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.
This bill aims to combat fraud and abuse in Medicare's coverage of medical equipment and supplies by tightening submission requirements for certain items. Beginning January 1, 2027, suppliers must submit claims for specified medical equipment and supplies electronically and within 90 days of providing the items to patients, with some exceptions for items requiring face-to-face encounters, written orders, or prior authorization. The legislation affects Medicare providers and suppliers who furnish durable medical equipment and related supplies included on Medicare's Master List. By January 1, 2030, the Government Accountability Office must report to Congress on how well these new requirements help identify fraudulent billing patterns and reduce improper payments. The bill does not specify new funding, instead relying on existing Medicare administrative resources to implement the electronic submission system and claims screening technology.
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