Ask me about this bill
This is not an official government website.
Copyright © 2026 PLEJ LC. All rights reserved.
Amends the first sentence of section 915(a)(1) of the Public Health Service Act to add language (inserting before the period at the end) to include an oral health professional on the United States Preventive Services Task Force.
Amends 42 U.S.C. 1395w–3(a)(2) by replacing the phrase 'and excluding' with 'excluding' and by inserting additional text before the final period.
Adds a new subparagraph (MM) to subsection (s)(2) to include audiology services and hearing services (as defined in subsection (ll)) among listed items/services.
Makes textual amendments to 42 U.S.C. 1395l(a)(1) by striking specified text and inserting specified text (text of the strike/insert not reproduced in this section).
Adds a new subsection (cc) to 42 U.S.C. 1395m establishing payment and limits for audiology services and hearing services, specifying payment at 80 percent of the lesser of actual charge or amount under the payment basis determined under section 1848, and granting the Secretary authority to apply limitations or modify coverage consistent with USPSTF recommendations.
Inserts specified text into section 1848(j)(3) (the bill indicates an insertion before a specified character but the exact inserted text is not reproduced in this excerpt).
Strikes specified language from 1862(a)(7), thereby removing a ground for exclusion referenced in that paragraph (exact struck text not reproduced in this excerpt).
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Expands Medicare to cover dental/oral health, vision, and hearing services starting January 1, 2026. It defines what each benefit includes, sets how Medicare will pay for them (with a phase‑in for dental), and places reasonable limits on how often certain services or items can be covered.
The Secretary of Health and Human Services may set additional limits, require prior authorization, and adjust coverage to align with preventive care recommendations. The bill also updates Medicare rules so eyeglasses, contact lenses, and low‑vision devices are treated like durable medical equipment, makes a technical fix to existing law, and adds an oral health professional to the U.S. Preventive Services Task Force on a future date tied to enactment.
Introduced March 11, 2025 by Lloyd Alton Doggett · Last progress March 11, 2025