National Coverage Determination Transparency Act
1/6/2025, 11:41 PMSummary of Bill HR 5389
Bill 118 hr 5389, also known as the National Coverage Determination Transparency Act, aims to increase transparency in the process of determining which medical treatments and services are covered by Medicare. The bill requires the Centers for Medicare and Medicaid Services (CMS) to make public all national coverage determinations (NCDs) within 30 days of finalizing them.NCDs are decisions made by CMS about whether Medicare will cover a particular medical treatment, procedure, or service. These determinations can have a significant impact on patients, providers, and healthcare organizations. By making NCDs public, the bill seeks to ensure that stakeholders have access to information about which treatments are covered by Medicare and why.
The bill also requires CMS to provide a detailed explanation of the evidence and reasoning behind each NCD, as well as any input received from stakeholders during the decision-making process. This information will help patients and providers understand the basis for CMS's coverage decisions and allow them to advocate for changes if necessary. Overall, the National Coverage Determination Transparency Act aims to promote accountability and transparency in the Medicare coverage determination process. By making NCDs public and providing detailed explanations of the decision-making process, the bill seeks to ensure that Medicare beneficiaries have access to the information they need to make informed decisions about their healthcare.
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Current Status of Bill HR 5389
Bill HR 5389 is currently in the status of Bill Introduced since September 12, 2023. Bill HR 5389 was introduced during Congress 118 and was introduced to the House on September 12, 2023. Bill HR 5389's most recent activity was Referred to the Subcommittee on Health. as of December 17, 2024Bipartisan Support of Bill HR 5389
Total Number of Sponsors
7Democrat Sponsors
0Republican Sponsors
7Unaffiliated Sponsors
0Total Number of Cosponsors
5Democrat Cosponsors
2Republican Cosponsors
3Unaffiliated Cosponsors
0Policy Area and Potential Impact of Bill HR 5389
Primary Policy Focus
HealthAlternate Title(s) of Bill HR 5389
National Coverage Determination Transparency ActNational Coverage Determination Transparency ActTo amend title XVIII of the Social Security Act to ensure transparency in the national coverage determination process under the Medicare program.Comments
Most relevant
Sponsors and Cosponsors of HR 5389
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