Medicare Oxygen Access Reform: Better Payments, Enhanced Services, and Patient Rights.
This law reforms Medicare payments for supplemental oxygen equipment and services by removing them from the competitive bidding program, aiming to improve access and quality, especially in rural areas. It establishes higher payment rates for suppliers and guarantees beneficiaries comprehensive services, including 24/7 support and coverage for respiratory therapist services. Beneficiaries will also receive clear, monthly notices regarding their remaining cost-sharing obligations.
Key points
Oxygen equipment is removed from Medicare's competitive bidding program, stabilizing supply and potentially improving service quality.
Suppliers must now provide comprehensive services, including 24/7 on-call coverage, patient education, timely delivery, and ensuring access to portable oxygen for mobility.
Medicare will cover services provided by respiratory therapists related to oxygen therapy, ensuring better clinical oversight.
New patient rights are established, including the right to choose a supplier, receive clear cost notices, and be informed of emergency plans (like power outage procedures).
Introduced
Additional Information
Print number: 119_S_1406
Sponsor: Sen. Cassidy, Bill [R-LA]
Process start date: 2025-04-10