This bill makes several changes to Medicare to support medical innovation and improve coverage processes. First, it requires Medicare to cover cognitive impairment screening as part of annual wellness visits and initial preventive physical exams starting January 1, 2025, using assessment tools approved by the National Institute on Aging. Second, it reforms how Medicare makes coverage decisions by requiring the agency to reconsider "coverage with evidence development" decisions after 10 years, provide explanations within 90 days when rejecting coverage requests, and ensure local coverage rules don't conflict with national policies. Third, the bill expands Medicare coverage of external infusion pumps and home infusion drugs that require professional supervision, starting one year after enactment. Finally, the bill directs the Department of Health and Human Services to issue guidance by January 1, 2026, on how Medicare will pay for artificial intelligence-enabled remote monitoring devices and prescription digital therapeutics. The legislation authorizes $1 million in funding for fiscal year 2024 to implement the coverage determination reforms.
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