,,ii  #aaith ,,congress  #ast ,session  
,s4 #fhc  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #bd1      
#bjbe,mr4 ,peters 7for himself and ,mr4 
,daines7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,finance  ,a ,,bill  ,to 
amend title ,,xviii of the ,social      
,security ,act to expand eligibility for
 incentives under the ,medicare health  
professional shortage area bonus program
 to practitioners furnishing mental     
health and substance use disorder       
services4  #a4 ,short title ,this ,act  
may be cited as the ,more ,behavioral   
,health ,providers ,act of #bjbe4  #b4  
,expanding eligibility for incentives   
under the ,medicare health professional 
shortage area bonus program to          
practitioners furnishing mental health  
and substance use disorder services     
,section #ahcc7m7 of the ,social        
,security ,act 7#db ,u4,s4,c4 #aciel7m77
 is amended-- 7#a7 by striking paragraph
 7#a7 and inserting the following new   

paragraph3  7#a7 ,in the case of-- 7,a7 
physicians' services 7other than        
specified health services that are      
eligible for the additional payment     
under subparagraph 7,b77 furnished in a 
year to an individual1 who is covered   
under the insurance program established 
by this part and who incurs expenses for
 such services1 in an area that is      
designated 7under section               
#ccb7;a77#a77;,a7 of the ,public ,health
 ,service ,act7 as a health professional
 shortage area as identified by the     
,secretary prior to the beginning of    
such year1 in addition to the amount    
otherwise paid under this part1 there   
also shall be paid to the physician 7or 
to an employer or facility in the cases 
described in clause 7,a7 of section     
#ahdb7;b77#f77 7on a monthly or         
quarterly basis7 from the ,federal      
,supplementary ,medical ,insurance      
,trust ,fund an amount equal to #aj     
percent of the payment amount for the   
service under this part2 and  7,b7      

specified health services 7as defined in
 paragraph 7#e77 furnished in a year to 
an individual1 who is covered under the 
insurance program established by this   
part and who incurs expenses for such   
services1 in an area that is designated 
7under such section #ccb7;a77#a77;,a77  
as a mental health professional shortage
 area as identified by the ,secretary   
prior to the beginning of such year1 in 
addition to the amount otherwise paid   
under this part1 there also shall be    
paid to the physician or applicable     
practitioner 7as defined in paragraph   
7#f77 7or to an employer or facility in 
the cases described in clause 7,a7 of   
section #ahdb7;b77#f77 7on a monthly or 
quarterly basis7 from such ,trust ,fund 
an amount equal to #ae percent of the   
payment amount for the service under    
this part4  2  7#b7 in paragraph 7#b7-- 
7,a7 by striking in paragraph 7#a7 and  
inserting in subparagraph 7,a7 or 7,b7  
of paragraph 7#a72 and  7,b7 by         
inserting or1 in the case of specified  

health services1 the physician or       
applicable practitioner after physician2
  7#c7 in paragraph 7#c71 by striking   
paragraph 7#a7 each place it appears and
 inserting subparagraph 7,a7 or 7,b7 of 
paragraph 7#a72  7#d7 in paragraph      
7#d7-- 7,a7 in subparagraph 7,b71 by    
inserting or applicable practitioner    
after physician2 and  7,b7 in           
subparagraph 7,c71 by inserting or      
applicable practitioner after physician2
 and  7#e7 by adding at the end the     
following new paragraphs3  7#e7 ,in this
 subsection1 the term specified health  
services means services otherwise       
covered under this part that are        
furnished on or after ,january #a1      
#bjbd1 by a physician or an applicable  
practitioner to an individual-- 7,a7 for
 purposes of diagnosis1 evaluation1 or  
treatment of a mental health disorder1  
as determined by the ,secretary2 or     
7,b7 with a substance use disorder      
diagnosis for purposes of treatment of  
such disorder or co-occurring mental    

health disorder1 as determined by the   
,secretary4  7#f7 ,in this subsection1  
the term applicable practitioner means  
the following3 7,a7 ,a physician        
assistant1 nurse practitioner1 or       
clinical nurse specialist 7as defined in
 section #ahfa7;aa77#e774  7,b7 ,a      
clinical social worker 7as defined in   
section #ahfa7;hh77#a774  7,c7 ,a       
clinical psychologist 7as defined by the
 ,secretary for purposes of section     
#ahfa7;ii774  7,d7 ,a marriage and      
family therapist 7as defined in section 
#ahfa7lll77#b774  7,e7 ,a mental health 
counselor 7as defined in section        
#ahfa7lll77#d774  4