[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8032 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                                H. R. 8032

  To amend title XVIII of the Social Security Act to ensure equitable 
   payment for, and preserve Medicare beneficiary access to, cancer 
 treatments under the Medicare hospital outpatient prospective payment 
                                system.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 20, 2026

Mr. Dunn of Florida (for himself and Mr. Soto) introduced the following 
 bill; which was 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

_______________________________________________________________________

                                 A BILL


 
  To amend title XVIII of the Social Security Act to ensure equitable 
   payment for, and preserve Medicare beneficiary access to, cancer 
 treatments under the Medicare hospital outpatient prospective payment 
                                system.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Facilitating Access to Innovation in 
Cancer Care Act'' or the ``FAIC Act''.

SEC. 2. SEPARATE PAYMENT FOR CERTAIN CANCER TREATMENTS.

    Section 1833(t)(16) of the Social Security Act (42 U.S.C. 
1395(t)(16)) is amended by adding at the end the following new 
subparagraph:
                    ``(H) Separate payment for certain cancer 
                treatments.--
                            ``(i) In general.--Notwithstanding any 
                        other provision of this subsection, with 
                        respect to a specified cancer treatment (as 
                        defined in clause (v)) furnished during a year 
                        (beginning with 2026), the Secretary shall not 
                        package payment for such treatment into a 
                        payment for a covered OPD service (or group of 
                        services), and shall make a separate payment as 
                        specified in clause (ii) for such treatment, if 
                        such treatment has an estimated mean per day 
                        product cost equal to or exceeding the 
                        threshold specified in clause (iii) for such 
                        year.
                            ``(ii) Separate payment.--For purposes of 
                        clause (i), the separate payment specified in 
                        this clause for a specified cancer treatment is 
                        a payment in an amount equal to--
                                    ``(I) the average sales price for 
                                such treatment established under 
                                section 1847A, as calculated and 
                                adjusted by the Secretary to the extent 
                                such adjustment is adopted for other 
                                specified covered outpatient drugs 
                                under paragraph (14)(A)(iii)(II); or
                                    ``(II) if the data necessary to 
                                calculate such average sales price for 
                                such treatment is not available, the 
                                wholesale acquisition cost (as defined 
                                in subsection 1847A(c)(6)(B)) for such 
                                treatment, as calculated and adjusted 
                                by the Secretary to the extent such 
                                adjustment is adopted for other 
                                specified covered outpatient drugs 
                                under paragraph (14)(A), or, if such 
                                wholesale acquisition cost is not 
                                available, the mean unit cost for such 
                                treatment (as derived from hospital 
                                claims data).
                            ``(iii) Threshold.--For purposes of clause 
                        (i), the threshold specified in this clause 
                        is--
                                    ``(I) for 2026, $350; and
                                    ``(II) for a subsequent year, the 
                                amount specified in this clause for the 
                                preceding year, increased by the OPD 
                                fee schedule increase factor under 
                                paragraph (3)(C)(iv) for the year.
                            ``(iv) Budget neutrality.--The Secretary 
                        shall make such adjustments as are necessary 
                        under this subsection to ensure that the amount 
                        of expenditures under this subsection for a 
                        year with application of this subparagraph is 
                        equal to the amount of expenditures that would 
                        be made under this subsection for such year 
                        without application of this subparagraph.
                            ``(v) Definition.--For purposes of this 
                        subparagraph, the term `specified cancer 
                        treatment' means a drug or biological that--
                                    ``(I) is approved by the Food and 
                                Drug Administration on or after January 
                                1, 2008, for use in the detection or 
                                treatment of cancer;
                                    ``(II) does not receive 
                                transitional pass-through payments 
                                under paragraph (6); and
                                    ``(III) has payment that would, but 
                                for application of this subparagraph, 
                                be packaged into a payment for a 
                                covered OPD service (or group of 
                                services).''.
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