Bill > HR3006

This bill amends the Social Security Act to limit the out-of-pocket costs (coinsurance) for patients receiving certain surgical services at ambulatory surgical centers (ASCs). Specifically, the bill ensures that patients will not pay more in coinsurance for facility services at an ASC than the annual inpatient hospital deductible amount for a given year. If the coinsurance would normally exceed this deductible, the bill requires the Secretary of Health and Human Services to reduce the coinsurance to match the deductible amount and then directly reimburse the healthcare provider for the difference. This change is designed to make surgical procedures at ambulatory surgical centers more affordable for Medicare patients by capping their potential out-of-pocket expenses. The amendments will take effect on January 1, 2026, meaning patients will benefit from this cost protection starting in that year.

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https://www.congress.gov/bill/119th-congress/house-bill/3006/all-info