Bill · H.R. 3288· House(119-HR-3288)
Access to Prescription Digital Therapeutics Act of 2025
- Introduced
- 5/8/2025
- Last activity
- 5/8/2025 — 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
- Kevin Hern
- Cosponsors
- - 4 - 6
- Introduced
- In Committee
What this bill would do
The Access to Prescription Digital Therapeutics Act of 2025 aims to amend the Social Security Act to include coverage for prescription digital therapeutics. This would bring these technologies under the Medicare and Medicaid programs. The bill defines these therapeutics as software-based products or devices approved for treating medical conditions. It requires the Secretary to establish payment methods and specific product codes for Medicare. Additionally, manufacturers would be required to report certain data regarding payments and usage.
Yes· 3 of 7
Would people over 65 be better off under this?+7
The bill expands Medicare coverage, providing a significant benefit to the senior population.
Would retired people be better off under this?+7
The expansion of Medicare coverage directly benefits retirees seeking digital therapeutic treatments.
Does this make health care easier to get in general?+7
By including digital therapeutics in Medicare and Medicaid, the bill significantly improves access to these software-based medical treatments.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
-
Medicare Coverage Expansion: The bill amends the Social Security Act to include prescription digital therapeutics as a covered medical and health service under Medicare Part B (Section 2(b)).
-
Medicaid Coverage Expansion: The bill amends the Social Security Act to include prescription digital therapeutics under the Medicaid program (Section 3).
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Structured Payment Methodology: The Secretary is tasked with creating a payment system for manufacturers that considers factors like the actual list charge and the costs associated with ongoing use of a therapeutic (Section 2(a)).
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Standardized Coding: The bill requires the establishment of specific HCPCS codes to provide a clear system for payment and identification of these products (Section 2(b)).
Potential Negative Impacts for People
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Manufacturer Penalties: Manufacturers face potential civil money penalties of up to $10,000 per day if they fail to report required information or provide inaccurate reports to the Secretary (Section 2(c)(3)(A)).
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Reporting Requirements: Companies must undergo the burden of reporting payment rates from private payors, distribution volumes, and individual user numbers to the Secretary (Section 2(c)(1)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Retirees+7Good For Seniors+7Good For Low Income Households+6
- Healthcare
- Improves Healthcare Access+7Increases Medicaid Funding+5Increases Medicare Funding+5
- Governance And Ideology
- Increases Federal Power+3
- 6/22/2026
- 1 Cosponsor added.
- 3/3/2026
- 1 Cosponsor added.
- 12/9/2025
- 1 Cosponsor added.
- 10/8/2025
- 1 Cosponsor added.
- 9/26/2025
- 1 Cosponsor added.
- 9/9/2025
- 1 Cosponsor added.
- 7/14/2025
- 1 Cosponsor added.
- 7/2/2025
- 1 Cosponsor added.
- 5/20/2025
- 1 Cosponsor added.
- 5/8/2025
- 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.
- 1 Cosponsor added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Troy BaldersonRepublican · Ohio
Angie CraigDemocrat · Minnesota
Suzan DelBeneDemocrat · Washington
Brian FitzpatrickRepublican · Pennsylvania
Jimmy PanettaDemocrat · California
Deborah RossDemocrat · North Carolina
Terri SewellDemocrat · Alabama
Mike ThompsonDemocrat · California
Beth Van DuyneRepublican · Texas
Robert WittmanRepublican · Virginia