Bill · H.R. 3006· House(119-HR-3006)

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

Age: 78 years

Pennsylvania

Introduced: 4/24/2025
Last activity: 4/24/2025 — 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.
Sponsored by: Mike Kelly
Cosponsors: - 11 - 11

Health

Introduced
In Committee

What this bill would do

This bill proposes an amendment to title XVIII of the Social Security Act. The goal is to limit the coinsurance amount for specific services provided in an ambulatory surgical center. Specifically, it targets instances where the coinsurance for a surgical procedure exceeds the established inpatient hospital deductible for that year. If this occurs, the Secretary is required to reduce the coinsurance amount to equal that deductible. The bill also requires the Secretary to pay the supplier the difference resulting from this reduction. These changes are intended to take effect for services furnished on or after January 1, 2026.

Yes· 3 of 7

Would people over 65 be better off under this?+7
The bill directly benefits Medicare beneficiaries by capping their surgical coinsurance costs.
Would retired people be better off under this?+7
Retirees relying on Medicare will benefit from capped surgical coinsurance costs.
Would households on low incomes be better off under this?+5
Reducing out-of-pocket medical costs provides significant relief to lower-income families.