HR 10136 United States House · 118th Congress

Promoting Fairness for Medicare Providers Act of 2024

This bill changes Medicare payment rules for specific high-cost surgical procedures performed in physicians' offices (not ambulatory surgical centers) starting in 2025. It requires Medicare to pay 90% of the amount it would pay for the same procedure in an ambulatory surgical center, rather than the current lower rate for office settings. The bill also caps patient coinsurance for these procedures at the inpatient hospital deductible amount and defines "specified high supply cost surgical procedures" based on HCPCS codes for surgeries involving medical supplies costing over $500. These changes directly affect physician offices performing qualifying procedures and Medicare beneficiaries receiving such care.
Bill status in committee 1 of 4 stages cleared
Introduction
Nov 2024
Committee Review
Floor Vote
President
Introduced Nov 15, 2024 Last action Dec 17, 2024
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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
2
Dec 17, 2024
Committee
Referred to the Subcommittee on Health.
lower
Nov 15, 2024
Committee
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.
lower
Nov 15, 2024
Introduced
Introduced in House
lower
1 primary · 2 co-sponsors

Sponsors