HR4484-119

Introduced

To expand psychological mental and behavioral health services to Medicare, Medicaid, and CHIP beneficiaries by permitting reimbursement of psychological services provided by certain supervised psychology trainees, and facilitating the reimbursement of those services.

119th Congress Introduced Jul 17, 2025

Summary

What This Bill Does

The bill expands medicare coverage for advanced psychology trainee services and expands state guidance for Medicaid/CHIP coverage of advanced psychology trainee services. It relies on eligibility expansion, regulatory modification, mandate, and guidance mandate. The main policy areas are Healthcare and Education.

Who Benefits and How

Advanced Psychology Trainees (Postdoctoral Residents) could gain revenue opportunities, Advanced Psychology Trainees (Doctoral Interns) could gain revenue opportunities, and Clinical Psychologists would be affected.

Who Bears the Burden and How

HHS/Secretary would be affected and CMS/Medicare Trust Fund could face higher costs.

Key Provisions

  • Expands medicare coverage for advanced psychology trainee services.
  • Expands state guidance for Medicaid/CHIP coverage of advanced psychology trainee services.

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 expands medicare coverage for advanced psychology trainee services and expands state guidance for Medicaid/CHIP coverage of advanced psychology trainee services.

Key Policy Areas

Healthcare, Education

Primary Purpose

The bill expands medicare coverage for advanced psychology trainee services and expands state guidance for Medicaid/CHIP coverage of advanced psychology trainee services.

Policy Domains

Healthcare Education

Whole bill

Identified Gains
  • Advanced Psychology Trainees (Postdoctoral Residents)
  • Advanced Psychology Trainees (Doctoral Interns)
  • Clinical Psychologists
  • Advanced Psychology Trainees
  • APPIC Member Programs
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
APPIC Member Programs:
Clinical Psychologists:
Advanced Psychology Trainees:
Advanced Psychology Trainees (Doctoral Interns):
Advanced Psychology Trainees (Postdoctoral Residents):
Identified Costs
  • HHS/Secretary
  • CMS/Medicare Trust Fund
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
HHS/Secretary: ,
CMS/Medicare Trust Fund:

Legislative Progress

Introduced
Introduced Committee Passed
Jul 17, 2025

Mr. Balderson (for himself, Mrs. Dingell, Mrs. Miller of West …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Government
5 mentions across 2 clauses
+2 positive -3 negative

CMS/Medicare Trust Fund, HHS/Secretary, State CHIP Programs

Positive-direction: State CHIP Programs, State Medicaid Programs

Negative-direction: CMS/Medicare Trust Fund, HHS/Secretary

Health Professionals
4 mentions across 2 clauses
+4 positive

Advanced Psychology Trainees, Advanced Psychology Trainees (Doctoral Interns), Advanced Psychology Trainees (Postdoctoral Residents)

Healthcare Beneficiaries
3 mentions across 2 clauses
+3 positive

CHIP Beneficiaries (Children), Medicaid Beneficiaries, Medicare Beneficiaries

Education
2 mentions across 1 clause
+2 positive

APA-Accredited Psychology Training Programs, APPIC Member Programs

2/3
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Education

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