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. 6197 modifies how Medicare pays for healthcare services that use artificial intelligence and machine learning technology, such as diagnostic tools and clinical decision-support software cleared by the FDA. The bill ensures these algorithm-based services receive appropriate payment under Medicare's outpatient payment system by allowing them to be classified as new technology services based on manufacturer-submitted costs, including technology fees, staffing, and overhead. Services newly assigned to this classification or those that have been in it for less than five years are protected from reclassification for at least five years or until sufficient claims data becomes available for reassessment. The legislation expands eligibility for these payments to include services performed alongside other procedures that require additional resources. The bill also codifies an existing policy allowing Medicare to pay for healthcare software delivered as a subscription service, effective retroactively to January 1, 2023.
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