Promoting Effective and Empowering Recovery Services in Medicare Act of 2025; PEERS Act of 2025
Summary
The PEERS Act of 2025 aims to amend Title XVIII of the Social Security Act to include peer support services under the Medicare program. This bill focuses on incorporating these services within community mental health centers, rural health clinics, and Federally qualified health centers. It defines 'peer support services' and 'peer support specialist' to ensure standardized and qualified support for individuals with mental health conditions or substance use disorders.
Expected Effects
The primary effect of this bill would be to expand access to mental health and substance use disorder support services for Medicare beneficiaries. By including peer support services, the bill seeks to promote recovery, community integration, and self-empowerment. The changes would apply to services furnished on or after January 1, 2027.
Potential Benefits
- Increased access to mental health and substance use disorder support for Medicare recipients.
- Potential for improved recovery outcomes through peer-based support.
- Integration of peer support services into existing healthcare facilities.
- Standardized definition and qualifications for peer support specialists.
- Enhanced community integration and self-determination for individuals with mental health conditions.
Potential Disadvantages
- Potential for increased Medicare costs due to the inclusion of new services.
- Possible challenges in ensuring consistent quality and certification of peer support specialists across different states.
- Risk of limited access if rural health clinics and community mental health centers are not adequately equipped to provide these services.
- Potential for uneven implementation across different regions due to varying state regulations and resources.
- The exclusion modification in section 1862(a)(1)(Q) may limit access to peer support services outside of specific facilities.
Constitutional Alignment
The PEERS Act appears to align with the general welfare clause of the US Constitution, as it aims to improve the health and well-being of Medicare beneficiaries. Specifically, the Act seeks to enhance access to mental health and substance use disorder services, which falls under the umbrella of promoting the general welfare. The Act does not appear to infringe upon any specific individual rights or liberties protected by the Constitution.
Impact Assessment: Things You Care About ⓘ
This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).