To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.
About This Bill
Committee
Latest Action · April 24, 2025
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.
H.R. 3006 would limit out-of-pocket costs for Medicare patients receiving surgery at ambulatory surgical centers (outpatient surgery facilities). Currently, patients can face coinsurance charges that exceed the standard annual deductible for hospital inpatient care; this bill would cap those charges at the inpatient hospital deductible amount, preventing them from paying more. Medicare would cover the difference between the reduced coinsurance and what would have been charged. The change affects Medicare beneficiaries undergoing procedures at ambulatory surgical centers and takes effect on January 1, 2026. The bill was introduced by Representatives Kelly, Menendez, Balderson, and Larson and referred to the committees on Energy and Commerce and Ways and Means.
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