US SB1535

Establishes a floor of 1.00 for practice expense and malpractice geographic indices used to calculate Medicare reimbursement for remote physiologic monitoring services beginning January 1, 2026, applied on a non-budget neutral basis

Requires remote physiologic monitoring providers to have clinical support capability for responding to data anomalies, transmit patient vitals and treatment notes to supervising providers' electronic health records, and collect data to evaluate cost savings to Medicare

Directs the Secretary of Health and Human Services to establish exceptions to quality requirements for small medical practices

Requires HHS to submit a report to Congress within 2 years analyzing estimated Medicare savings from earlier interventions, reduced hospitalizations, improved medication adherence, and practice expenses related to remote monitoring services

Three out of five federally designated health professional shortage areas are in rural regions, where Medicare reimbursement for remote monitoring is currently lowest despite above-average rates of heart failure, hypertension, and diabetes