ADAPT Act

Sponsor: Troy Balderson (Republican-OH)July 17, 2025

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Introduced

In Committee

Passed One Chamber

Passed Both Chambers

Signed into Law

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 jurisdiction of the committee concerned.

Medicare would pay for mental health care from supervised trainees, and states would get help for Medicaid and CHIP.

This bill would make it easier for people on Medicare to get mental health care. It would allow the program to pay for services from supervised psychology trainees. It would also help states find ways to cover these services for people on Medicaid and CHIP. This could expand access to mental health support for many Americans.

What Would Change

Currently, Medicare generally does not pay for mental health services provided by psychology trainees who are still under supervision. States also face challenges in covering these services for people on Medicaid and CHIP. If this bill becomes law, Medicare would cover these supervised trainee services starting one year after enactment, and the federal government would provide guidance to states on how to cover them for Medicaid and CHIP beneficiaries within one year.

Key Provisions

Medicare would cover psychological services provided by advanced psychology trainees, as long as a clinical psychologist generally supervises them and handles the billing.
The Secretary of Health and Human Services would issue guidance to states on how to cover services from advanced psychology trainees under Medicaid and CHIP.
Defines "advanced psychology trainee" to include doctoral interns and postdoctoral residents completing specific supervised training programs.
Defines "general supervision" to mean a clinical psychologist is in overall charge, but does not need to be present during the service.
Requires the Secretary of Health and Human Services to create a new billing code for services provided by advanced psychology trainees within one year.

View on Congress.gov

HR 4484 · 119th Congress · July 17, 2025 · AI Summary by gemini-2.5-flash · 10/10

Lobbying Activity

3 filings mentioned this bill

Top Lobbying Clients

AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN

2 filings

AMERICA'S HEALTH INSURANCE PLANS INC (AHIP)

1 filing

Top Lobbying Firms

1.AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN2 filings

2.AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)1 filing

Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.