
Prescription Digital Therapeutics (PDTs Act)

Prescription digital therapeutics (PDTs) are software-based therapies that deliver clinical benefits to patients, either alone or in combination with other forms of treatment. PDTs are designed and tested much like traditional prescription drugs, but rather than swallowing a pill or taking an injection, patients can receive cognitive therapy through their electronic devices, including mobile phones—making care possible from any location. PDTs have been shown to benefit those with mental health conditions like depression and substance abuse, providing an effective alternative or complimentary therapy.
However, many PDTs do not currently fit into one of the statutorily defined coverage categories for the Medicare or Medicaid programs, leaving beneficiaries of those programs—which include some of America’s most vulnerable populations—without access to these effective and accessible treatments.
The Access to Prescription Digital Therapeutics Act is an important bipartisan bill that would remedy this access disparity by creating a comprehensive benefit category and expanding Medicare coverage to include PDTs. AMCP supports this bill to help ensure that Medicare patients have a more level playing field and can access the therapies that work best for them.
- Although some private health payers choose to cover PDTs, expanding coverage to include Medicare and Medicaid would improve care for many American patients and help regulate reimbursement procedures and coding of these therapies across both public and private payers
- The PDT Act will help ensure that the greatest number of patients possible are receiving innovative, modern care, which is especially vital for closing care gaps caused by specialist shortages or geographic obstacles.
- PDTs can decrease obstacles to behavioral health care and difficult-to-reach populations, such as youth and those living in rural areas.
- In a December 2024 survey of 351 adults with mental health conditions, including 145 adults in rural areas, 60% of respondents had faced at least one barrier to seeking mental healthcare.
- The same survey revealed that 97% of respondents were likely to use a PDT recommended by their provider.
Take Action
Join AMCP in urging Members of Congress to cosponsor the Access to Prescription Digital Therapeutics Act to increase patient access and quality of care.
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