H.R. 3580

119th CONGRESS 1st Session

To increase oversight and transparency with respect to Medicare billing codes.

IN THE HOUSE OF REPRESENTATIVES · May 23, 2025 · Sponsor: Mr. Ciscomani

Table of contents

• H.R. 3580
  • SEC. 1. Short title
  • SEC. 2. Increasing oversight and transparency with respect to Medicare billing codes

SEC. 1. Short title

• This Act may be cited as the Oversight of Medicare Billing Code Cost Act.

SEC. 2. Increasing oversight and transparency with respect to Medicare billing codes

• (a) HHS OIG study and report
  • HHS OIG study and report
  • (1) Study
    • The Inspector General of the Department of Health and Human Services shall conduct a comprehensive study of the processes used by the Centers for Medicare & Medicaid Services for adding, modifying, and removing billing codes under the Medicare program under title XVIII of the Social Security Act (). Such study shall include an analysis of— 42 U.S.C. 1395 et seq.
    • Study
      • the level and types of data and analysis considered;
      • trends in the number and types of codes added, modified, removed, or revalued;
      • areas or specialties with the highest growth; and
      • efforts by the Centers for Medicare & Medicaid Services to monitor effects on outcomes, costs over time, and other issues.
  • (2) Report
    • Not later than 12 months after the date of enactment of this Act, the Inspector General shall submit to Congress a report containing the results of the study conducted under paragraph (1), together with recommendations for such legislation and administrative action the Inspector General determines appropriate to improve transparency and oversight of the processes described in such paragraph.
• (b) Annual reporting on new Medicare billing codes
  • Not later than June 1 of each year (beginning with 2025), the Secretary of Health and Human Services shall submit to Congress and make publicly available on the internet website of the Centers for Medicare & Medicaid Services a report listing any billing codes added under the Medicare program under title XVIII of the Social Security Act during the preceding year, along with the associated volume and expenditures for such codes under the Medicare program.