To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.

This bill would cap what Medicare patients have to pay out of pocket for the facility part of certain surgeries done at ambulatory surgical centers. If a patient’s coinsurance for the center would be higher than the yearly Medicare inpatient hospital deductible, the amount they owe would be lowered to match that deductible. Medicare would then pay the surgical center the difference so the center still gets paid in full for that portion of the bill.

Key points:

• Who is affected: People with Medicare getting certain procedures at ambulatory surgical centers.
• What changes: Your coinsurance for the facility fee can’t be more than the inpatient hospital deductible for that year; Medicare covers the rest to the center.
• When: Applies to services on or after January 1, 2026.