Bill · H.R. 5343· House(119-HR-5343)
Ensuring Patient Access to Critical Breakthrough Products Act
- Introduced
- 9/15/2025
- Last activity
- 9/17/2025 — Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 37 - 3.
- Sponsored by
- Blake Moore
- Cosponsors
- - 33 - 32
- Introduced
What this bill would do
This bill, known as the "Ensuring Patient Access to Critical Breakthrough Products Act," aims to amend the Social Security Act to ensure Medicare covers breakthrough devices more promptly. It establishes a process where the Secretary can designate specific devices as "breakthrough devices" based on certain criteria, such as receiving priority review. Once designated, these devices would enter a "transitional coverage period" lasting four years. The bill also requires the Secretary to make final decisions on national coverage determinations before this transitional period ends. Finally, it provides specific annual funding to the Centers for Medicare & Medicaid Services to implement these changes.
Yes· 3 of 5
Would people over 65 be better off under this?+7
The bill ensures quicker Medicare coverage for breakthrough medical devices for those entitled to benefits.
Would retired people be better off under this?+7
The bill provides faster access to new medical technologies through the Medicare program.
Does this make health care easier to get in general?+7
The bill creates a four-year transitional coverage period to ensure faster access to breakthrough medical devices for Medicare beneficiaries.
The opposite
Does this reduce what the federal government spends?-1
The bill appropriates $10,000,000 annually for fiscal years 2025 through 2030 to implement these new Medicare coverage processes.
Who it would affect, and how
Potential Positive Impacts for People
-
Prompt Coverage of New Medical Technology: The bill creates a "transitional coverage period" of four years for designated breakthrough devices, which allows for coverage starting from the date of designation (Section 2(a)(1) and 2(a)(2)).
-
Access to Priority Review Devices: Medicare coverage would extend to devices that received priority review under the Federal Food, Drug, and Cosmetic Act (Section 2(a)(1)).
-
Streamlined Coverage Decisions: The Secretary is required to ensure a final decision on national coverage determination requests is made before the end of the transitional coverage period (Section 2(b)).
-
Guaranteed Funding for Implementation: The bill appropriates $10,000,000 for each of fiscal years 2025 through 2030 to carry out these amendments (Section 2(c)).
Potential Negative Impacts for People
-
Risk of Harm: The bill notes that coverage may be withheld if the Secretary finds that a device presents an "undue risk of harm that outweighs the potential clinical benefits" (Section 2(a)(1)).
-
Increased Oversight/Monitoring: The Secretary is authorized to review the medical necessity of devices furnished by providers who show "an aberrant billing pattern" or are considered "outliers" (Section 2(a)(3)(e)).
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+4
- Healthcare
- Improves Healthcare Access+7Increases Medicare Funding+5
- Economy And Finance
- Reduces Government Spending-1
- 8/31/2026
- 1 Cosponsor added.
- 8/3/2026
- 2 Cosponsors added.
- 7/20/2026
- 2 Cosponsors added.
- 7/13/2026
- 4 Cosponsors added.
- 6/30/2026
- 3 Cosponsors added.
- 6/29/2026
- 2 Cosponsors added.
- 5/20/2026
- 2 Cosponsors added.
- 5/19/2026
- 2 Cosponsors added.
- 5/14/2026
- 2 Cosponsors added.
- 4/16/2026
- 2 Cosponsors added.
- 4/9/2026
- 4 Cosponsors added.
- 4/2/2026
- 2 Cosponsors added.
- 3/16/2026
- 2 Cosponsors added.
- 2/11/2026
- 4 Cosponsors added.
- 2/10/2026
- 2 Cosponsors added.
- 2/3/2026
- 6 Cosponsors added.
- 1/14/2026
- 2 Cosponsors added.
- 1/6/2026
- 1 Cosponsor added.
- 12/17/2025
- 1 Cosponsor added.
- 12/9/2025
- 2 Cosponsors added.
- 12/2/2025
- 2 Cosponsors added.
- 11/18/2025
- 2 Cosponsors added.
- 11/7/2025
- 2 Cosponsors added.
- 10/31/2025
- 2 Cosponsors added.
- 9/19/2025
- 1 Cosponsor added.
- 9/17/2025
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 37 - 3.
- 1 Cosponsor added.
- 9/16/2025
- 2 Cosponsors added.
- 9/15/2025
- 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.
- 5 Cosponsors added.
- Introduced in House
Jake AuchinclossDemocrat · Massachusetts
Cliff BentzRepublican · Oregon
Gus BilirakisRepublican · Florida
Ami BeraDemocrat · California
Brendan BoyleDemocrat · Pennsylvania
Nanette BarragánDemocrat · California
Aaron BeanRepublican · Florida
Steve CohenDemocrat · Tennessee
Earl CarterRepublican · Georgia
J. CorreaDemocrat · California
Angie CraigDemocrat · Minnesota
Jason CrowDemocrat · Colorado
Mike CareyRepublican · Ohio
Juan CiscomaniRepublican · Arizona
Suzan DelBeneDemocrat · Washington
Neal DunnRepublican · Florida
Sharice DavidsDemocrat · Kansas
Madeleine DeanDemocrat · Pennsylvania
Brian FitzpatrickRepublican · Pennsylvania
Michelle FischbachRepublican · Minnesota
Josh GottheimerDemocrat · New Jersey
Maggie GoodlanderDemocrat · New Hampshire
Kevin HernRepublican · Oklahoma
Chrissy HoulahanDemocrat · Pennsylvania
John JoyceRepublican · Pennsylvania
Mike KellyRepublican · Pennsylvania
David KustoffRepublican · Tennessee
Young KimRepublican · California
Thomas KeanRepublican · New Jersey
Jennifer KiggansRepublican · Virginia
Mike KennedyRepublican · Utah
Zoe LofgrenDemocrat · California
Ted LieuDemocrat · California
Michael LawlerRepublican · New York
Nicholas LangworthyRepublican · New York
Sam LiccardoDemocrat · California
Nicole MalliotakisRepublican · New York
Daniel MeuserRepublican · Pennsylvania
Carol MillerRepublican · West Virginia
Gregory MurphyRepublican · North Carolina
Frank MrvanDemocrat · Indiana
Richard McCormickRepublican · Georgia
Kevin MullinDemocrat · California
Celeste MaloyRepublican · Utah
Jay ObernolteRepublican · California
Burgess OwensRepublican · Utah
Scott PetersDemocrat · California
Jimmy PanettaDemocrat · California
Chris PappasDemocrat · New Hampshire
Brittany PettersenDemocrat · Colorado
Deborah RossDemocrat · North Carolina
John RutherfordRepublican · Florida
Maria SalazarRepublican · Florida
Marilyn StricklandDemocrat · Washington
Terri SewellDemocrat · Alabama
Bradley SchneiderDemocrat · Illinois
Darren SotoDemocrat · Florida
Mary Gay ScanlonDemocrat · Pennsylvania
Haley StevensDemocrat · Michigan
Claudia TenneyRepublican · New York
Lori TrahanDemocrat · Massachusetts
David ValadaoRepublican · California
Randy WeberRepublican · Texas
George WhitesidesDemocrat · California
Rudy YakymRepublican · Indiana