Bill > S1406

This bill, known as the SOAR Act of 2025 (Supplemental Oxygen Access Reform Act), aims to improve Medicare's supplemental oxygen benefit system by making several significant changes. The legislation removes oxygen and oxygen-related equipment from the competitive acquisition program, establishing new payment methods that will help ensure more consistent and adequate access to oxygen services for Medicare beneficiaries. Starting January 1, 2026, the bill introduces detailed payment structures for different geographic areas, with specific provisions for liquid oxygen that take into account infrastructure costs and patient needs. The bill also expands supplier responsibilities, requiring comprehensive patient evaluations, education, equipment delivery, and 24-hour support. Additionally, the legislation adds protections for beneficiaries, such as the right to choose suppliers, receive clear communications about their services, and have timely equipment maintenance and replacement. The bill further introduces provisions to strengthen program integrity by implementing electronic templates for documenting medical necessity and restoring clinical inference in claim reviews. Notably, the legislation also seeks to recognize respiratory therapist services within Medicare and create a new payment adjustment for these professionals, ultimately aiming to improve overall oxygen therapy access and quality of care for patients.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/1406/all-info