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Limiting Coinsurance for Ambulatory Surgical Center Services

This bill aims to limit the amount citizens have to pay as coinsurance for certain services provided in ambulatory surgical centers. If the coinsurance exceeds a specific limit, it will be reduced, potentially lowering healthcare costs for patients. These changes will take effect on January 1, 2026.
Key points
Caps the maximum coinsurance amount patients pay for services at ambulatory surgical centers.
If coinsurance exceeds the limit, it will be reduced to the inpatient hospital deductible amount.
Aims to reduce financial burden for patients using these services.
New rules apply to services furnished on or after January 1, 2026.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_HR_3006
Sponsor: Rep. Kelly, Mike [R-PA-16]
Process start date: 2025-04-24
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

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

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 119_HR_3006.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2025-04-24.

What are the main provisions?

Key points include:

  • Caps the maximum coinsurance amount patients pay for services at ambulatory surgical centers.
  • If coinsurance exceeds the limit, it will be reduced to the inpatient hospital deductible amount.
  • Aims to reduce financial burden for patients using these services.
  • New rules apply to services furnished on or after January 1, 2026.
What is the specific legal status?

The current status is Introduced.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Kelly, Mike [R-PA-16].

What is the latest detailed status?

The latest detailed status is: Introduced in House

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-22.

CATEGORIES

Health