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H.R. 4185

U.S. House•In House Committee

Summary

H.R. 4185, the Integrating Social Workers Across Health Care Settings Act, was introduced in the House on Jun 26, 2025 by Rep. Jennifer Kiggans (R) with 5 co-sponsors. It was referred to Energy And Commerce, and last saw action on Jun 26, 2025: Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Record

Text

H.R. 4185 has 5 co-sponsors.

hb4185/introduced-in-house.txt
119 HR 4185 IH: Integrating Social Workers Across Health Care Settings Act
 U.S. House of Representatives
 2025-06-26
 text/xml
 EN
 Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
 I  119th CONGRESS  1st Session  H. R. 4185  IN THE HOUSE OF REPRESENTATIVES   June 26, 2025   Mrs. Kiggans of Virginia  (for herself,  Mr. Davis of Illinois , and  Ms. Pettersen ) introduced the following bill; which was referred to the  Committee on Energy and Commerce , and in addition to the Committee on  Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned   A BILL
To amend title XVIII of the Social Security Act to revise the definition of the term clinical social worker services.
1.
Short title
This Act may be cited as the   Integrating Social Workers Across Health Care Settings Act  .
2.
Clinical social worker services defined
(a)
In general
Section 1861(hh)(2) of the Social Security Act ( 42 U.S.C. 1395x(hh)(2) ) is amended—
(1)
by inserting  (and services and supplies furnished as an incident to such services)  before  performed by ; and
(2)
by striking  for the diagnosis and treatment of mental illnesses .
(b)
Effective date
The amendments made by subsection (a) shall apply with respect to services furnished on or after December 1, 2025.

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-06-26
  2. Passed House
  3. Passed Senate
  4. Conference
  5. To President
  6. Became Law

CRS Summary

The summaries are the Congressional Research Service’s, one per stage. Read them in full.

Introduced in House Jun 26, 2025

hb4185/introduced-in-house.md

Shown Here:
Introduced in House (06/26/2025)

Integrating Social Workers Across Health Care Settings Act

This bill expands the scope of services that may be performed by clinical social workers under Medicare. Specifically, the bill allows clinical social workers to furnish any services that they are authorized to furnish under state law, rather than only services that relate to diagnosing or treating mental illnesses.

Sponsors

Rep. Jennifer Kiggans (R) sponsors H.R. 4185, and 5 members have co-sponsored it, 2 of them from the day it was introduced.

Committees

H.R. 4185 went before 2 committees: Ways and Means and Energy and Commerce.

Ways and Means
Ways and Means
Referred To · Jun 26, 2025 · 1,160 Bills
Energy and Commerce
Energy and Commerce
Referred To · Jun 26, 2025 · 1,636 Bills

Actions

H.R. 4185 has taken 2 actions since Jun 26, 2025.

ChamberAction
Jun 26, 2025
House
Introduced in House
Jun 26, 2025
House
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.Energy and Commerce Committee

Votes

H.R. 4185 has not gone to a roll call.

Titles

H.R. 4185 goes by 3 titles, 1 of them short titles.

  • Integrating Social Workers Across Health Care Settings Act — Display Title
  • Integrating Social Workers Across Health Care Settings Act — Short Title(s) as Introduced
  • To amend title XVIII of the Social Security Act to revise the definition of the term clinical social worker services. — Official Title as Introduced

Lobbying

3 clients hired 3 firms and 10 registered lobbyists who named H.R. 4185 in 11 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.

Filed under Medicare/Medicaid, Budget/Appropriations, Education, Health Issues, Immigration, Labor Issues/Antitrust/Workplace, Taxation/Internal Revenue Code.

Clients

Who paid to be heard, by how many filings named the bill.

ClientBusinessStateFirmsFilingsReported
CENTER FOR HEALTH & SOCIAL CARE INTEGRATIONCenter for Health and Social Care Integration at Rush - Campaign for Social WorkIllinois15$100K
NATIONAL ASSOCIATION OF SOCIAL WORKERS—District of Columbia15—
COUNCIL ON SOCIAL WORK EDUCATIONAssociation of individuals and undergrad and graduate professional social work programsVirginia11$40K

Firms

Registrants who filed on the bill, by filings.

RegistrantClientsFilingsReported
INDIGO HILL STRATEGIES15$100K
NATIONAL ASSOCIATION OF SOCIAL WORKERS15—
LEWIS-BURKE ASSOCIATES, LLC11$40K

Lobbyists

Named on the filings that cite the bill.

LobbyistFirmsClientsFilings
DINA KASTNER115
RACHEL BOYER115
RYANN HILL115
TAYLOR TURNER115
ISABELLE ARBETTER111
JA'BREE HARRIS111
MADISON LAMBERT111
NICOLE THOMPSON111
OSCAR CARBALLO111
WILLIAM KATT111

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

ClientRegistrantPeriodReportedDocument
COUNCIL ON SOCIAL WORK EDUCATIONLEWIS-BURKE ASSOCIATES, LLC2025 third_quarter$40K3rd Quarter - Report
NATIONAL ASSOCIATION OF SOCIAL WORKERSNATIONAL ASSOCIATION OF SOCIAL WORKERS2025 second_quarter$26.5K2nd Quarter - Report
NATIONAL ASSOCIATION OF SOCIAL WORKERSNATIONAL ASSOCIATION OF SOCIAL WORKERS2025 fourth_quarter$20K4th Quarter - Amendme…
NATIONAL ASSOCIATION OF SOCIAL WORKERSNATIONAL ASSOCIATION OF SOCIAL WORKERS2025 fourth_quarter$20K4th Quarter - Amendme…
CENTER FOR HEALTH & SOCIAL CARE INTEGRATIONINDIGO HILL STRATEGIES2026 second_quarter$20K2nd Quarter - Report
CENTER FOR HEALTH & SOCIAL CARE INTEGRATIONINDIGO HILL STRATEGIES2026 first_quarter$20K1st Quarter - Report
CENTER FOR HEALTH & SOCIAL CARE INTEGRATIONINDIGO HILL STRATEGIES2025 fourth_quarter$20K4th Quarter - Report
NATIONAL ASSOCIATION OF SOCIAL WORKERSNATIONAL ASSOCIATION OF SOCIAL WORKERS2025 fourth_quarter$20K4th Quarter - Report
CENTER FOR HEALTH & SOCIAL CARE INTEGRATIONINDIGO HILL STRATEGIES2025 third_quarter$20K3rd Quarter - Report
CENTER FOR HEALTH & SOCIAL CARE INTEGRATIONINDIGO HILL STRATEGIES2025 second_quarter$20K2nd Quarter - Report
NATIONAL ASSOCIATION OF SOCIAL WORKERSNATIONAL ASSOCIATION OF SOCIAL WORKERS2025 third_quarter$18K3rd Quarter - Report

Classification

The Congressional Research Service files H.R. 4185 under Health, one of its 31 policy areas.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 4185’s is Health.

hr4185/policy-areas.txt
HealthAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTaxationTransportation and Public WorksWater Resources Development

Constitutional authority

The clause the sponsor cites as Congress’s power to enact H.R. 4185, as entered in the Congressional Record.

[Congressional Record Volume 171, Number 110 (Thursday, June 26, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mrs. KIGGANS of Virginia:H.R. 4185.Congress has the power to enact this legislation pursuantto the following:Article One Section Eight of the Constitution[Page H3012]

Source: congress.gov · legiscan.com