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.
The Radiology Outpatient Ordering Transmission Act (ROOT Act) modifies how Medicare tracks doctors' use of imaging services like CT scans and X-rays. Beginning January 1, 2026, the bill requires clinical decision support tools to report data to Medicare about which doctors ordered imaging services and whether they followed appropriate use guidelines before ordering. The bill affects doctors who order imaging services and the companies that provide decision support tools, while also creating new exemptions for small practices, rural areas, and preventive screening services like mammograms and lung cancer screenings. The Secretary of Health and Human Services must identify doctors with low compliance rates annually and report to Congress by January 1, 2031, on whether additional measures like prior authorization or payment adjustments are needed to improve compliance. No new funding is allocated in the bill; rather, it establishes new reporting and data collection requirements to help Medicare better understand and potentially improve appropriate use of imaging services.
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