118 HR 6801 IH: RPM Cost Sharing Elimination Study Act of 2023 U.S. House of Representatives 2023-12-14 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.

I118th CONGRESS1st SessionH. R. 6801IN THE HOUSE OF REPRESENTATIVESDecember 14, 2023Mrs. Cherfilus-McCormick (for herself, Mr. Ruiz, and Ms. Sewell) introduced the following bill; which was 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 concernedA BILLTo amend title XVIII of the Social Security Act to ensure that remote physiologic monitoring services are not subject to cost sharing under the Medicare program.

1.

Short title

This Act may be cited as the RPM Cost Sharing Elimination Study Act of 2023.

2.

Ensuring that remote physiologic monitoring services are not subject to cost sharing under the Medicare program

(a)

In general

Section 1833 of the Social Security Act (42 U.S.C. 1395l) is amended—(1)in subsection (a)(1)—(A)by striking and (HH) and inserting (HH); and(B)by inserting before the semicolon at the end the following , and (II) with respect to remote physiologic monitoring services, the amounts paid shall be 100 percent of the lesser of the actual charge for the services or the amount determined under the payment basis established under section 1848; and(2)in subsection (b), in the first sentence—(A)by striking , and (13) and inserting (13); and(B)by striking the first period at the end and inserting , and (14) such deductible shall not apply with respect to remote physiologic monitoring services.(b)

Medicare Advantage

Section 1852(a)(1)(B) of the Social Security Act (42 U.S.C. 1395w–22(a)(1)(B)) is amended—(1)in clause (iv)—(A)by redesignating subclause (VIII) as subclause (IX); and(B)by inserting after subclause (VII) the following new subclause:(C)by adding at the end the following new subclause:(VIII)Remote physiologic monitoring services.; and(2)in clause (v), by striking and (VI) and inserting (VI), and (VIII).(c)

Report

Not later than June 30, 2026, the Secretary of Health and Human Services shall submit to Congress a report on the effects eliminating cost sharing for remote physiologic monitoring services under Medicare had on patient health outcomes and on any cost savings attributable so such elimination.(d)

Effective date

The amendments made by this section shall apply with respect to items and services furnished on or after January 1, 2024, and before January 1, 2026.