To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.
Latest action · Apr 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.
Progress
Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.
- IntroducedApr 24, 2025
- Passed HouseNot reached
- Passed SenateNot reached
- To the PresidentNot reached
- Became lawNot reached
Summary
This bill limits the amount of coinsurance that may be assessed under Medicare for services performed in ambulatory surgical centers.
Specifically, if the applicable coinsurance amount exceeds the inpatient hospital deductible, the Centers for Medicare & Medicaid Services must reduce the coinsurance amount so that it is equal to the amount of the deductible and pay the difference to the service provider.
Cosponsors 22
Members who signed on, in the order they did. Signatures ran from Apr 24, 2025 to Oct 1, 2026; 3 are original cosponsors, there from the day it was introduced.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| D-CT | John B. Larson | Original | Apr 24, 2025 |
| D-NJ | Robert Menendez | Original | Apr 24, 2025 |
| R-OH | Troy Balderson | Original | Apr 24, 2025 |
| R-IL | Mike Bost | Jul 15, 2025 | |
| R-KS | Tracey Mann | Jul 22, 2025 | |
| D-NC | Deborah K. Ross | Aug 12, 2025 | |
| D-NJ | Josh Gottheimer | Aug 26, 2025 | |
| D-CA | Ted Lieu | Sep 16, 2025 | |
| R-PA | John Joyce | Sep 26, 2025 | |
| D-MI | Rashida Tlaib | Sep 30, 2025 | |
| R-NE | Adrian Smith | Oct 24, 2025 | |
| R-FL | John H. Rutherford | Oct 24, 2025 | |
| D-TX | Marc A. Veasey | Nov 10, 2025 | |
| R-OH | Michael A. Rulli | Nov 17, 2025 | |
| R-UT | Burgess Owens | Dec 1, 2025 | |
| R-WV | Carol D. Miller | Dec 10, 2025 | |
| D-OR | Janelle S. Bynum | Dec 19, 2025 | |
| D-CO | Joe Neguse | Jan 7, 2026 | |
| D-DE | Sarah McBride | Jan 21, 2026 | |
| R-IN | Rudy Yakym III | Feb 9, 2026 | |
| D-AL | Terri A. Sewell | Feb 9, 2026 | |
| R-FL | Neal P. Dunn | Oct 1, 2026 |
Committees 2
Where it was sent and what each committee and subcommittee did with it, in order.
| Chamber | Committee | What it did |
|---|---|---|
| House | Energy and Commerce Committee | Referred Apr 24, 2025 |
| House | Ways and Means Committee | Referred Apr 24, 2025 |
Actions 2
Everything that happened, newest first.
- Apr 24, 2025Introduced in House
- Apr 24, 2025Referred 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.
Research
What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.
Constitutional authority
The sponsor’s statement, as printed in the Congressional Record, vol. 171, no. 69, April 24, 2025, page H1625.
Related bills 1
Companion bills and other measures the record links to this one.
| Bill | Title | Relationship | Latest action |
|---|---|---|---|
| S 1776 | Medicare Beneficiary Co-Pay Fairness Act | Related bill | May 15, 2025 |
Titles 1
Every title it has carried, official and short, at each stage.
- Official Title as Introduced
- To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.
Subjects
Assigned by the Library of Congress. Policy area: Health.
Text 1
Each version as it was printed, newest first.
- Apr 24, 2025Introduced in House
Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.
