US Federal 2025-2026 Regular Session

US Federal Senate Bill SB1799

Introduced
5/19/25  

Caption

A bill to amend title XVIII of the Social Security Act to provide for certain cognitive impairment detection in the Medicare annual wellness visit and initial preventative physical examination.

Impact

The bill's passage would significantly affect the care and diagnosis processes for Medicare beneficiaries, particularly for those at risk of or suffering from Alzheimer’s disease and related dementias. With the growing number of individuals projected to be affected by cognitive impairment, the bill responds to a critical need for earlier diagnosis, which can facilitate better care planning and access to necessary support services. Furthermore, the introduction of cognitive screening in routine health assessments signifies a proactive approach, moving from reactive care to preventive strategies in the healthcare system.

Summary

SB1799 is a proposed amendment to title XVIII of the Social Security Act that aims to enhance the detection of cognitive impairment during Medicare's annual wellness visits and initial preventive physical examinations. The bill mandates the use of specific cognitive impairment detection tools identified by the National Institute on Aging, ensuring that such assessments are not only conducted but also documented in the individual’s medical record. The intended implementation date for these amendments is January 1, 2026, which indicates a slow rollout allowing for adjustments within the Medicare system.

Contention

There may be points of contention surrounding SB1799 regarding the practical implementation of cognitive assessments in medical practices, particularly concerning the availability of trained personnel to conduct these evaluations. Additionally, there could be debates on the implications of such screenings—whether they may lead to increased stress among patients or if patients should be fully informed about the nature and potential outcomes of cognitive assessments. Concerns about cost coverage for these additional services within Medicare may also arise, given that healthcare expenses in relation to cognitive decline are already substantial.

Companion Bills

US HB3501

Related To amend title XVIII of the Social Security Act to provide for certain cognitive impairment detection in the Medicare annual wellness visit and initial preventive physical examination.

Previously Filed As

US HB3501

To amend title XVIII of the Social Security Act to provide for certain cognitive impairment detection in the Medicare annual wellness visit and initial preventive physical examination.

US SB3872

A bill to amend title XVIII of the Social Security Act to provide coverage for wigs as durable medical equipment under the Medicare program, and for other purposes.

US HB3674

Global Alzheimer’s Initiative Now Act

US HB700

Relating To Cognitive Assessments.

US SB482

Relating To Cognitive Assessments.

US SB482

Relating To Cognitive Assessments.

US HB1164

To Allow A Physician Or Healthcare Provider To Offer Cognitive Assessments For Certain Patients; And To Mandate That Insurance Policies Cover Assessments For Cognitive Function For Certain Patients.

US HB8391

To amend titles XVIII and XIX of the Social Security Act to require coverage of certain food and nutrition services under the Medicare and Medicaid programs.

US HB7546

To amend title XVIII of the Social Security Act to provide coverage for wigs as durable medical equipment under the Medicare program, and for other purposes.

US HB2182

ALTCS; preadmission screening; cognitive impairment

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