Read twice and referred to the Committee on Finance.
The bill amends the Social Security Act to require cognitive impairment detection during the Medicare annual wellness visit and the initial preventive physical examination. Detection must use one of the National Institute on Aging–identified instruments for primary care and results and the tool used must be documented in the medical record.
Progressives emphasize equity and guaranteed follow-up services.
Relative to its intended legislative type, this bill is a narrowly scoped substantive change that is legally precise in its statutory amendments and clear in purpose, but under-specified in operational, fiscal, and oversight details necessary for comprehensive implementation.
The bill amends the Social Security Act to require cognitive impairment detection during the Medicare annual wellness visit and the initial preventive physical examination.
Detection must use one of the National Institute on Aging–identified instruments for primary care and results and the tool used must be documented in the medical record.
The requirement takes effect for services furnished on or after January 1, 2026.
Small, administrable change in Medicare preventive care that is low controversy, but lacks visible cost estimate and may prompt implementation questions.
Relative to its intended legislative type, this bill is a narrowly scoped substantive change that is legally precise in its statutory amendments and clear in purpose, but under-specified in operational, fiscal, and oversight details necessary for comprehensive implementation.
Progressives emphasize equity and guaranteed follow-up services.
These are examples from the analysis, not a ranked list of the most-affected groups.
Progressives emphasize equity and guaranteed follow-up services.
Likely supportive overall as it promotes earlier detection, potential reduction of disparities, and access to planning and supports.
May raise concerns that detection alone is insufficient without guaranteed follow-up services, care access, and equitable implementation.
Generally favorable as a targeted preventive-care enhancement with clear standards, but wants clarity on implementation, reimbursement, and clinician workflow impacts.
Will seek pragmatic amendments to address costs, training, and quality measurement.
Cautiously open but concerned about federal micromanagement of medical practice, added administrative burdens, and unfunded mandates increasing Medicare costs.
May accept if clinician discretion and payment clarity preserved.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Small, administrable change in Medicare preventive care that is low controversy, but lacks visible cost estimate and may prompt implementation questions.
The bill has not accumulated any surfaced votes yet.
Progressives emphasize equity and guaranteed follow-up services.
Small, administrable change in Medicare preventive care that is low controversy, but lacks visible cost estimate and may prompt implementat…
Relative to its intended legislative type, this bill is a narrowly scoped substantive change that is legally precise in its statutory amendments and clear in purpose, but under-specified in operational, fiscal, and over…
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