HOPE and Mental Wellbeing Act of 2025

This bill, the HOPE and Mental Wellbeing Act of 2025 (HR 1096), requires Medicare and Medicaid to cover the first three primary care visits annually without cost-sharing (like deductibles or copays), starting in 2026. It defines "primary care visit" to explicitly include mental health services, ensuring beneficiaries can access initial mental and physical health care without financial barriers. The provision applies to all Medicare Part B beneficiaries, Medicare Advantage enrollees, and Medicaid recipients nationwide. This policy change directly affects millions of older adults, people with disabilities, and low-income individuals who rely on these programs for healthcare.