119 S1776 IS: Medicare Beneficiary Co-Pay Fairness Act U.S. Senate 2025-05-15 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

II 119th CONGRESS 1st Session S. 1776 IN THE SENATE OF THE UNITED STATES May 15, 2025 Mr. Cassidy (for himself and Mr. Blumenthal) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.

1.

Short title

This Act may be cited as the Medicare Beneficiary Co-Pay Fairness Act.

2.

Limitation on coinsurance amount

(a)

In general

Section 1833 of the Social Security Act (42 U.S.C. 1395l) is amended— (1) in subsection (a)(1)(G), by inserting subject to subsection (ee), before with respect to facility services; and (2) by adding at the end the following new subsection: (ee)

Limitation on coinsurance amount for certain services furnished in an ambulatory surgical center

In the case that application of subsection (a)(1)(G) would result in the imposition of a coinsurance amount with respect to facility services described in such subsection furnished during a year with respect to a surgical procedure that exceeds the amount of the inpatient hospital deductible established under section 1813(b) for such year, the Secretary shall— (1) reduce the amount of such coinsurance to an amount equal to such deductible; and (2) pay to the supplier furnishing such services an amount equal to such reduction. . (b)

Effective date

The amendments made by this section shall apply to services furnished on or after January 1, 2026.