HR1931Referred to Committee

Access to Pediatric Technologies Act of 2025

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Introduced
In Committee
3
Passed One Chamber
4
Passed Both
5
Signed into Law
119th
Congress
2025-03-06
Introduced
16
Cosponsors
HR
ⓘ
Type

Sponsor

John Joyce
John Joyce
Republican · PA · Representative
Votes with party: 95.8% (553 recorded votes)

Full profile: /officials/J000302

Source: Congress.gov · FEC

Cosponsors (16)

Members who have signed on to support this bill since introduction. Source: Congress.gov.

Latest Action

The most recent step in the bill's legislative path. Committee Activity below shows referrals and reports; the full action-by-action history including floor proceedings lives at Congress.gov →

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.

2025-03-06

Source: Congress.gov

Plain-English Summary

This bill aims to improve children's access to medical devices and technologies by addressing barriers that prevent pediatric patients from getting the equipment they need. The legislation likely focuses on insurance coverage, affordability, and availability of specialized medical devices designed for children, affecting families with sick or disabled kids, insurance companies, and medical device manufacturers. It has been referred to two House committees to review different aspects of the proposal.

AI-assisted summary generated from the official bill metadata (title, subjects, actions) sourced from Congress.gov. Cached and reviewed. Always verify against the official text linked below.

Subjects

Health

Full Bill Text

Verbatim text published on Congress.gov via GovInfo. Use Cmd+F / Ctrl+F to search within this excerpt.

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 1931 Introduced in House (IH)] <DOC> 119th CONGRESS 1st Session H. R. 1931 To amend title XVIII of the Social Security Act to facilitate patient access to certain pediatric technologies. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES March 6, 2025 Mr. Joyce of Pennsylvania (for himself and Mrs. Trahan) introduced the following bill; which was 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 _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to facilitate patient access to certain pediatric technologies. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Access to Pediatric Technologies Act of 2025''. SEC. 2. FACILITATING ACCESS TO PEDIATRIC TECHNOLOGIES. (a) In General.--Section 1848 of the Social Security Act (42 U.S.C. 1395w-4) is amended by adding at the end the following new subsection: ``(u) Facilitating Access to Pediatric Technologies.-- ``(1) In general.--For each qualifying pediatric technology (as defined in paragraph (4)) furnished on or after January 1, 2026, the Secretary shall, upon receipt of a manufacturer request under paragraph (3), establish national relative value units under the physician fee schedule established under this section, to the extent no such national relative value units have been established for such qualifying pediatric technology under such fee schedule. ``(2) Payment methodology.--The Secretary shall establish national relative value units for a qualifying pediatric technology under this subsection-- ``(A) in accordance with the payment methodology established under this section and applicable regulations; and ``(B) using available data related to the qualifying pediatric technology, which may include applicable contractor pricing information, claims data, time and motion studies, invoice information, or other information used by the Secretary in establishing payment rates. ``(3) Implementation.-- ``(A) In general.--Upon written request to the Secretary from the manufacturer of a qualifying pediatric technology, the Secretary shall establish national relative value units under paragraph (1) through the annual rulemaking process for the physician fee schedule established under this section, in accordance with the timeline described in subparagraph (B). ``(B) Timeline.-- ``(i) In the case where the Secretary receives a request under this paragraph on or before May 1 of a given year from a manufacturer with respect to a qualifying pediatric technology of the manufacturer, the Secretary shall establish national relative value units for the qualifying pediatric technology in the rulemaking process during that year for the physician fee schedule established under this section. ``(ii) In the case where the Secretary receives a request under this paragraph after May 1 of a given year from a manufacturer with respect to a qualifying pediatric technology of the manufacturer, the Secretary shall establish national relative value units for the qualifying pediatric technology in the rulemaking process during the following year for the physician fee schedule established under this section. ``(C) Content of manufacturer requests.--A manufacturer submitting a request under paragraph with respect to a qualifying pediatric technology of the manufacturer shall include in such request information to verify that the technology is a qualifying pediatric technology and to allow the Secretary to establish national relative value units for such technology, including (to the extent available) contractor pricing information, claims data, time and motion studies, invoice information, or other relevant information. ``(4) Qualifying pediatric technology defined.--In this subsection, the term `qualifying…
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pediatric technology' means a medical device that is-- ``(A) covered under this title; ``(B) approved, cleared, or authorized under section 510(k), 513(f)(2), or 515 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360(k), 360c(f)(2), 360e); ``(C) described by a temporary Level I HCPCS Code intended for emerging technologies, services, or procedures; and ``(D)(i) used as part of a procedure predominantly performed on pediatric patients; or ``(ii) has otherwise been specifically designed for safe and effective use in pediatric populations. ``(5) Rule of construction.--Nothing in this subsection shall be construed to require coverage of a qualifying pediatric technology under this title or alter the requirements of section 1862(a)(1)(A).''. <all>
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