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
Floor votes
How they voted
No floor votes recorded yet.
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
Role
Legislator
Party
State
District
P
Gus M. Bilirakis
RRepublican
Co
Danny K. Davis
DDemocratic
Co
Gregory F. Murphy
RRepublican
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