US SB2865

Eliminates Medicare cost-sharing (copays and deductibles) for advance care planning services beginning January 1, 2027, covering 100% of the cost for discussions about health care preferences, future medical decisions, and advance directives

Expands eligible providers who can furnish advance care planning services to include physicians, physician assistants, nurse practitioners, clinical nurse specialists, clinical social workers with relevant certification or experience, and other practitioners designated by the Secretary

Removes geographic restrictions for telehealth delivery of advance care planning services, allowing Medicare beneficiaries to receive these consultations remotely regardless of location

Requires HHS to conduct a one-time education initiative informing Medicare providers about advance care planning coverage and billing codes (HCPCS codes 99497 and 99498), with a report to Congress within one year of completion

Directs the Medicare Payment Advisory Commission (MedPAC) to study advance care planning utilization, barriers to service delivery, and billing code usage, with a report and recommendations due by June 30, 2027