Bills · HR 1096
IN COMMITTEE· 119TH CONGRESS
House BillHR 1096MedicareHealth care coverage and access
HOPE and Mental Wellbeing Act of 2025
INTRO FEB 6· LAST ACTION FEB 6
READING
4MIN
COSPONSORS
8
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it directly addresses the financial barrier many people face when trying to see a doctor for routine or preventive care. Currently, even with insurance like Medicare or Medicaid, patients often have to pay a portion of the cost (like a co-pay or deductible) for each visit, which can add up and deter people from seeking necessary care, especially for mental health.
If this bill becomes law, it could lead to more people getting regular check-ups and addressing health issues, including mental health concerns, earlier rather than waiting until they become more severe and costly to treat. If it doesn't pass, these cost barriers for initial primary care visits would remain, potentially contributing to delayed care, poorer health outcomes, and increased use of more expensive emergency services.
KEY PROVISIONS
4AI-extractedPROVISION 01
Eliminates cost sharing for the first three primary care visits annually for Medicare beneficiaries.
This removes upfront financial barriers that might discourage seniors and individuals with disabilities from seeking essential preventive and routine medical care.
PROVISION 02
Prohibits cost sharing for the first three primary care visits annually for Medicaid beneficiaries.
This ensures that low-income individuals and families can access critical primary and mental health services without financial hurdles.
PROVISION 03
Defines 'primary care visit' to include outpatient mental and behavioral health services, nonspecialty medical services, and care coordination.
This broad definition ensures that mental health services are covered under the no-cost provision, promoting integrated care.
PROVISION 04
These changes become effective for visits furnished beginning in the year 2026.
This sets a clear timeframe for when beneficiaries can expect these cost-sharing changes to take effect.
SPONSORSHIP
1 + 8
D· Oregon
YRS IN OFFICE
3
BILLS LED
40
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 8 REP 0 IND 0
ACTION TIMELINE
2 EVENTSFEB 6
Introduced in House
FEB 6
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.
BILL INFO
TypeHouse Bill
NumberHR 1096
Congress119th
StatusIn Committee
IntroducedFeb 6, 2025
Last actionFeb 6, 2025
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IN COMMITTEE· 119TH CONGRESS · WAYS AND MEANS COMMITTEE · INTRODUCED FEB 6, 2025
House BillHR 1096MedicareHealth care coverage and access
HOPE and Mental Wellbeing Act of 2025
INTRODUCED FEB 6, 2025· LAST ACTION FEB 6, 2025
PASSAGE CHANCES
—%
READING
4 min
COSPONSORS
8
COMPLEXITY
Moderate
