Medicare Beneficiary Co-Pay Fairness Act

Bill: 119-s-1776
Sponsor: full_name: Sen. Cassidy, Bill [R-LA]
Introduced: 2025-05-15
Policy area: Health
Latest action: action_date: 2025-05-15
text: Read twice and referred to the Committee on Finance.

Summaries:

tv_txt: II 119th CONGRESS 1st Session S. 1776 IN THE SENATE OF THE UNITED STATES May 15, 2025 Mr. Cassidy (for himself and Mr. Blumenthal ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.

1. Short title This Act may be cited as the Medicare Beneficiary Co-Pay Fairness Act . 2. Limitation on coinsurance amount (a) In general Section 1833 of the Social Security Act ( 42 U.S.C. 1395l ) is amended— (1) in subsection (a)(1)(G), by inserting subject to subsection (ee), before with respect to facility services ; and (2) by adding at the end the following new subsection: (ee) Limitation on coinsurance amount for certain services furnished in an ambulatory surgical center In the case that application of subsection (a)(1)(G) would result in the imposition of a coinsurance amount with respect to facility services described in such subsection furnished during a year with respect to a surgical procedure that exceeds the amount of the inpatient hospital deductible established under section 1813(b) for such year, the Secretary shall— (1) reduce the amount of such coinsurance to an amount equal to such deductible; and (2) pay to the supplier furnishing such services an amount equal to such reduction. . (b) Effective date The amendments made by this section shall apply to services furnished on or after January 1, 2026.