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Ensuring Medicare Payment for New AI and Algorithm-Based Health Services.

This law aims to ensure that the Medicare program adequately pays for new medical services utilizing artificial intelligence and machine learning technologies. This change grants seniors and other Medicare beneficiaries faster access to innovative diagnostic and treatment tools. The legislation guarantees stable funding for these technologies for at least five years, encouraging hospitals to adopt them.
Key points
Medicare must cover and pay for FDA-approved algorithm-based healthcare services (AI/ML) used for diagnosis or treatment.
New AI technologies will receive guaranteed, stable payment rates for a minimum of 5 years, speeding up their availability to patients.
Payment rates will be based on the manufacturer's submitted costs, including subscription fees and overhead.
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Status: Introduced
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Additional Information
Print number: 119_HR_6197
Sponsor: Rep. Joyce, John [R-PA-13]
Process start date: 2025-11-20