Seniors Mental Health Access Improvement Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of marriage and family therapist services and mental health counselor services under Medicare part B (Supplementary Medical Insurance), particularly those provided in rural health clinics, federally qualified health centers (FQHCs), and in hospice programs.
Amends Medicare part C (Miscellaneous) to exclude such services from the skilled nursing facility (SNF) prospective payment system.
Authorizes marriage and family therapists and mental health counselors to develop discharge plans for post-hospital services.