119-hr3580

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3580 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 3580

To increase oversight and transparency with respect to Medicare billing 
 codes.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 May 23, 2025

 Mr. Ciscomani (for himself, Mr. Smucker, and Mrs. Harshbarger) 
 introduced the following bill; which was referred to the Committee on 
 Ways and Means, and in addition to the Committee on Energy and 
Commerce, for a period to be subsequently determined by the Speaker, in 
 each case for consideration of such provisions as fall within the 
 jurisdiction of the committee concerned

_______________________________________________________________________

 A BILL

To increase oversight and transparency with respect to Medicare billing 
 codes.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Oversight of Medicare Billing Code 
Cost Act''.

SEC. 2. INCREASING OVERSIGHT AND TRANSPARENCY WITH RESPECT TO MEDICARE 
 BILLING CODES.

    (a) HHS OIG Study and Report.--

    (1) Study.--The Inspector General of the Department of 
 Health and Human Services shall conduct a comprehensive study 
 of the processes used by the Centers for Medicare & Medicaid 
 Services for adding, modifying, and removing billing codes 
 under the Medicare program under title XVIII of the Social 
 Security Act (42 U.S.C. 1395 et seq.). Such study shall include 
 an analysis of--
        (A) the level and types of data and analysis 
 considered;
        (B) trends in the number and types of codes added, 
 modified, removed, or revalued;
            (C) areas or specialties with the highest growth; 
 and
            (D) efforts by the Centers for Medicare & Medicaid 
 Services to monitor effects on outcomes, costs over 
 time, and other issues.

    (2) Report.--Not later than 12 months after the date of 
 enactment of this Act, the Inspector General shall submit to 
 Congress a report containing the results of the study conducted 
 under paragraph

    (1) , together with recommendations for such 
 legislation and administrative action the Inspector General 
 determines appropriate to improve transparency and oversight of 
 the processes described in such paragraph.

    (b) Annual Reporting on New Medicare Billing Codes.--Not later than 
June 1 of each year (beginning with 2025), the Secretary of Health and 
Human Services shall submit to Congress and make publicly available on 
the internet website of the Centers for Medicare & Medicaid Services a 
report listing any billing codes added under the Medicare program under 
title XVIII of the Social Security Act during the preceding year, along 
with the associated volume and expenditures for such codes under the 
Medicare program.
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