[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3108 Introduced in House (IH)]
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119th CONGRESS
1st Session
H. R. 3108
To amend title XVIII of the Social Security Act with respect to payment
for remote patient monitoring under the Medicare program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
April 30, 2025
Mr. Kustoff (for himself, Mr. Balderson, Mr. Davis of North Carolina,
and Mr. Pocan) 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
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act with respect to payment
for remote patient monitoring under the Medicare program.
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 ``Rural Patient Monitoring Access
Act'' or the ``RPM Access Act''.
SEC. 2. FINDINGS.
Congress finds the following:
(1) Remote patient monitoring (in this section referred to
as ``RPM'') supports highly coordinated care, improves patient
outcomes, and can lower costs to the Medicare program.
(2) Three out of five federally designated health
professional shortage areas are in rural regions, and rural
residents generally must travel farther than urban counterparts
to access health care services.
(3) Medicare reimbursement for RPM is lowest in States
where the prevalence of heart failure, hypertension, and
diabetes are well above the national average.
(4) The practice expenses and malpractice expenses incurred
in the delivery of RPM are not lower in rural areas and do not
widely vary by State.
SEC. 3. FLOOR FOR PRACTICE EXPENSE AND MALPRACTICE GEOGRAPHIC INDICES
FOR REMOTE PATIENT MONITORING.
Section 1848(e)(1) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)) is amended by adding at the end the following new
subparagraph:
``(J) Floor for practice expense and malpractice
geographic indices for remote patient monitoring.--For
purposes of payment for remote patient monitoring
furnished on or after January 1, 2026, after
calculating the practice expense and malpractice
geographic indices in clauses (i) and (ii) of
subparagraph (A) and in subparagraph (B), the Secretary
shall increase any such index to 1.00 if such index
would otherwise be less than 1.00. The preceding
sentence shall not be applied in a budget neutral
manner.''.
SEC. 4. ENSURING HIGH-QUALITY REMOTE PATIENT MONITORING UNDER MEDICARE.
(a) In General.--Section 1834 of the Social Security Act (42 U.S.C.
1395m) is amended by adding at the end the following new subsection:
``(aa) Payment for Remote Patient Monitoring.--In the case of
remote patient monitoring furnished on or after January 1, 2026, no
payment may be made under this part for such monitoring furnished by a
provider of services or supplier unless--
``(1) a physician, nurse practitioner, clinical nurse
specialist, or physician assistant is available in real time to
respond to any physiologic anomaly detected through such
monitoring;
``(2) such monitoring is furnished through a system that
can transmit physiologic data obtained through such monitoring
in a format that is compatible with electronic health records,
as needed; and
``(3) the provider or supplier collects and reports such
data as the Secretary may require in order to facilitate the
evaluation of cost savings to the program under this title that
are generated by the use of remote patient monitoring, except
that the Secretary may exempt a provider or supplier under this
paragraph if the Secretary determines that such collection and
reporting of data would result in unreasonable hardship upon
such provider or supplier.''.
(b) Report.--
(1) In general.--Not later than 5 years after the date of
the enactment of this section, the Secretary of Health and
Human Services shall submit to Congress a report that includes
the following information, with respect to the 4-year period
beginning January 1, 2026:
(A) An analysis of the estimated savings to the
Medicare program resulting from earlier interventions
and fewer days of hospitalization among Medicare
beneficiaries furnished remote patient monitoring (as
such term is used for purposes of title XVIII of the
Social Security Act (42 U.S.C. 1395 et seq.)) during
such period.
(B) An analysis of the estimated savings to the
Medicare program resulting from increased adherence to
prescription medications among Medicare beneficiaries
furnished remote patient monitoring during such period.
(C) An analysis of practice expenses as defined in
section 1848(j) of the Social Security Act (42 U.S.C.
1395w-4(j)) related to the furnishing of remote patient
monitoring during such period, including expenses
related to cellular connectivity and other technology
platform maintenance.
(2) Definitions.--In this subsection:
(A) Medicare beneficiary.--The term ``Medicare
beneficiary'' means an individual entitled to benefits
under part A of title XVIII of the Social Security Act
(42 U.S.C. 1395c et seq.) or enrolled under part B of
such title (42 U.S.C. 1395j et seq.)
(B) Medicare program.--The term ``Medicare
program'' means the Medicare program under title XVIII
of the Social Security Act (42 U.S.C. 1395 et seq.).
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