I 
118TH CONGRESS 
2D SESSION 
H. R. 8849 
To amend title XVIII of the Social Security Act to improve the national 
and local coverage determination processes under the Medicare program. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 26, 2024 
Mr. SMUCKER introduced the following bill; which was referred to the Com-
mittee on Ways and Means, and in addition to the Committee on Energy 
and Commerce, for a period to be subsequently determined by the Speak-
er, in each case for consideration of such provisions as fall within the ju-
risdiction of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to improve 
the national and local coverage determination processes 
under the Medicare program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Timeline Integrity for 
Medicare Evidence Development Act of 2024’’ or the 
‘‘TIMED Act of 2024’’. 
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SEC. 2. IMPROVING THE NATIONAL AND LOCAL COVERAGE 
DETERMINATION PROCESSES UNDER THE 
MEDICARE PROGRAM. 
(a) IN GENERAL.—Section 1862(l) of the Social Se-
curity Act (42 U.S.C. 1395y(l)) is amended by adding at 
the end the following new paragraph: 
‘‘(7) LIMITATION ON DURATION OF COVERAGE 
WITH
EVIDENCE
DEVELOPMENT
DETERMINA-
TIONS.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), in the case of a final decision under 
paragraph (3)(C)(i) (including any such deci-
sion made on a class-wide basis) made on or 
after the date of the enactment of this para-
graph that results in coverage of an item or 
service pursuant to subsection (a)(1)(E), the 
Secretary shall, not later than 10 years after 
the date on which such coverage becomes effec-
tive pursuant to such subsection, initiate a re-
determination with respect to such item or serv-
ice. 
‘‘(B) EXCEPTION.—The Secretary may 
delay a redetermination described in subpara-
graph (A) with respect to an item or service for 
a period of time determined appropriate by the 
Secretary if— 
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‘‘(i) the Secretary finds that such 
item or service is reasonable and necessary 
to carry out the purposes described in sec-
tion 1142; or 
‘‘(ii) the entity responsible for such 
item or service requests such extension. 
‘‘(C) POSTING
OF
INFORMATION.—Not 
later than 1 year after the date of the enact-
ment of this paragraph, and annually there-
after, the Secretary post on the public website 
of the Centers for Medicare & Medicaid Serv-
ices the following information: 
‘‘(i) The number of items and services 
covered under this title pursuant to sub-
section (a)(1)(E). 
‘‘(ii) A description of each such item 
or service. 
‘‘(iii) The year in which coverage of 
each such item or service became effective 
pursuant to such subsection.’’. 
(b) PROVISION OF EXPLANATION IN CASE OF CER-
TAIN REJECTED REQUESTS.—Section 1862(l) of the So-
cial Security Act (42 U.S.C. 1395y(l)), as amended by 
subsection (a), is further amended by adding at the end 
the following new paragraph: 
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‘‘(8) REQUIREMENT TO PROVIDE EXPLANATION 
IN CASE OF CERTAIN REJECTED REQUESTS.—With 
respect to each document received by the Secretary 
on or after the date that is 1 year after the date of 
the enactment of this paragraph that identifies itself 
as a complete, formal request for a national coverage 
determination (as described in the notice entitled 
‘Medicare Program; Revised Process for Making Na-
tional Coverage Determinations’ (78 Fed. Reg. 
48164) or a successor regulation), the Secretary 
shall, not later than 90 days after receipt of such 
document— 
‘‘(A) determine whether such document is 
a complete, formal request for a national cov-
erage determination; and 
‘‘(B) in the case that the Secretary finds 
that such document is not a complete, formal 
request for a national coverage determination, 
transmit to the entity submitting such docu-
ment information on such finding that includes 
a specification of additional information needed 
to make such document a complete, formal re-
quest for a national coverage determination.’’. 
(c) IMPROVING ACCESS TO ITEMS AND SERVICES 
UNDER LOCAL COVERAGE DETERMINATIONS.—Section 
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1862(l)(5) of the Social Security Act (42 U.S.C. 
1395y(l)(5)) is amended by adding at the end the fol-
lowing new subparagraph: 
‘‘(E) ENSURING
CONSISTENCY
WITH
AP-
PLICABLE RULES.—The Secretary shall require 
each Medicare administrative contractor that 
develops a local coverage determination to en-
sure that any such local coverage determination 
does not conflict with any law, ruling, regula-
tion, national coverage determination, payment 
policy, or coding policy.’’. 
(d) FUNDING.—There are authorized to be appro-
priated $1,000,000 for fiscal year 2024 for purposes of 
carrying out the amendments made by this section. 
Æ 
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