What does Preamble of Access to Pediatric Technologies Act of 2025 do?

This bill proposes to amend title XVIII of the Social Security Act. The stated purpose of the bill is to facilitate patient access to certain pediatric technologies.

What does SHORT TITLE. of Access to Pediatric Technologies Act of 2025 do?

This bill is formally titled the Access to Pediatric Technologies Act of 2025.

What does FACILITATING ACCESS TO PEDIATRIC TECHNOLOGIES. of Access to Pediatric Technologies Act of 2025 do?

This section amends Section 1848 of the Social Security Act to facilitate access to pediatric technologies. It establishes a process for the Secretary to establish national relative value units for qualifying pediatric technologies furnished on or after January 1, 2026, upon a manufacturer's request. The Secretary will use a payment methodology and available data, including pricing information and claims data, to establish these relative value units. Manufacturers can submit written requests to the Secretary to initiate this process through the annual rulemaking process for the physician fee schedule. The timeline for establishing relative value units depends on when the manufacturer submits the request; requests submitted by May 1 will be addressed in the current year's rulemaking, while later requests will be addressed the following year. A 'qualifying pediatric technology' is defined as a medical device covered under the title, approved or cleared under the Federal Food, Drug, and Cosmetic Act, described by a temporary Level I HCPCS Code, and used predominantly on pediatric patients or specifically designed for pediatric use. This section clarifies that it does not require coverage of these technologies or alter existing coverage requirements.

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Access to Pediatric Technologies Act of 2025

Last updated: 1/24/2025 · Introduced: 1/24/2025

Author: Marsha Blackburn (R-TN)

TL;DR (AI)

This bill establishes a process for the Secretary of Health and Human Services to create payment rates for specific medical technologies primarily used on children.
Manufacturers can request the Secretary to establish these payment rates for qualifying pediatric technologies, which are medical devices with temporary codes used on pediatric patients.
The bill does not mandate coverage of these technologies or change existing coverage rules, but rather aims to standardize payment for them.

119th Congressin committeeHR. 1931(In Committee)Official page

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Other Sections

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

3 sections

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