Bill · H.R. 6852· House(119-HR-6852)
Advanced Wound Care and Regenerative Medicine Access and Reform Act
- Introduced
- 12/18/2025
- Last activity
- 12/18/2025 — 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
- Gabe Evans
- Cosponsors
- - 2 - 0
- Introduced
- In Committee
What this bill would do
This bill, the "Advanced Wound Care and Regenerative Medicine Access and Reform Act," changes how Medicare pays for skin substitute products. It establishes a new payment system based on a volume-weighted average and creates a single billing code for these products. The bill also introduces strict monitoring for "outlier providers" to prevent fraud, waste, and abuse. Additionally, it directs the government to review and streamline the approval process for human cellular and tissue-based products.
Yes· 3 of 10
Does this make the government pay for what it commits to?+5
Introduces fraud, waste, and abuse monitoring for the top 3% of providers receiving payments.
Does this reduce what the federal government spends?+4
Aims to reduce wasteful spending in Medicare through stricter monitoring of outlier providers and wastage exclusions.
Does this make what the government does easier for the public to see?+4
Requires the Secretary to make the list of outlier providers publicly available.
The opposite
Would business owners be better off under this?-4
Payment caps and strict outlier monitoring may negatively impact high-volume wound care providers.
Does this put more money into Medicare, the health coverage for people over 65?-2
Actually seeks to reduce spending through tighter payment controls and wastage exclusions.
Who it would affect, and how
Potential Positive Impacts for People
-
Increased Accountability: The Secretary will identify the top 3 percent of providers receiving the most payments as "outlier providers" and refer them to the Inspector General to check for fraud, waste, or abuse (Section 4(aa)(1)).
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Streamlined Product Approvals: The Secretary of Health and Human Services will review and identify ways to streamline application requirements and review timelines for human cellular and tissue-based products, which may improve patient access (Section 5(a)).
-
Consistent Payment Across Sites: The bill ensures that reimbursement for skin substitute products is the same regardless of the site of care where the product is applied (Section 3).
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Reduced Wasteful Spending: Medicare will only pay for the reasonable and necessary portion of a skin substitute product, specifically excluding wastage (Section 4(aa)(5)).
Potential Negative Impacts for People
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Restricted Access via Prior Authorization: Certain "outlier providers" will be required to get prior authorization before furnishing skin substitute products, which could potentially delay treatment (Section 4(aa)(3)).
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Risk of Provider Exclusion: Providers identified as outliers who have a prior authorization denial rate exceeding 75 percent for six consecutive months may be determined to have abused billing privileges and could be excluded from Federal health care programs (Section 4(aa)(4)).
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Payment Caps: The bill moves skin substitute products to a payment amount based on a volume-weighted average, which may limit the amount providers can be reimbursed (Section 2(b)(1)(A)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Economy And Finance
- Improves Fiscal Responsibility+5Reduces Government Spending+4Improves Consumer Protection+2Reduces National Debt+2
- Governance And Ideology
- Improves Government Transparency+4Increases Federal Power+3
- Demographic And Interest Groups
- Good For Retirees+3Good For Seniors+3Good For People With Disabilities+2Good For Business Owners-4
- Healthcare
- Improves Healthcare Access+3Increases Medicare Funding-2
- 8/27/2026
- 1 Cosponsor added.
- 2/3/2026
- 1 Cosponsor added.
- 12/18/2025
- 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.
- Introduced in House
Lance GoodenRepublican · Texas
Richard McCormickRepublican · Georgia