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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.
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Status:
Introduced
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Additional Information
To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.
Print number: HR 3006
Sponsor: Rep. Kelly, Mike [R-PA-16]
Process start date: 2025-04-24