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Bill > HR5269
US HR5269
US HR5269RESULTS Act Reforming and Enhancing Sustainable Updates to Laboratory Testing Services Act of 2025
summary
Introduced
09/10/2025
09/10/2025
In Committee
09/10/2025
09/10/2025
Crossed Over
Passed
Dead
Introduced Session
119th Congress
Bill Summary
A BILL To amend title XVIII of the Social Security Act to provide long-term stability for Medicare beneficiary access to clinical diagnostic laboratory tests by improving the accuracy of, and feasibility of data collection for, the private payor-based fee schedule payment rates applied under the Medicare program for such tests, and for other purposes.
AI Summary
This bill, known as the RESULTS Act (Reforming and Enhancing Sustainable Updates to Laboratory Testing Services Act of 2025), aims to improve the accuracy and data collection for Medicare payment rates for clinical diagnostic laboratory tests. The bill modifies existing Medicare law by introducing a new method for collecting and calculating payment rates for laboratory tests, primarily focusing on widely available non-advanced diagnostic laboratory tests (non-ADLT). Starting in 2028, the bill requires the Secretary of Health and Human Services to collect data from a qualifying independent claims data entity with a comprehensive claims database that includes at least 50 billion claims from over 50 private payors. The legislation establishes specific criteria for the claims database and the data entity, including requirements for privacy, data validation, and statistical representation. For tests without sufficient reported data, the bill provides alternative payment calculation methods, such as cross-walking to comparable tests or using a gap-filling process. Additionally, the bill includes provisions to make payment rate calculations more transparent by requiring public explanations of how rates are determined. The changes are designed to create a more stable and accurate payment system for clinical diagnostic laboratory tests under Medicare, ensuring long-term accessibility for beneficiaries.
Committee Categories
Business and Industry
Sponsors (69)
Richard Hudson (R)*,
Jake Auchincloss (D),
Troy Balderson (R),
Nanette Barragán (D),
Cliff Bentz (R),
Gus Bilirakis (R),
Robert Bresnahan (R),
Julia Brownley (D),
Kat Cammack (R),
Mike Carey (R),
Buddy Carter (R),
Juan Ciscomani (R),
Steve Cohen (D),
Angie Craig (D),
Dan Crenshaw (R),
Sharice Davids (D),
Danny Davis (D),
Don Davis (D),
Suzan DelBene (D),
Debbie Dingell (D),
Neal Dunn (R),
Chuck Edwards (R),
Brian Fitzpatrick (R),
Lizzie Fletcher (D),
Josh Gottheimer (D),
Pablo Jose Hernandez (D),
Steven Horsford (D),
John Joyce (R),
Tom Kean (R),
Mike Kelly (R),
Mike Kennedy (R),
Raja Krishnamoorthi (D),
Greg Landsman (D),
Nick Langworthy (R),
Mike Lawler (R),
Laurel Lee (R),
Mike Levin (D),
Zoe Lofgren (D),
Sarah McBride (D),
Carol Miller (R),
Blake Moore (R),
Tim Moore (R),
Kevin Mullin (D),
Joe Neguse (D),
Eleanor Holmes Norton (D),
Burgess Owens (R),
Jimmy Panetta (D),
Scott Peters (D),
Brittany Pettersen (D),
August Pfluger (R),
Mark Pocan (D),
Nellie Pou (D),
Deborah Ross (D),
David Rouzer (R),
Michael Rulli (R),
Linda Sánchez (D),
Brad Schneider (D),
Terri Sewell (D),
Darren Soto (D),
Tom Suozzi (D),
Claudia Tenney (R),
Shri Thanedar (D),
Mike Thompson (D),
Lori Trahan (D),
Beth Van Duyne (R),
Marc Veasey (D),
Eugene Vindman (D),
Randy Weber (R),
Rob Wittman (R),
Last Action
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. (on 09/10/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/119th-congress/house-bill/5269/all-info |
| BillText | https://www.congress.gov/119/bills/hr5269/BILLS-119hr5269ih.pdf |
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