Summary

Limits Medicare payment for certain electrodiagnostic tests unless those tests are performed at a “qualified facility” that meets specified accreditation and facility-quality rules. The law requires the Secretary of HHS to identify approved accrediting organizations, issue regulations on a timeline, and establish a National Electrodiagnostic Services Advisory Committee to advise on standards and implementation. A phased compliance window delays the payment prohibition until a date the Secretary sets between three and four years after enactment.

Key Points

• Medicare will only pay for certain electrodiagnostic services when they are provided at an HHS‑designated “qualified facility.”
• Facilities must meet accreditation and facility‑quality standards; the Secretary will list approved accrediting organizations.
• The Secretary must issue regulations and identify accrediting organizations on a set timetable to implement the rule.
• A National Electrodiagnostic Services Advisory Committee will be created to advise the Secretary on standards and implementation.
• Medicare payment prohibition for nonqualified locations is delayed until a date set by the Secretary between three and four years after enactment.
• No new dedicated Medicare appropriation is specified; compliance is enforced by withholding payments after the transition period.
• Smaller, rural, or independent providers may need time and resources to obtain accreditation to avoid payment loss.
• CMS will take on regulatory and administrative responsibilities, including rulemaking and accreditor oversight.

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