HOPE and Mental Wellbeing Act of 2025
Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.
Summary
What This Bill Does
The bill amends Medicare and Medicaid law to require 100% coverage (zero cost sharing) for the first 3 primary care visits per year beginning 2026. It relies on exemptions and product standards. The main policy areas are Healthcare and Finance.
Who Benefits and How
Primary care physicians and clinics could gain revenue opportunities, Mental and behavioral health service providers could gain revenue opportunities, and Care coordination service providers could gain revenue opportunities.
Who Bears the Burden and How
Federal Medicare program could face higher costs, State Medicaid programs could face higher costs, and Medicare Advantage plans (HMOs, PPOs) could face higher costs.
Key Provisions
- Amends Medicare and Medicaid law to require 100% coverage (zero cost sharing) for the first 3 primary care visits per year beginning 2026.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill amends Medicare and Medicaid law to require 100% coverage (zero cost sharing) for the first 3 primary care visits per year beginning 2026.
Key Policy Areas
Healthcare, Finance
Primary Purpose
The bill amends Medicare and Medicaid law to require 100% coverage (zero cost sharing) for the first 3 primary care visits per year beginning 2026.
Policy Domains
Section 2 - Medicare Coverage Requirements
Identified Gains
- Primary care physicians and clinics
- Mental and behavioral health service providers
- Care coordination service providers
Identified Costs
- Federal Medicare program
- State Medicaid programs
- Medicare Advantage plans (HMOs, PPOs)
Sponsors
Legislative Progress
In CommitteeMs. Salinas (for herself, Mrs. Watson Coleman, Ms. Norton, Mr. …
Referred to the Committee on Energy and Commerce, and in …
Introduced in House
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Mental and behavioral health service providers
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_secretary"
- → Secretary of Health and Human Services
- "the_secretary"
- → Secretary of Health and Human Services
Key Definitions
Terms defined in this bill
Outpatient mental and behavioral health services, nonspecialty medical services, and care coordination services furnished for the prevention, diagnosis, treatment, or management of a physical, mental, or behavioral health condition
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology