What does Preamble of Primary and Behavioral Health Care Access Act of 2026 do?

This bill, formally titled 'To amend the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986 to require group health plans and health insurance issuers offering group or individual health insurance coverage to provide for 3 primary care visits and 3 behavioral health care visits without application of any cost-sharing requirement.' The bill proposes amendments to the Employee Retirement Income Security Act of 1974, title XXVII of the Public Health Service Act, and the Internal Revenue Code of 1986. It aims to require group health plans and health insurance issuers to provide coverage for three primary care visits and three behavioral health care visits. These visits would be provided without any cost-sharing requirements.

What does SHORT TITLE. of Primary and Behavioral Health Care Access Act of 2026 do?

This bill is formally titled the Primary and Behavioral Health Care Access Act of 2026.

What does PROHIBITION ON APPLICATION OF COST SHARING FOR CERTAIN PRIMARY of Primary and Behavioral Health Care Access Act of 2026 do?

This section amends ERISA to require group health plans and health insurance issuers to provide coverage for a minimum of three primary care visits and three behavioral health care visits annually. Cost-sharing requirements are prohibited for these visits. Treatment limitations for these visits cannot be more restrictive than those applied to other primary or behavioral health care visits. Reimbursement rates for these visits must be the same as those for other covered visits. A 'behavioral health care visit' is defined as a visit to a qualified provider for diagnosis, treatment, screening, or prevention of a behavioral health condition. A 'primary care visit' is defined as an in-person visit to a qualified provider designated as the primary care provider, during which primary care services are received. Qualified providers for primary care visits include general practitioners, family physicians, and physician assistants, among others. Qualified providers for behavioral health care visits include physicians, psychiatric nurses, social workers, and psychologists, among others.

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Primary and Behavioral Health Care Access Act of 2026

Last updated: 6/11/2026 · Introduced: 6/11/2026

Author: Lauren Underwood (D-IL)

TL;DR (AI)

This bill mandates that group health plans and health insurance issuers cover at least three primary care visits and three behavioral health care visits annually.
It prohibits cost-sharing requirements and restrictive treatment limitations for these covered primary and behavioral health visits.
The bill defines qualified providers for both primary and behavioral health care visits, ensuring access to a range of professionals.

119th Congressin committeeOfficial page

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Other Sections

Includes provisions on preamble, short title., and 1 more.

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