Bill > S3816

This bill, known as the Repair Abuses of MSP Payments (RAMP) Act, aims to strengthen protections for Medicare beneficiaries by allowing individuals to sue group health plans that fail to make primary payments or provide appropriate reimbursement. Specifically, it amends Section 1862(b)(3)(A) of the Social Security Act, which deals with Medicare Secondary Payer (MSP) provisions. The MSP program ensures that Medicare is the payer of last resort, meaning other insurance plans, like group health plans, should pay first when they are primary coverage. This bill clarifies that a "group health plan" is the entity responsible for primary payment, and if it fails to do so, individuals affected can pursue legal action for damages. This change is intended to address situations where group health plans improperly shift their payment obligations to Medicare, leading to financial burdens on beneficiaries and the Medicare program.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/3816/all-info