What does Preamble of FAIC Act do?

This bill proposes to amend title XVIII of the Social Security Act. The stated purpose is to ensure equitable payment for cancer treatments. The bill also aims to preserve Medicare beneficiary access to cancer treatments. These provisions relate to the Medicare hospital outpatient prospective payment system.

What does SHORT TITLE. of FAIC Act do?

This bill is formally titled the Facilitating Access to Innovation in Cancer Care Act

What does SEPARATE PAYMENT FOR CERTAIN CANCER TREATMENTS. of FAIC Act do?

This section amends the Social Security Act to establish a process for separate payments for certain cancer treatments. Beginning in 2026, the Secretary will not package payments for specified cancer treatments into payments for covered outpatient services. The separate payment amount will be based on the average sales price, wholesale acquisition cost, or mean unit cost, depending on data availability. A threshold of $350 is set for 2026, with subsequent years increasing based on the OPD fee schedule increase factor. The Secretary must make adjustments to ensure budget neutrality. A 'specified cancer treatment' is defined as a drug or biological approved by the FDA on or after January 1, 2008, for cancer treatment or detection, that does not receive transitional pass-through payments, and whose payment would otherwise be packaged with outpatient services.

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FAIC Act

Last updated: 3/20/2026 · Introduced: 3/20/2026

Author: Neal Dunn (R-FL)

TL;DR (AI)

The bill establishes a process for Medicare to separately pay for certain cancer treatments, starting in 2026, rather than bundling them with other outpatient services.
Payments for these specified cancer treatments will be based on average sales price, wholesale acquisition cost, or mean unit cost, with a minimum threshold.
The bill defines 'specified cancer treatment' as a drug or biological approved by the FDA on or after January 1, 2008, for cancer treatment or detection, that does not receive transitional pass-through payments.

119th Congressin committeeOfficial page

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Other Sections

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

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