What does REFORM OF THE MEDICARE SUPPLEMENTAL OXYGEN BENEFIT. of SOAR Act of 2025 do?

This section amends the Social Security Act to remove oxygen and related equipment, supplies, and services from the Competitive Acquisition Program, effective January 1, 2026. Payment for these items will be made according to existing provisions of section 1834(a)(9) of the Social Security Act. Payment amounts will vary based on geographic area (competitive bidding areas, rural areas, and other areas). For liquid oxygen, a separate payment amount will be established by the Secretary, considering various cost factors and stakeholder input. A transitional interim payment amount will be in effect before the new liquid oxygen payment system is implemented.

What does ESTABLISHMENT OF SUPPLEMENTAL OXYGEN RESPONSIBILITIES of SOAR Act of 2025 do?

This section amends Section 1834(a)(9) of the Social Security Act to define the scope of services oxygen suppliers must provide to receive payment. The Secretary is required to define these services in consultation with stakeholders. Required services include an initial evaluation using a uniform oxygen patient evaluation form. Suppliers must ensure beneficiaries have access to portable oxygen based on their mobility needs. Education for beneficiaries and caregivers on oxygen safety and equipment is mandated. Suppliers must provide timely delivery, setup, and coordination of oxygen services. Regular equipment checks, infection control information, and monitoring visits are also required. Suppliers must document exceptions and provide continued education on equipment maintenance. The amendment will take effect one year after the Act's enactment.