Section 1 Short title
This Act may be cited as the “RPM Cost Sharing Elimination Study Act of 2023”.
RPM Cost Sharing Elimination Study Act of 2023
A BILL
To 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.
Sec. 2 Ensuring that remote physiologic monitoring services are not subject to cost sharing under the Medicare program
in subsection (a)(1)—
by striking “and (HH)” and inserting “(HH)”; and
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
in subsection (b), in the first sentence—
by striking “, and (13)” and inserting “(13)”; and
by striking the first period at the end and inserting “, and (14) such deductible shall not apply with respect to remote physiologic monitoring services”.
Medicare Advantage— Section 1852(a)(1)(B) of the Social Security Act (42 U.S.C. 1395w–22(a)(1)(B)) is amended—
in clause (iv)—
by redesignating subclause (VIII) as subclause (IX); and
by inserting after subclause (VII) the following new subclause:
by adding at the end the following new subclause:
“(VIII) Remote physiologic monitoring services.”
in clause (v), by striking “and (VI)” and inserting “(VI), and (VIII)”.
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.
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.