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Preventing Medicare Telefraud Act
3/27/2025, 3:12 PM
Summary of Bill HR 1785
Bill 119 hr 1785, also known as the "Medicare DMEPOS Competitive Bidding Improvement Act of 2021," aims to make changes to the Medicare program in order to improve the provision of high-cost durable medical equipment (DME) and laboratory testing.
The bill proposes amendments to Title XVIII of the Social Security Act, which governs the Medicare program. Specifically, it establishes new requirements for the provision of certain high-cost DME and laboratory testing services.
One key provision of the bill is the implementation of a competitive bidding process for DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) suppliers. This process aims to ensure that Medicare beneficiaries have access to high-quality DME at competitive prices. Additionally, the bill includes provisions to improve the oversight and quality standards for laboratory testing services covered by Medicare. This is intended to ensure that beneficiaries receive accurate and reliable test results. Overall, the goal of Bill 119 hr 1785 is to enhance the efficiency and effectiveness of the Medicare program in providing high-cost DME and laboratory testing services to beneficiaries.
The bill proposes amendments to Title XVIII of the Social Security Act, which governs the Medicare program. Specifically, it establishes new requirements for the provision of certain high-cost DME and laboratory testing services.
One key provision of the bill is the implementation of a competitive bidding process for DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) suppliers. This process aims to ensure that Medicare beneficiaries have access to high-quality DME at competitive prices. Additionally, the bill includes provisions to improve the oversight and quality standards for laboratory testing services covered by Medicare. This is intended to ensure that beneficiaries receive accurate and reliable test results. Overall, the goal of Bill 119 hr 1785 is to enhance the efficiency and effectiveness of the Medicare program in providing high-cost DME and laboratory testing services to beneficiaries.
Congressional Summary of HR 1785
Preventing Medicare Telefraud Act
This bill establishes conditions for payment of certain telehealth services, laboratory tests, and durable medical equipment under Medicare.
Specifically, the bill conditions payment for certain high-cost laboratory tests and durable medical equipment that are ordered via telehealth on at least one in-person visit during the preceding six-month period. Additionally, practitioners must submit claims for separately billable telehealth services under the practitioner's unique national provider identification number.
Read the Full Bill
Current Status of Bill HR 1785
Bill HR 1785 is currently in the status of Bill Introduced since March 3, 2025. Bill HR 1785 was introduced during Congress 119 and was introduced to the House on March 3, 2025. Bill HR 1785's most recent activity was 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. as of March 3, 2025
Bipartisan Support of Bill HR 1785
Total Number of Sponsors
4Democrat Sponsors
4Republican Sponsors
0Unaffiliated Sponsors
0Total Number of Cosponsors
0Democrat Cosponsors
0Republican Cosponsors
0Unaffiliated Cosponsors
0Policy Area and Potential Impact of Bill HR 1785
Primary Policy Focus
HealthAlternate Title(s) of Bill HR 1785
To amend title XVIII of the Social Security Act to establish requirements for the provision of certain high-cost durable medical equipment and laboratory testing, and for other purposes.
To amend title XVIII of the Social Security Act to establish requirements for the provision of certain high-cost durable medical equipment and laboratory testing, and for other purposes.
Comments
Sponsors and Cosponsors of HR 1785
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