I 
118TH CONGRESS 
2D SESSION H. R. 10331 
To prohibit health insurers, including Medicaid managed care organizations 
and other private health plans, from imposing arbitrary time caps on 
reimbursement for anesthesia services and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 9, 2024 
Mr. TORRES of New York introduced the following bill; which was referred 
to the Committee on Energy and Commerce 
A BILL 
To prohibit health insurers, including Medicaid managed care 
organizations and other private health plans, from impos-
ing arbitrary time caps on reimbursement for anesthesia 
services and for other purposes. 
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 ‘‘Anesthesia for All 
Act’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
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(1) Anesthesia care is essential and must be de-
termined by medical necessity, not arbitrary limits. 
(2) Time caps on reimbursement jeopardize pa-
tient safety, impose financial burdens, and interfere 
with informed medical decisions. 
(3) Prohibiting such practices protects patients, 
promotes fairness, and ensures equitable access to 
essential healthcare services. 
SEC. 3. PROHIBITION ON ARBITRARY TIME CAPS FOR AN-
ESTHESIA SERVICES. 
(a) IN GENERAL.—Part A of title XXVII of the Pub-
lic Health Service Act (42 U.S.C. 300gg et seq.) is amend-
ed by adding at the end the following new section: 
‘‘SEC. 2730. PROHIBITION ON ARBITRARY TIME CAPS FOR 
ANESTHESIA SERVICES. 
‘‘(a) PROHIBITION
ON
TIME
LIMITS.—A group 
health plan, and a health insurance issuer offering group 
or individual health insurance coverage, may not impose 
arbitrary time caps on reimbursement for anesthesia serv-
ices provided during medically necessary procedures. 
‘‘(b) REQUIREMENT FOR REIMBURSEMENT BASED 
ON MEDICAL NECESSITY.—Reimbursement for anesthesia 
services shall be determined based on medical necessity as 
assessed by the attending anesthesiologist or licensed an-
esthesia provider. 
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‘‘(c) DENIAL OF PAYMENT.—A group health plan, 
and a health insurance issuer offering group or individual 
health insurance coverage, are prohibited from denying 
payment for anesthesia services solely because the dura-
tion of care exceeded a pre-set time limit.’’. 
(b) MEDICAID.—Section 1902(a) of the Social Secu-
rity Act (42 U.S.C. 1396a(a)) is amended— 
(1) in paragraph (86), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (87), by striking the period 
and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (87) the fol-
lowing new paragraph: 
‘‘(88) provide that medical assistance consisting 
of anesthesia, including such assistance furnished 
through a managed care organization, is not subject 
to arbitrary time caps on reimbursement when fur-
nished during medically necessary procedures (as de-
termined by the attending anesthesiologist or other 
provider of such anesthesia) and that payment is not 
denied for such assistance solely because the dura-
tion of such assistance exceeded a pre-set time 
limit.’’. 
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SEC. 4. OVERSIGHT BY INSPECTOR GENERAL. 
(a) MONITORING AND AUDITS.—The Office of the In-
spector General of the Department of Health and Human 
Services shall— 
(1) conduct periodic audits of health insurers to 
assess compliance with the provisions of this Act; 
and 
(2) investigate allegations of noncompliance 
submitted by patients, providers, or other stake-
holders. 
(b) REPORTING TO CONGRESS.—Not later than one 
year after the date of enactment of this Act, and every 
3 years thereafter, the Inspector General described in sub-
section (a) shall submit a report to Congress that in-
cludes— 
(1) the findings of audits conducted under sub-
section (a); 
(2) the number and nature of violations re-
ferred to the Secretary of Health and Human Serv-
ices; and 
(3) recommendations, if any, for improving 
compliance with the provisions of this Act. 
Æ 
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