RPM Cost Sharing Elimination Study Act of 2023

Bill: 118-hr-6801
Sponsor: full_name: Rep. Cherfilus-McCormick, Sheila [D-FL-20]
Introduced: 2023-12-14
Policy area: Health
Subjects: Congressional oversight

Health care costs and insurance

Health technology, devices, supplies

Medicare
Latest action: action_date: 2024-12-17
text: Referred to the Subcommittee on Health.

Summaries:

tv_txt: I 118th CONGRESS 1st Session H. R. 6801 IN THE HOUSE OF REPRESENTATIVES December 14, 2023 Mrs. Cherfilus-McCormick (for herself, Mr. Ruiz , and Ms. Sewell ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committee on Energy and Commerce , 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 A BILL To amend title XVIII of the Social Security Act to ensure that remote physiologic monitoring services are not subject to cost sharing under the Medicare program.

1. Short title This Act may be cited as the RPM Cost Sharing Elimination Study Act of 2023 . 2. Ensuring that remote physiologic monitoring services are not subject to cost sharing under the Medicare program (a) In general Section 1833 of the Social Security Act ( 42 U.S.C. 1395l ) is amended— (1) in subsection (a)(1)— (A) by striking and (HH) and inserting (HH) ; and (B) by inserting before the semicolon at the end the following , and (II) with respect to remote physiologic monitoring services, the amounts paid shall be 100 percent of the lesser of the actual charge for the services or the amount determined under the payment basis established under section 1848 ; and (2) in subsection (b), in the first sentence— (A) by striking , and (13) and inserting (13) ; and (B) by striking the first period at the end and inserting , and (14) such deductible shall not apply with respect to remote physiologic monitoring services . (b) Medicare Advantage Section 1852(a)(1)(B) of the Social Security Act ( 42 U.S.C. 1395w–22(a)(1)(B) ) is amended— (1) in clause (iv)— (A) by redesignating subclause (VIII) as subclause (IX); and (B) by inserting after subclause (VII) the following new subclause: (C) by adding at the end the following new subclause: (VIII) Remote physiologic monitoring services. ; and (2) in clause (v), by striking and (VI) and inserting (VI), and (VIII) . (c) Report Not later than June 30, 2026, the Secretary of Health and Human Services shall submit to Congress a report on the effects eliminating cost sharing for remote physiologic monitoring services under Medicare had on patient health outcomes and on any cost savings attributable so such elimination. (d) Effective date The amendments made by this section shall apply with respect to items and services furnished on or after January 1, 2024, and before January 1, 2026.