Bill > S3908

This bill, titled the "SOS: Sustaining Outpatient Services Act," amends Title XVIII of the Social Security Act, which governs the Medicare program, to allow certain services provided by off-campus outpatient departments of a provider to be paid under the 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 traditional hospital outpatient departments, 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 physician fee schedule under section 1848 is a system that Medicare uses to pay physicians for services. This change aims to ensure consistent payment methodologies for similar services regardless of their specific location within a provider's network, particularly for services that do not generate substantial revenue under the physician fee schedule.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/3908/all-info