Oversight of Medicare Billing Code Cost Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3580 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 3580

To increase oversight and transparency with respect to Medicare billing 
                                 codes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 23, 2025

    Mr. Ciscomani (for himself, Mr. Smucker, and Mrs. Harshbarger) 
 introduced the following bill; which was referred to the Committee on 
    Ways and Means, and in addition to the Committee on Energy and 
Commerce, for a period to be subsequently determined by the Speaker, in 
   each case for consideration of such provisions as fall within the 
                jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
To increase oversight and transparency with respect to Medicare billing 
                                 codes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Oversight of Medicare Billing Code 
Cost Act''.

SEC. 2. INCREASING OVERSIGHT AND TRANSPARENCY WITH RESPECT TO MEDICARE 
              BILLING CODES.

    (a) HHS OIG Study and Report.--
            (1) Study.--The Inspector General of the Department of 
        Health and Human Services shall conduct a comprehensive study 
        of the processes used by the Centers for Medicare & Medicaid 
        Services for adding, modifying, and removing billing codes 
        under the Medicare program under title XVIII of the Social 
        Security Act (42 U.S.C. 1395 et seq.). Such study shall include 
        an analysis of--
                    (A) the level and types of data and analysis 
                considered;
                    (B) trends in the number and types of codes added, 
                modified, removed, or revalued;
                    (C) areas or specialties with the highest growth; 
                and
                    (D) efforts by the Centers for Medicare & Medicaid 
                Services to monitor effects on outcomes, costs over 
                time, and other issues.
            (2) Report.--Not later than 12 months after the date of 
        enactment of this Act, the Inspector General shall submit to 
        Congress a report containing the results of the study conducted 
        under paragraph (1), together with recommendations for such 
        legislation and administrative action the Inspector General 
        determines appropriate to improve transparency and oversight of 
        the processes described in such paragraph.
    (b) Annual Reporting on New Medicare Billing Codes.--Not later than 
June 1 of each year (beginning with 2025), the Secretary of Health and 
Human Services shall submit to Congress and make publicly available on 
the internet website of the Centers for Medicare & Medicaid Services a 
report listing any billing codes added under the Medicare program under 
title XVIII of the Social Security Act during the preceding year, along 
with the associated volume and expenditures for such codes under the 
Medicare program.
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