Bills · HR 3006
IN COMMITTEE· 119TH CONGRESS
House BillHR 3006Health
To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.
INTRO APR 24· LAST ACTION APR 24
READING
2MIN
COSPONSORS
21BIPARTISAN
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it could make certain outpatient surgeries more affordable for Medicare beneficiaries. Currently, the coinsurance for facility services at an ambulatory surgical center can sometimes be quite high, potentially discouraging patients from choosing these often more cost-effective settings for their procedures. By capping this coinsurance at the inpatient hospital deductible, the bill aims to reduce unexpected or burdensome out-of-pocket expenses for patients.
If this bill becomes law, patients might save money on specific surgical procedures, potentially making healthcare more accessible and predictable for those on Medicare. If it doesn't become law, the current system will continue, meaning some patients could still face higher coinsurance payments for outpatient surgeries compared to the standard inpatient deductible.
KEY PROVISIONS
4AI-extractedPROVISION 01
Limits the coinsurance amount for facility services in an ambulatory surgical center (ASC) for surgical procedures.
This directly lowers the maximum out-of-pocket cost a Medicare patient would pay for certain outpatient surgeries.
PROVISION 02
The coinsurance cap is set to the amount of the inpatient hospital deductible for that year.
This links outpatient surgery costs to a familiar benchmark, potentially providing a more predictable cost for patients.
PROVISION 03
If a patient's coinsurance would exceed this cap, Medicare's Secretary reduces the patient's amount and pays the difference to the ASC.
This ensures that the healthcare provider still receives full payment while the patient's out-of-pocket cost is limited.
PROVISION 04
The changes apply to services provided on or after January 1, 2026.
This sets a clear timeframe for when these new rules for payment will take effect.
SPONSORSHIP
1 + 21
R· Pennsylvania
YRS IN OFFICE
15
BILLS LED
34
COSPONSOR BREAKDOWNBIPARTISAN · 95%
DEM 11 REP 10 IND 0
ACTION TIMELINE
2 EVENTSAPR 24
Introduced in House
APR 24
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
BILL INFO
TypeHouse Bill
NumberHR 3006
Congress119th
StatusIn Committee
IntroducedApr 24, 2025
Last actionApr 24, 2025
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IN COMMITTEE· 119TH CONGRESS · WAYS AND MEANS COMMITTEE · INTRODUCED APR 24, 2025
House BillHR 3006Health
To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.
INTRODUCED APR 24, 2025· LAST ACTION APR 24, 2025
PASSAGE CHANCES
—%
READING
2 min
COSPONSORS
21
COMPLEXITY
Moderate
