To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.

Mike Kelly

Republican · PA · Representative

Source: Congress.gov · FEC

21 cosponsors on record at Congress.gov. The named list is syncing into Govwatch and will appear here shortly — view on Congress.gov in the meantime.

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.

2025-04-24

Source: Congress.gov

This bill limits the amount of coinsurance that may be assessed under Medicare for services performed in ambulatory surgical centers. Specifically, if the applicable coinsurance amount exceeds the inpatient hospital deductible, the Centers for Medicare & Medicaid Services must reduce the coinsurance amount so that it is equal to the amount of the deductible and pay the difference to the service provider.

Plain-English rewrite of the Congressional Research Service summary published on Congress.gov. Cached and reviewed.

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