Sponsors (2)
The bill removes out-of-pocket costs for chronic care management and boosts provider payment—improving access and likely health outcomes for Medicare patients, while increasing federal spending and the risk of higher utilization and billing.
Medicare beneficiaries with chronic conditions will no longer owe cost-sharing or deductibles for chronic care management services beginning Jan 1, 2027, lowering out-of-pocket costs and likely increasing use of these services, which can improve disease control and reduce hospitalizations.
Hospitals and other provider organizations will receive full payment (100% of allowed or charge) for chronic care management services, improving financial incentives and likely increasing provider participation in offering these services.
Eliminating cost-sharing and increasing program payments will raise federal Medicare spending, creating fiscal pressures that could translate into higher premiums, greater taxpayer costs, or shifts in other program resources.
Higher payments may incentivize increased billing and utilization of chronic care management services, raising administrative costs and the risk of unnecessary or overused services affecting Medicare beneficiaries and provider billing practices.
Based on analysis of 2 sections of legislative text.
Eliminates Part B cost-sharing and the Part B deductible for chronic care management services furnished on or after Jan 1, 2027 by requiring Medicare to pay 100% of the allowable amount.
Introduced April 14, 2026 by Suzan K. Delbene · Last progress April 14, 2026
Eliminates Medicare Part B beneficiary cost-sharing for chronic care management services provided on or after January 1, 2027 by requiring Medicare to pay the full allowable amount and by exempting those services from the Part B deductible. The bill targets chronic care management services as defined in existing Medicare law and changes how payment and patient cost-sharing are applied for those services.