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US SB1776

Bill

Status

Introduced

5/15/2025

Primary Sponsor

Bill Cassidy

Click for details

Origin

Senate

119th Congress

AI Summary

  • Caps Medicare coinsurance for ambulatory surgical center (ASC) facility services at the annual inpatient hospital deductible amount when the standard coinsurance would otherwise exceed that threshold

  • Requires the Secretary of Health and Human Services to reduce the beneficiary's coinsurance to equal the inpatient hospital deductible when the cap applies

  • Directs Medicare to pay ASC suppliers the difference between the reduced coinsurance and the original coinsurance amount, ensuring providers are not financially penalized

  • Applies to services furnished on or after January 1, 2026

  • Introduced by Senators Cassidy (R-LA) and Blumenthal (D-CT) with bipartisan support; referred to the Senate Finance Committee

Legislative Description

Medicare Beneficiary Co-Pay Fairness Act

Health

Last Action

Read twice and referred to the Committee on Finance.

5/15/2025

Committee Referrals

Finance5/15/2025

Full Bill Text

No bill text available