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Limiting Medicare Co-Pays for Outpatient Surgical Procedures

This new act aims to cap the amount Medicare beneficiaries pay for certain surgical services performed in outpatient centers. The maximum co-pay will not exceed the inpatient hospital deductible, potentially reducing financial burdens for those undergoing these procedures.
Key points
Co-pays for outpatient surgical center services will be capped at the inpatient hospital deductible amount.
These changes will take effect on January 1, 2026, potentially lowering costs for Medicare patients.
article Official text account_balance Process page
Introduced
Citizen Poll
No votes cast
Additional Information
Print number: 119_S_1776
Sponsor: Sen. Cassidy, Bill [R-LA]
Process start date: 2025-05-15
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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

Medicare Beneficiary Co-Pay Fairness Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 119_S_1776.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2025-05-15.

What are the main provisions?

Key points include:

  • Co-pays for outpatient surgical center services will be capped at the inpatient hospital deductible amount.
  • These changes will take effect on January 1, 2026, potentially lowering costs for Medicare patients.
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 Sen. Cassidy, Bill [R-LA].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-23.

CATEGORIES

Health Benefits