What does Preamble of Promoting Fairness for Medicare Providers Act of 2026 do?

This bill aims to amend title XVIII of the Social Security Act It seeks to align Medicare payment for specified surgical procedures The alignment is with high-cost supplies furnished in office-based facilities

What does SHORT TITLE. of Promoting Fairness for Medicare Providers Act of 2026 do?

This bill is formally titled Promoting Fairness for Medicare Providers Act of 2026.

What does ALIGNING PAYMENT UNDER MEDICARE FOR SPECIFIED HIGH SUPPLY COST of Promoting Fairness for Medicare Providers Act of 2026 do?

This section amends the Social Security Act to align payment under Medicare for specified high supply cost surgical procedures furnished in office-based facilities. It defines specified high supply cost surgical procedures and office-based facilities, and establishes payment rules for these procedures. The payment amount for facility services furnished in connection with these procedures shall be 80 percent of the payment amount determined under section 1834(bb) for such facility services. The section also includes conforming amendments to other sections of the Social Security Act, such as sections 1833 and 1866. It requires office-based facilities to meet health, safety, and other standards specified by the Secretary and to participate under this part.

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Promoting Fairness for Medicare Providers Act of 2026

Last updated: 3/9/2026 · Introduced: 3/9/2026

Author: Gus Bilirakis (R-FL)

TL;DR (AI)

This bill amends Medicare to align payments for specified surgical procedures with the cost of high-cost supplies used in office-based facilities.
Medicare payment for facility services related to these procedures will be set at 80% of the amount currently determined under section 1834(bb).
Office-based facilities providing these procedures must meet health, safety, and other standards established by the Secretary to participate.

119th Congressin committeeOfficial page

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Other Sections

Includes provisions on preamble, short title., and 1 more.

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