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New Radiation Therapy Payment Rules and Patient Transport Support

This act introduces a new payment system for radiation therapy for Medicare patients, aiming to stabilize costs and improve treatment quality. Additionally, it provides special add-on payments for transportation to patients facing access difficulties, facilitating their attendance at appointments.
Key points
Changes radiation therapy payment to an "episode of care" system, aiming for more predictable costs.
Introduces an add-on payment ($500 per patient, increasing annually) for radiation therapy providers to offer free or discounted transportation to patients with transport insecurity.
Mandates accreditation for most radiation therapy facilities to enhance service quality.
Excludes new radiation therapy technologies from the new payment system for 12 years to allow for development and valuation.
Provides an exception to civil monetary penalties for offering free or discounted transportation to radiation oncology patients, under specific conditions.
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Introduced
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Additional Information
Print number: 119_HR_2120
Sponsor: Rep. Fitzpatrick, Brian K. [R-PA-1]
Process start date: 2025-03-14