119-s1776

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 1776 Introduced in Senate

    (IS) ]

<DOC>

119th CONGRESS
 1st Session
 S. 1776

 To amend title XVIII of the Social Security Act to limit the 
 coinsurance amount for certain services furnished in an ambulatory 
 surgical center.

_______________________________________________________________________

 IN THE SENATE OF THE UNITED STATES

 May 15, 2025

 Mr. Cassidy (for himself and Mr. Blumenthal) introduced the following 
 bill; which was read twice and referred to the Committee on Finance

_______________________________________________________________________

 A BILL

 To amend title XVIII of the Social Security Act to limit the 
 coinsurance amount for certain services furnished in an ambulatory 
 surgical center.

 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 ``Medicare Beneficiary Co-Pay Fairness 
Act''.

SEC. 2. LIMITATION ON COINSURANCE AMOUNT.

    (a) In General.--

Section 1833 of the Social Security Act (42 U.S.C. 
1395l) is amended--

    (1) in subsection

    (a)

    (1)
        (G) , by inserting ``subject to 
 subsection

    (ee) ,'' before ``with respect to facility 
 services''; and

    (2) by adding at the end the following new subsection:
 ``

    (ee) Limitation on Coinsurance Amount for Certain Services 
Furnished in an Ambulatory Surgical Center.--In the case that 
application of subsection

    (a)

    (1)
        (G) would result in the imposition of a 
coinsurance amount with respect to facility services described in such 
subsection furnished during a year with respect to a surgical procedure 
that exceeds the amount of the inpatient hospital deductible 
established under 

section 1813

    (b) for such year, the Secretary shall--
 ``

    (1) reduce the amount of such coinsurance to an amount 
 equal to such deductible; and
 ``

    (2) pay to the supplier furnishing such services an 
 amount equal to such reduction.''.

    (b) Effective Date.--The amendments made by this section shall 
apply to services furnished on or after January 1, 2026.
 <all>