I 
118TH CONGRESS 
2D SESSION 
H. R. 9157 
To amend title XVIII of the Social Security Act to facilitate patient access 
to certain pediatric technologies. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 25, 2024 
Mr. JOYCE of Pennsylvania (for himself and Mrs. TRAHAN) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To amend title XVIII of the Social Security Act to facilitate 
patient access to certain pediatric technologies. 
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 ‘‘Access to Pediatric 
Technologies Act of 2024’’. 
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SEC. 2. FACILITATING ACCESS TO PEDIATRIC TECH-
NOLOGIES. 
(a) IN GENERAL.—Section 1848 of the Social Secu-
rity Act (42 U.S.C. 1395w–4) is amended by adding at 
the end the following new subsection: 
‘‘(u) FACILITATING ACCESS TO PEDIATRIC TECH-
NOLOGIES.— 
‘‘(1) IN GENERAL.—For each qualifying pedi-
atric technology (as defined in paragraph (4)) fur-
nished on or after January 1, 2026, the Secretary 
shall, upon receipt of a manufacturer request under 
paragraph (3), establish national relative value units 
under the physician fee schedule established under 
this section, to the extent no such national relative 
value units have been established for such qualifying 
pediatric technology under such fee schedule. 
‘‘(2) PAYMENT METHODOLOGY.—The Secretary 
shall establish national relative value units for a 
qualifying pediatric technology under this sub-
section— 
‘‘(A) in accordance with the payment 
methodology established under this section and 
applicable regulations; and 
‘‘(B) using available data related to the 
qualifying pediatric technology, which may in-
clude applicable contractor pricing information, 
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claims data, time and motion studies, invoice 
information, or other information used by the 
Secretary in establishing payment rates. 
‘‘(3) IMPLEMENTATION.— 
‘‘(A) IN GENERAL.—Upon written request 
to the Secretary from the manufacturer of a 
qualifying pediatric technology, the Secretary 
shall establish national relative value units 
under paragraph (1) through the annual rule-
making process for the physician fee schedule 
established under this section, in accordance 
with the timeline described in subparagraph 
(B). 
‘‘(B) TIMELINE.— 
‘‘(i) In the case where the Secretary 
receives a request under this paragraph on 
or before May 1 of a given year from a 
manufacturer with respect to a qualifying 
pediatric technology of the manufacturer, 
the Secretary shall establish national rel-
ative value units for the qualifying pedi-
atric technology in the rulemaking process 
during that year for the physician fee 
schedule established under this section. 
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‘‘(ii) In the case where the Secretary 
receives a request under this paragraph 
after May 1 of a given year from a manu-
facturer with respect to a qualifying pedi-
atric technology of the manufacturer, the 
Secretary shall establish national relative 
value units for the qualifying pediatric 
technology in the rulemaking process dur-
ing the following year for the physician fee 
schedule established under this section. 
‘‘(C) CONTENT
OF
MANUFACTURER
RE-
QUESTS.—A manufacturer submitting a request 
under paragraph with respect to a qualifying 
pediatric technology of the manufacturer shall 
include in such request information to verify 
that the technology is a qualifying pediatric 
technology and to allow the Secretary to estab-
lish national relative value units for such tech-
nology, including (to the extent available) con-
tractor pricing information, claims data, time 
and motion studies, invoice information, or 
other relevant information. 
‘‘(4) QUALIFYING PEDIATRIC TECHNOLOGY DE-
FINED.—In this subsection, the term ‘qualifying pe-
diatric technology’ means a medical device that is— 
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‘‘(A) covered under this title; 
‘‘(B) approved, cleared, or authorized 
under section 510(k), 513(f)(2), or 515 of the 
Federal Food, Drug, and Cosmetic Act (21 
U.S.C. 360(k), 360c(f)(2), 360e); 
‘‘(C) described by a temporary Level I 
HCPCS Code intended for emerging tech-
nologies, services, or procedures; and 
‘‘(D)(i) used as part of a procedure pre-
dominantly performed on pediatric patients; or 
‘‘(ii) has otherwise been specifically de-
signed for safe and effective use in pediatric 
populations. 
‘‘(5) RULE
OF
CONSTRUCTION.—Nothing in 
this subsection shall be construed to require cov-
erage of a qualifying pediatric technology under this 
title 
or 
alter 
the 
requirements 
of 
section 
1862(a)(1)(A).’’. 
Æ 
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