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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.
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Status: Introduced
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Additional Information
Print number: 119_S_1776
Sponsor: Sen. Cassidy, Bill [R-LA]
Process start date: 2025-05-15