I 
119TH CONGRESS 
1ST SESSION H. R. 6218 
To amend title XVIII of the Social Security Act to provide for coverage 
under the Medicare program of hearing aids and related hearing services. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 20, 2025 
Mr. MULLIN (for himself, Mr. LAWLER, Mrs. DINGELL, Mr. TAKANO, Ms. 
DEAN of Pennsylvania, Mr. DELUZIO, and Mr. JOHNSON of Georgia) in-
troduced the following bill; which was referred to the Committee on En-
ergy 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 jurisdic-
tion of the committee concerned 
A BILL 
To amend title XVIII of the Social Security Act to provide 
for coverage under the Medicare program of hearing 
aids and related hearing services. 
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 ‘‘Help Extend Auditory 
Relief Act of 2025’’ or the ‘‘HEAR Act of 2025’’. 
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thorized to furnish such services under the State law 
(or the State regulatory mechanism provided by 
State law) of the State in which the services are fur-
nished; and 
‘‘(B) hearing aids (as defined in paragraph 
(3)). 
‘‘(2) The services described in this subparagraph in-
clude— 
‘‘(A) aural rehabilitation services; 
‘‘(B) in the case of an individual who has a 
hearing loss (as defined by the Secretary), a com-
prehensive audiologic assessment to determine if a 
hearing aid is appropriate and to determine the need 
for other diagnostic medical or audiologic testing; 
and 
‘‘(C) a threshold test to determine audio acuity. 
‘‘(3)(A) The term ‘hearing aid’ means a hearing aid 
described in subparagraph (B), including the services de-
scribed in subparagraph (C) furnished by a physician or 
qualified audiologist, who is legally authorized to supply 
such hearing aid under the State law (or State regulatory 
mechanism provided by State law) of the State in which 
the hearing aid is supplied, to an individual described in 
subparagraph (D). 
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‘‘(B) A hearing aid described in this subparagraph 
is any wearable instrument or device for, offered for the 
purpose of, or represented as aiding individuals with, or 
compensating for, hearing loss that meets requirements of 
the Food and Drug Administration for marketing, but 
does not include an over-the-counter hearing aid (as de-
fined in section 520(q)(1) of the Federal Food, Drug, and 
Cosmetic Act). 
‘‘(C) The services described in this subparagraph in-
clude— 
‘‘(i) audiology services (as defined in subsection 
(ll)(2)); 
‘‘(ii) a hearing aid assessment to determine the 
appropriate hearing aid for the individual; 
‘‘(iii) procurement of an appropriate hearing 
aid; 
‘‘(iv) initial fitting and adjustment of the hear-
ing aid; 
‘‘(v) appropriate instruction on the use of the 
hearing aid; 
‘‘(vi) periodic refittings and adjustments; and 
‘‘(vii) rehabilitation, including counseling on 
hearing loss, speech reading, and auditory training. 
‘‘(D) The individuals described in this subpara-
graph— 
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‘‘(i) have been determined (as a result of a com-
prehensive audiologic assessment) to have a hearing 
loss which can be appropriately treated with a hear-
ing aid; 
‘‘(ii) have not been supplied with one monaural 
hearing aid or two binaural hearing aids during the 
preceding 3 years; and 
‘‘(iii) have had a comprehensive audiologic as-
sessment which indicates that the hearing of such 
individual has deteriorated since such individual was 
last supplied with a hearing aid such that a hearing 
aid of a different type is appropriate for such indi-
vidual.’’. 
(d) INCLUSION
OF AUDIOLOGY REHABILITATION 
SERVICES.—Section 1861(ll)(3) of the Social Security Act 
(42 U.S.C. 1395x(ll)(3)) is amended by inserting ‘‘and re-
habilitation’’ after ‘‘balance assessment’’. 
(e) EXCEPTION TO EXCLUSIONS FROM COVERAGE.— 
Section 1862(a) of the Social Security Act (42 U.S.C. 
1395y(a)) is amended— 
(1) in paragraph (1)— 
(A) in subparagraph (O), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (P); by striking the 
semicolon at the end and inserting ‘‘, and’’; and 
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(C) by adding at the end the following new 
subparagraph: 
‘‘(Q) in the case of hearing rehabilitation, which 
is furnished or supplied more frequently than is pro-
vided under section 1861(nnn)(3)(D)(ii).’’; and 
(2) in paragraph (7) by striking ‘‘hearing aids 
or examinations therefor’’. 
(f) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date of the enactment 
of this Act, and shall apply to items and services furnished 
on or after a date specified by the Secretary of Health 
and Human Services that is not sooner than January 1 
of the first year beginning after such date of enactment 
and not later than January 1 of the third year beginning 
after such date of enactment. 
Æ 
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