What does Preamble of Outpatient Surgery Access Act of 2026 do?

This bill aims to amend title XVIII of the Social Security Act The amendment targets payments for ambulatory surgical centers under Medicare

What does SHORT TITLE. of Outpatient Surgery Access Act of 2026 do?

This bill is formally titled the Outpatient Surgery Access Act of 2026.

What does ALIGNING UPDATES FOR AMBULATORY SURGICAL CENTER SERVICES WITH of Outpatient Surgery Access Act of 2026 do?

This section amends Section 1833(i)(2)(D) of the Social Security Act. Clause (v) of Section 1833(i)(2)(D) is moved six ems to the left. Clause (vi) of Section 1833(i)(2)(D) is redesignated as clause (vii). A new clause (vi) is inserted after clause (v) of Section 1833(i)(2)(D). The Secretary shall apply an annual update equal to the OPD fee schedule increase factor specified under subsection (t)(3)(C)(iv) for 2027 and subsequent years, adjusted according to clauses (iv) and (v).

What does ALIGNMENT OF BUDGET NEUTRALITY ADJUSTMENT FOR OUTPATIENT of Outpatient Surgery Access Act of 2026 do?

This section modifies sections 1833(i)(2)(D)(ii) and 1833(t)(9)(B) of the Social Security Act. For 2027 and subsequent years, the Secretary is prohibited from applying adjustments to outpatient surgical procedures that would result in the same aggregate expenditures as if the subparagraph did not apply. The Secretary is required to consider expenditures made under the revised payment system when determining adjustments for 2027 and subsequent years.

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Outpatient Surgery Access Act of 2026

Last updated: 3/25/2026 · Introduced: 3/25/2026

Author: Beth Van Duyne (R-TX)

TL;DR (AI)

The bill amends Medicare payments for ambulatory surgical centers, aligning updates with the outpatient prospective payment system fee schedule increase factor.
For 2027 and beyond, the bill prohibits adjustments to outpatient surgical procedure payments that would result in the same aggregate expenditures as prior to the amendment.
The Secretary must consider expenditures under the revised payment system when determining future payment adjustments.

119th Congressin committeeOfficial page

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Other Sections

Includes provisions on preamble, short title., and 2 more.

4 sections

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