Timely Access to Coverage Decisions Act of 2026 | ChamberLight
Bills · HR 8500
IN COMMITTEE· 119TH CONGRESS
House BillHR 8500Health
Timely Access to Coverage Decisions Act of 2026
A bipartisan proposal to set deadlines for regional Medicare coverage decisions to ensure patients get faster access to care.AI-written
INTRO APR 27· LAST ACTION APR 27
READING
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tl;dr
AI-written
Speeds up the process for Medicare to decide if it will pay for specific medical treatments and services in local areas.
LEGISLATIVE PROGRESS
STEP 2 / 8
Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-written
Local coverage decisions often determine whether a patient can access innovative therapies or specialized medical equipment. If the review process is too slow, patients may experience health declines while waiting for an answer, and medical providers may face financial uncertainty that prevents them from offering new treatments.
KEY PROVISIONS
3AI-extracted
PROVISION 01
Establishment of review deadlines
Prevents Medicare contractors from delaying decisions on whether to cover specific medical services.
PROVISION 02
Amendment to Title XVIII of the Social Security Act
Permanently changes the federal law that governs how Medicare operates.
PROVISION 03
Improved predictability for providers
Allows hospitals and clinics to plan patient care with a certain timeline for insurance reimbursement answers.
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.
Local coverage decisions often determine whether a patient can access innovative therapies or specialized medical equipment. If the review process is too slow, patients may experience health declines while waiting for an answer, and medical providers may face financial uncertainty that prevents them from offering new treatments.
KEY PROVISIONS
AI-extracted
high
Establishment of review deadlines
Prevents Medicare contractors from delaying decisions on whether to cover specific medical services.
med
Amendment to Title XVIII of the Social Security Act
Permanently changes the federal law that governs how Medicare operates.
med
Improved predictability for providers
Allows hospitals and clinics to plan patient care with a certain timeline for insurance reimbursement answers.
GLOSSARY
AI-written
Local Coverage Determination (LCD)
A decision made by a regional Medicare contractor regarding whether a particular service or item is reasonable and necessary, and therefore covered by Medicare.
Medicare Administrative Contractor (MAC)
A private health care insurer that has been awarded a geographic jurisdiction to process Medicare Part A and Part B medical claims.
Title XVIII
The section of the Social Security Act that established and governs the Medicare program.
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.