US SB1692

Shifts Medicare imaging data reporting burden from healthcare providers to qualified clinical decision support mechanisms beginning January 1, 2026, requiring these systems to report consultation and compliance information directly to the Secretary of HHS

Exempts specific imaging services from appropriate use criteria requirements, including mammography, lung cancer CT screenings, CT colonography, clinical trial imaging, and services ordered by small practices (15 or fewer professionals) or rural health professional shortage areas

Replaces "outlier" ordering professional designation with "low compliant" category, requiring the Secretary to annually calculate compliance rates based on how often providers consult decision support tools when ordering advanced imaging

Mandates a study and report to Congress by January 1, 2031 (and every 5 years thereafter) examining compliance rates and potential enforcement mechanisms including prior authorization and payment adjustments for low-compliant providers

Requires furnishing professionals to include the ordering professional's national provider identifier on claims when different from the provider performing the imaging service