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Access to Prescription Digital Therapeutics in Medicare and Medicaid.

This act aims to include prescription digital therapeutics in Medicare and Medicaid insurance programs. This means that citizens using these programs may gain access to innovative digital solutions, such as applications or devices, that help prevent, treat, or manage diseases, if prescribed by a doctor. The act also sets out payment and reporting rules for manufacturers of these therapies.
Key points
Expansion of Medicare and Medicaid coverage to include prescription digital therapeutics starting January 1, 2024.
Definition of prescription digital therapeutic includes FDA-approved products, devices, internet applications, or other technologies primarily using software for medical purposes.
Introduction of new payment and coding rules for digital therapeutics, facilitating billing and accessibility.
Mandatory reporting for manufacturers of digital therapeutics to ensure price transparency and usage data.
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Additional Information
Access to Prescription Digital Therapeutics Act of 2023
Print number: HR 1458
Sponsor: Rep. Hern, Kevin [R-OK-1]
Process start date: 2023-03-08