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S. 5236 · 119TH CONGRESS

Improving CARE for Youth Act

Introduced
Senate
House
Resolving Differences
President
Became Law
Step 2 of 6 · Senate

Last recorded step: none recorded yet.

Nothing scheduled on the calendars we hold.

This bill would prohibit state Medicaid programs from denying coverage for same-day primary care and mental health services.

AI summary based on the official CRS summary on Congress.gov.

What it does

This bill would prohibit state Medicaid programs from denying coverage for primary care and mental health services when both are provided on the same day at the same location. This requirement would apply to services furnished at offices, clinics, or other outpatient facilities.

Who is affected

This bill affects state Medicaid programs, which would be prohibited from denying coverage for certain same-day services. The legislation also impacts Medicaid beneficiaries who seek both primary care and mental health services at the same outpatient facility on the same day. Additionally, healthcare providers at offices, clinics, and other outpatient facilities would be affected by the changes to coverage reimbursement rules.

Key provisions

  • Prohibition on same-day service denials. The bill prevents state Medicaid programs from denying coverage for primary care and mental health services when both are provided on the same day at the same outpatient facility.
  • Coordination of integrated care. The legislation ensures that patients can receive both physical and mental health treatments during a single visit to an office or clinic without facing insurance coverage restrictions.

Fiscal impact

Not applicable: No CBO cost estimate available

Effective dates

Not applicable: Official Summary does not address effective dates

Relationship to existing law

The bill modifies state Medicaid program requirements to prohibit the denial of coverage for primary care and mental health services when both are provided to a patient on the same day at the same facility.

Stated purpose

The bill aims to improve access to healthcare for youth by prohibiting state Medicaid programs from denying coverage for primary care and mental health services when both are provided on the same day at the same outpatient facility.