Skin Substitute Access and Payment Reform Act — HR. 5768

TL;DR (AI)

• The bill establishes a new coverage requirement for Medicare Advantage plans to cover skin substitutes.
• It mandates that Medicare payment for skin substitutes be based on the Average Sales Price (ASP) of the product plus a reasonable profit margin.
• The Act requires manufacturers of skin substitutes to report pricing data to the Centers for Medicare & Medicaid Services (CMS).