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Promoting Fairness for Medicare Providers Act: Better Access to Office-Based Surgery

This bill changes how Medicare pays for surgeries involving expensive supplies when performed in a doctor's office. It aims to make these procedures more accessible while capping the amount patients have to pay out of pocket.
Key points
Aligns Medicare payments for office-based surgeries with those performed in specialized surgical centers.
Caps patient copayments at the level of the standard hospital inpatient deductible.
Ensures doctor's offices meet strict safety and health standards to qualify for these new payment rules.
Covers procedures where medical supplies cost more than $500, starting in 2027.
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Status:
Introduced
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Additional Information
Promoting Fairness for Medicare Providers Act of 2026
Print number: HR 7863
Sponsor: Rep. Bilirakis, Gus M. [R-FL-12]
Process start date: 2026-03-09