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Greater Freedom in Doctor Choice and Billing for Medicare Patients

This bill aims to give Medicare patients more freedom in choosing their doctors and how they pay for medical services. It allows direct contracts with healthcare professionals while still enabling beneficiaries to use their Medicare benefits. This is intended to improve access to healthcare and increase flexibility in managing treatment costs.
Key points
Medicare patients can enter into written contracts directly with healthcare professionals, setting prices in advance.
Beneficiaries can still submit claims for Medicare reimbursement for services covered by the contract, even if the professional is not in the Medicare network.
Contracts must clearly state the patient's payment responsibility and inform them that Medicare price limits do not apply.
The bill does not apply to individuals who are eligible for both Medicare and Medicaid (dual-eligible beneficiaries).
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Additional Information
Print number: 117_HR_3322
Sponsor: Rep. Sessions, Pete [R-TX-17]
Process start date: 2021-05-18