Ensuring Patient Access to Critical Breakthrough Products Act of 2024
This bill creates a 4-year transitional coverage period for Medicare to automatically cover "breakthrough medical devices" - new FDA-prioritized devices approved after March 2021 - as "reasonable and necessary" for treatment. During this period, these devices qualify for additional payments under Medicare's hospital and outpatient payment systems without requiring separate approval. After the 4-year period, Medicare must develop regular coverage based on additional data, with automatic coverage for all approved uses if no action is taken within two years. The bill requires Medicare to assign unique codes for these devices within three months of FDA approval and to update payment systems regularly. It also includes special provisions for "specified breakthrough devices" that lack existing Medicare benefit categories, requiring reports on their impact and cost to Congress.
Bill status
in committee
1 of 4 stages cleared
Introduction
Mar 2023
Committee Review
Floor Vote
President
Introduced Mar 22, 2023
Last action Dec 24, 2024
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
10
Key actions
5
Committee
7
Amendments
1
Dec 24, 2024
Lower · Passed
Committee on Energy and Commerce discharged.
lower
Dec 24, 2024
Lower · Passed
Reported (Amended) by the Committee on Ways and Means. H. Rept. 118-952, Part I.
lower
Jun 27, 2024
Introduced
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 36 - 5.
lower
Jun 27, 2024
Lower · Passed
Committee Consideration and Mark-up Session Held
lower
Nov 15, 2023
Lower · Passed
Forwarded by Subcommittee to Full Committee by the Yeas and Nays: 21 - 6.
lower
Nov 15, 2023
Lower · Passed
Subcommittee Consideration and Mark-up Session Held
lower
Mar 31, 2023
Committee
Referred to the Subcommittee on Health.
lower
Mar 22, 2023
Committee
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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
Mar 22, 2023
Introduced
Introduced in House
lower
1 primary · 89 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Brad R. Wenstrup
RRepublican
Co
A. Drew Ferguson IV
RRepublican
Co
Adrian Smith
RRepublican
Co
Ami Bera
DDemocratic
Co
Andy Barr
RRepublican
Co
Angie Craig
DDemocratic
Co
Ann M. Kuster
DDemocratic
Co
Anna G. Eshoo
DDemocratic
Co
Beth Van Duyne
RRepublican
Co
Bill Johnson
RRepublican
Co
Blake D. Moore
RRepublican
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