Bill > HR7666

This bill, titled the "SOS: Sustaining Outpatient Services Act," amends Title XVIII of the Social Security Act to allow certain services provided by off-campus outpatient departments of a provider to be paid for under Medicare's prospective payment system for hospital outpatient department services. This means that for services furnished in these off-campus locations, starting in 2027, Medicare payments will be determined using the same system as for services provided in a hospital's main outpatient department, provided that the total amount paid under the physician fee schedule for those services by physicians in a given specialty in the previous year was less than $2,000,000. The prospective payment system (PPS) is a method of reimbursement where Medicare pays a predetermined, fixed amount for covered services, rather than paying for each individual service based on its cost. This change aims to standardize payment for certain outpatient services regardless of their location relative to a hospital's main campus.

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https://www.congress.gov/bill/119th-congress/house-bill/7666/all-info