Sponsors (4)
The bill eliminates cost-sharing for chronic care management in Medicare—improving access and potentially health outcomes for beneficiaries—while raising program spending and creating incentives for higher utilization and provider charges that could increase costs for taxpayers and the program.
Medicare beneficiaries with chronic conditions will no longer pay deductibles or coinsurance for chronic care management services starting Jan 1, 2027, reducing out-of-pocket costs for routine chronic care.
Seniors and other beneficiaries with chronic conditions will face fewer financial barriers to ongoing care, likely increasing use of chronic care management and potentially improving disease control and health outcomes.
Hospitals, clinics, and clinicians will receive full payment (100% of allowable or actual charge), improving reimbursement predictability and supporting providers' ability to furnish chronic care management services.
Eliminating cost-sharing will increase Medicare program spending, which could raise federal outlays and/or put upward pressure on premiums or taxes borne by taxpayers and beneficiaries.
Higher reimbursement combined with no patient cost-sharing may encourage greater utilization of billed chronic care management services, increasing program costs without guaranteed proportional improvements in health outcomes.
Permitting payment up to providers' actual charges (subject to the fee-schedule ceiling) could incentivize providers to set higher charges up to that ceiling, complicating efforts to contain Medicare costs.
Based on analysis of 2 sections of legislative text.
Removes Medicare Part B cost-sharing and the Part B deductible for chronic care management services and requires Medicare to pay 100% of the lesser of charge or fee-schedule amount for those services.
Introduced April 14, 2026 by Suzan K. Delbene · Last progress April 14, 2026
Eliminates Medicare Part B cost-sharing and the Part B deductible for chronic care management (CCM) services starting January 1, 2027. It requires Medicare to pay 100% of the lesser of the actual charge or the applicable fee-schedule amount for those services furnished on or after that date.