COMP Act

This bill clarifies how Medicare interacts with workers' compensation settlements for work-related injuries. It requires that workers' compensation settlements including a "Medicare set-aside" (a payment covering future Medicare-eligible medical care) must satisfy Medicare's secondary payer rules. The set-aside amount must account for factors like the injury type, claimant's life expectancy, and future medical needs, calculated using workers' comp fee schedules. Settling parties can optionally seek Medicare's approval for the set-aside amount before finalizing agreements. The rule applies to settlements effective January 1, 2025, or later, directly affecting injured workers with Medicare and their workers' compensation payers.