Bill · H.R. 5737· House(119-HR-5737)
ROOT Act
- Introduced
- 10/10/2025
- Last activity
- 10/10/2025 — 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
- Diana Harshbarger
- Cosponsors
- - 1 - 0
- Introduced
- In Committee
What this bill would do
The Radiology Outpatient Ordering Transmission Act, or ROOT Act, seeks to amend the Social Security Act regarding data collection for imaging services. It modifies how clinical decision support mechanisms provide information to the Secretary. The bill introduces new categories for imaging services, including clinical trials, small or rural practices, and specific screenings like mammographies. It also establishes a system to identify "low compliant" ordering professionals based on their compliance rates. Finally, it requires the Secretary to conduct studies and reports on these compliance rates and their impact on service utilization.
Yes· 3 of 6
Would people in rural areas be better off under this?+5
The bill excludes imaging services ordered by practices in rural health professional shortage areas from compliance rate calculations.
Does this make it easier to run a small business?+5
The bill excludes imaging services ordered by small practices of 15 or fewer professionals from compliance rate calculations.
Does this make health care easier to get in general?+3
Exempting specific screenings like mammographies and lung cancer screenings from compliance data collection helps protect access to these essential services.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Exemptions for Specific Health Screenings: Certain imaging services will be excluded from compliance rate calculations, which may benefit patients receiving essential screenings. These include mammographies, lung cancer screenings using computed tomography, and colonographies using computed tomography (Section 2(a)(2)(C)).
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Protections for Small and Rural Practices: The bill includes provisions that exclude applicable imaging services ordered by professionals in small practices (15 or fewer ordering professionals) or practices located in rural health professional shortage areas from the compliance rate calculations (Section 2(a)(2)(C)(v)).
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Support for Clinical Trials: Imaging services ordered as part of a clinical trial are also excluded from the compliance rate calculations (Section 2(a)(2)(C)(iv)).
Potential Negative Impacts for People
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New Compliance Requirements for Professionals: Starting January 1, 2026, the bill establishes requirements for "low compliant" ordering professionals, which could lead to increased oversight (Section 2(a)(3)).
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Potential for Increased Restrictions or Costs: The Secretary is directed to study and report on various mechanisms to improve compliance, which may include implementing prior authorization for imaging services ordered by those designated as low compliant, or adjusting payments through the fee schedule (Section 2(a)(3)(4)(A)(i)(II)).
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 Rural Residents+5Good For Low Income Households+2Good For Seniors+2
- Economy And Finance
- Improves Small Business Support+5
- Healthcare
- Improves Healthcare Access+3
- Governance And Ideology
- Improves Government Transparency+2
- 10/10/2025
- 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
2 bills Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Blake MooreRepublican · Utah