Mental and Physical Health Comorbidities

Summary#

The bill would create a federal demonstration program, running from October 1, 2025, through September 30, 2030, to test ways hospitals can better coordinate mental and physical health care. Eligible hospitals would propose care innovations for people with serious mental illness or serious emotional disturbance and certain physical health needs. The program would also support efforts to address social factors affecting health, such as access to food or community services. The Secretary of Health and Human Services would review hospital plans, arrange payments, organize a learning collaborative, and report the program's results to Congress.

What it means for you#

If you meet the bill's eligibility criteria and receive care through a participating hospital, you could be included in a program testing coordinated services. The bill does not guarantee that any particular person will receive a service. Eligible individuals include certain people eligible for a prescription drug subsidy, people enrolled in Medicaid, and uninsured people who meet the bill's health criteria.

Expenses#

The bill does not state specific payment amounts. It authorizes the Secretary to negotiate annualized payments with participating hospitals, which could include lump-sum or capitated payments. Funds appropriated under the existing authority cited in the bill would be available for the program without further appropriation.

Proponents' View#

No publicly available information.

Opponents' View#

No publicly available information.