H.R. 3006
119th CONGRESS 1st Session
To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.
IN THE HOUSE OF REPRESENTATIVES · April 24, 2025 · Sponsor: Mr. Kelly of Pennsylvania
Table of contents
SEC. 1. Limitation on coinsurance amount
- (a) In general
- Section 1833 of the Social Security Act () is amended— 42 U.S.C. 1395l
- in subsection (a)(1)(G), by inserting before ; and
- (ee) Limitation on coinsurance amount for certain services furnished in an ambulatory surgical center
- In the case that application of subsection (a)(1)(G) would result in the imposition of a coinsurance amount with respect to facility services described in such subsection furnished during a year with respect to a surgical procedure that exceeds the amount of the inpatient hospital deductible established under section 1813(b) for such year, the Secretary shall—
- reduce the amount of such coinsurance to an amount equal to such deductible; and
- pay to the supplier furnishing such services an amount equal to such reduction.
- In the case that application of subsection (a)(1)(G) would result in the imposition of a coinsurance amount with respect to facility services described in such subsection furnished during a year with respect to a surgical procedure that exceeds the amount of the inpatient hospital deductible established under section 1813(b) for such year, the Secretary shall—
- (ee) Limitation on coinsurance amount for certain services furnished in an ambulatory surgical center
- by adding at the end the following new subsection:
- in subsection (a)(1)(G), by inserting before ; and
- Section 1833 of the Social Security Act () is amended— 42 U.S.C. 1395l
- (b) Effective date
- The amendments made by this section shall apply to services furnished on or after January 1, 2026.