 
who is participating in an eligible alternative 
payment entity for which the associated alter-
native payment model involves the delivery of 
primary care services to beneficiaries who may 
have the need for mental health or substance 
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use disorder services, as determined by the Sec-
retary. 
‘‘(C) QUALITY REPORTING BY SELECTED 
PHYSICIANS
AND
PRACTITIONERS.—With re-
spect to each year beginning on or after the 
date that is one year after one or more meas-
ures are first specified under subparagraph (D), 
an applicable physician or practitioner shall 
submit to the Secretary data on quality meas-
ures specified under such subparagraph. Such 
data shall be submitted in a form and manner, 
and at a time, specified by the Secretary for 
purposes of this subparagraph. 
‘‘(D) QUALITY MEASURES.— 
‘‘(i) IN GENERAL.—Subject to clause 
(ii), any measure specified by the Secretary 
under this subparagraph must have been 
endorsed by the entity with a contract 
under section 1890(a). 
‘‘(ii) EXCEPTION.—In the case of a 
specified area or medical topic determined 
appropriate by the Secretary for which a 
feasible and practical measure has not 
been endorsed by the entity with a contract 
under section 1890(a), the Secretary may 
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specify a measure that is not so endorsed 
as long as due consideration is given to 
measures that have been endorsed or 
adopted by a consensus organization iden-
tified by the Secretary. 
‘‘(E) IMPLEMENTATION.—The Secretary 
may use quality measures developed pursuant 
to this paragraph in— 
‘‘(i) the shared savings program under 
section 1899; and 
‘‘(ii) the Primary Care First Model, 
the Accountable Care Organization Real-
izing Equity, Access, and Community 
Health (ACO REACH) Model, and any 
other alternative payment model (as de-
fined in paragraph (3)(C)) as determined 
appropriate by the Secretary.’’. 
(2) CONFORMING
AMENDMENT
RELATING
TO 
CONVENING MULTI-STAKEHOLDER GROUPS.—Section 
1890(b)(7)(B)(i)(I) of the Social Security Act (42 
U.S.C. 1395aaa(b)(7)(B)(i)(I)) is amended by in-
serting ‘‘1833(z)(4),’’ after ‘‘1833(t)(17),’’. 
(c) TECHNICAL ASSISTANCE FOR THE ADOPTION OF 
BEHAVIORAL HEALTH INTEGRATION.— 
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(1) IN GENERAL.—Not later than January 1, 
2025, the Secretary of Health and Human Services 
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, 2023, 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, 2023, by HCPCS code 99484 
(and any successor code)), and other models identi-
fied by the Secretary. 
(3) FUNDING.—In addition to amounts other-
wise available, there is appropriated to the Secretary 
of Health and Human Services for each of fiscal 
years 2024 through 2027, out of any money in the 
Treasury not otherwise appropriated, such sums as 
are necessary, to remain available until expended, 
for purposes of carrying out this subsection. 
Æ 
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