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To amend title XVIII of the Social Security Act to require coverage of 3 primary care visits without cost sharing each year under the Medicare program.

2/8/2025, 9:01 AM

Summary of Bill HR 1096

Bill 119 hr 1096, also known as the "Medicare Primary Care Enhancement Act," aims to make primary care more accessible to Medicare beneficiaries by requiring coverage of three primary care visits each year without any cost sharing. This means that Medicare recipients would be able to see their primary care physician three times a year without having to pay any out-of-pocket expenses.

The bill specifically amends title XVIII of the Social Security Act, which governs the Medicare program. By mandating coverage of these three primary care visits, the legislation seeks to improve preventive care and early detection of health issues among Medicare beneficiaries. This could ultimately lead to better health outcomes and reduced healthcare costs in the long run.

The proposed legislation is non-partisan in nature and focuses solely on improving access to primary care for Medicare recipients. It does not seek to make any changes to other aspects of the Medicare program. If passed, this bill would provide a valuable benefit to millions of older Americans who rely on Medicare for their healthcare needs. Overall, the Medicare Primary Care Enhancement Act is a straightforward and practical piece of legislation that aims to improve the health and well-being of Medicare beneficiaries by ensuring they have access to essential primary care services without any financial barriers.

Congressional Summary of HR 1096

Helping Out Patients for Emotional and Mental Wellbeing Act or the HOPE and Mental Wellbeing Act of 2025

This bill provides for coverage under Medicare and Medicaid of three primary care visits per year without cost-sharing.

Current Status of Bill HR 1096

Bill HR 1096 is currently in the status of Bill Introduced since February 6, 2025. Bill HR 1096 was introduced during Congress 119 and was introduced to the House on February 6, 2025.  Bill HR 1096's most recent activity was 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. as of February 6, 2025

Bipartisan Support of Bill HR 1096

Total Number of Sponsors
2
Democrat Sponsors
2
Republican Sponsors
0
Unaffiliated Sponsors
0
Total Number of Cosponsors
10
Democrat Cosponsors
10
Republican Cosponsors
0
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 1096

Primary Policy Focus

Alternate Title(s) of Bill HR 1096

To amend title XVIII of the Social Security Act to require coverage of 3 primary care visits without cost sharing each year under the Medicare program.
To amend title XVIII of the Social Security Act to require coverage of 3 primary care visits without cost sharing each year under the Medicare program.

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