[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3006 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 3006

     To amend title XVIII of the Social Security Act to limit the 
  coinsurance amount for certain services furnished in an ambulatory 
                            surgical center.


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                    IN THE HOUSE OF REPRESENTATIVES

                             April 24, 2025

 Mr. Kelly of Pennsylvania (for himself, Mr. Menendez, Mr. Balderson, 
and Mr. Larson of Connecticut) introduced the following bill; which was 
 referred to the Committee on Energy and Commerce, and in addition to 
   the Committee on Ways and Means, 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

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                                 A BILL


 
     To amend title XVIII of the Social Security Act to limit the 
  coinsurance amount for certain services furnished in an ambulatory 
                            surgical center.

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

SECTION 1. LIMITATION ON COINSURANCE AMOUNT.

    (a) In General.--Section 1833 of the Social Security Act (42 U.S.C. 
1395l) is amended--
            (1) in subsection (a)(1)(G), by inserting ``subject to 
        subsection (ee),'' before ``with respect to facility 
        services''; and
            (2) by adding at the end the following new subsection:
    ``(ee) Limitation on Coinsurance Amount for Certain Services 
Furnished in an Ambulatory Surgical Center.--In the case that 
application of subsection (a)(1)(G) would result in the imposition of a 
coinsurance amount with respect to facility services described in such 
subsection furnished during a year with respect to a surgical procedure 
that exceeds the amount of the inpatient hospital deductible 
established under section 1813(b) for such year, the Secretary shall--
            ``(1) reduce the amount of such coinsurance to an amount 
        equal to such deductible; and
            ``(2) pay to the supplier furnishing such services an 
        amount equal to such reduction.''.
    (b) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after January 1, 2026.
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