summary
Introduced
12/01/2023
12/01/2023
In Committee
12/17/2024
12/17/2024
Crossed Over
Passed
Dead
01/03/2025
01/03/2025
Introduced Session
118th Congress
Bill Summary
A BILL To amend title XVIII of the Social Security Act to make improvements to the physician fee schedule under the Medicare program.
AI Summary
This bill, the Physician Fee Schedule Update and Improvements Act, aims to make several changes to the Medicare program's physician fee schedule. Key provisions include:
1. Extending the floor for the work geographic index, which helps determine Medicare payments, from January 2024 to January 2025.
2. Increasing the support for physicians and other practitioners adjusting to changes in Medicare payments from 1.25% to 3%.
3. Extending the incentive payments for participation in eligible alternative payment models (APMs) through 2026, with some reductions in payments for those who have participated for several years.
4. Updating the budget neutrality threshold, which limits the changes to Medicare payment rates, to $53 million for 2025 and increasing it annually thereafter.
5. Requiring the Secretary of Health and Human Services to update the direct cost inputs used to calculate practice expense relative value units (RVUs) for physician services at least once every 5 years.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (20)
Mariannette Miller-Meeks (R)*,
Cliff Bentz (R),
Ami Bera (D),
Larry Bucshon (R),
Michael Burgess (R),
Yadira Caraveo (D),
Tony Cárdenas (D),
Don Davis (D),
Ron Estes (R),
Richard Hudson (R),
John Joyce (R),
Robin Kelly (D),
Nick LaLota (R),
Greg Murphy (R),
Donald Norcross (D),
Guy Reschenthaler (R),
Raul Ruiz (D),
Kim Schrier (D),
Darren Soto (D),
Brad Wenstrup (R),
Last Action
Referred to the Subcommittee on Health. (on 12/17/2024)
Bill Topics
Health
- ‐ Health Insurance Reform
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://www.congress.gov/bill/118th-congress/house-bill/6545/all-info | 12/02/2023 |
| BillText | https://www.congress.gov/118/bills/hr6545/BILLS-118hr6545ih.pdf | 12/14/2023 |
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