Today, U.S. Representatives Brian Fitzpatrick and Paul Tonko introduced a bipartisan bill aimed at improving access to mental health services for seniors. The proposed legislation, known as the Expanding Seniors Access to Mental Health Services Act, seeks to integrate licensed clinical social workers (LCSWs) into the Medicare program fully. This move is intended to broaden the mental health provider network available to older Americans, particularly those residing in skilled nursing facilities and underserved areas.
The bill aims to remove existing restrictions that prevent clinical social workers from offering Health and Behavior Assessment and Intervention (HBAI) services and providing care in nursing homes. These changes are expected to facilitate more timely and tailored mental health support for seniors.
Senators John Barrasso and Chris Coons are co-leading the bill in the Senate. “Our seniors deserve access to the full range of care they’ve earned,” stated Congressman Fitzpatrick. He emphasized that this legislation addresses community concerns about limited access to essential mental health care by lifting outdated barriers.
Congressman Tonko highlighted the importance of making mental and behavioral health services readily available. “Supporting and expanding access to clinical social workers is a critical part of delivering patients comprehensive, compassionate care,” he said.
The National Association of Social Workers (NASW) expressed support for the bill. NASW CEO Anthony Estreet commented on its significance, stating it would remove obstacles preventing Medicare beneficiaries in skilled nursing facilities from accessing necessary mental health services provided by independent clinical social workers.
Johanna Byrd from NASW Pennsylvania Chapter also praised Representative Fitzpatrick’s efforts in addressing outdated Medicare rules that hinder social workers from treating individuals in skilled nursing facilities.
Shakira Kennedy of NASW-New York echoed these sentiments, emphasizing that allowing clinical social workers to bill through Medicare recognizes their essential role in addressing complex needs among vulnerable populations.
The proposed legislation has received endorsements from several leading mental health and aging advocacy organizations. Senator Barrasso noted the particular challenges faced by rural communities in accessing mental health providers, while Senator Coons pointed out how outdated Medicare rules currently restrict older Americans’ access to necessary support.
In summary, this legislative effort aims to ensure that LCSWs can deliver psychosocial services within their scope of practice under Medicare regulations. The initiative reflects growing bipartisan support for meeting rising mental health needs among America’s aging population.



