Oversight of Medicare Billing Code Cost Act

Bill: 119-hr-3580
Sponsor: full_name: Rep. Ciscomani, Juan [R-AZ-6]
Introduced: 2025-05-23
Policy area: Health
Latest action: action_date: 2025-05-23
text: 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.

Summaries:
action_date: 2025-05-23
action_desc: Introduced in House
text: <p><strong>Oversight of Medicare Billing Code Cost Act</strong></p><p>This bill requires the Office of the Inspector General of the Department of Health and Human Services to report on the processes for adding, modifying, and removing billing codes under Medicare. The report must include recommendations for administrative and legislative changes that may improve the transparency and oversight of these processes.</p><p>In addition, the Centers for Medicare &amp; Medicaid Services must annually publish on its website a list of billing codes that were added under Medicare during the previous year, as well as the associated volume and expenditures for such codes.</p>

tv_txt: I 119th CONGRESS 1st Session H. R. 3580 IN THE HOUSE OF REPRESENTATIVES May 23, 2025 Mr. Ciscomani (for himself, Mr. Smucker , and Mrs. Harshbarger ) 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 increase oversight and transparency with respect to Medicare billing codes.

1. Short title This Act may be cited as the Oversight of Medicare Billing Code Cost Act . 2. Increasing oversight and transparency with respect to Medicare billing codes (a) HHS OIG study and report (1) Study The Inspector General of the Department of Health and Human Services shall conduct a comprehensive study of the processes used by the Centers for Medicare & Medicaid Services for adding, modifying, and removing billing codes under the Medicare program under title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq. ). Such study shall include an analysis of— (A) the level and types of data and analysis considered; (B) trends in the number and types of codes added, modified, removed, or revalued; (C) areas or specialties with the highest growth; and (D) efforts by the Centers for Medicare & Medicaid Services to monitor effects on outcomes, costs over time, and other issues. (2) Report Not later than 12 months after the date of enactment of this Act, the Inspector General shall submit to Congress a report containing the results of the study conducted under paragraph (1), together with recommendations for such legislation and administrative action the Inspector General determines appropriate to improve transparency and oversight of the processes described in such paragraph. (b) Annual reporting on new Medicare billing codes Not later than June 1 of each year (beginning with 2025), the Secretary of Health and Human Services shall submit to Congress and make publicly available on the internet website of the Centers for Medicare & Medicaid Services a report listing any billing codes added under the Medicare program under title XVIII of the Social Security Act during the preceding year, along with the associated volume and expenditures for such codes under the Medicare program.