HR5526-118

Reported

To amend title XVIII of the Social Security Act to clarify the application of the in-office ancillary services exception to the physician self-referral prohibition for drugs furnished under the Medicare program.

118th Congress Introduced Sep 18, 2023

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

This bill, To amend title XVIII of the Social Security Act to clarify the application of the in-office ancillary services exception to the physician self-referral prohibition for drugs furnished under the Medicare program., changes federal law or congressional policy affecting health care providers and patients. The main policy domain is Healthcare, Social Welfare, Government Operations.

Who Benefits and How

health care providers and patients may benefit from new authority, funding, eligibility, regulatory clarity, or reduced risk created by the bill.

Who Bears the Burden and How

federal implementing agencies, health care providers and patients may take on implementation duties, reporting obligations, compliance costs, or oversight responsibilities.

Key Provisions

  • Section H0683434550D1466A867C8369913A8E1F: 1. Short title This Act may be cited as the Seniors’ Access to Critical Medications Act of 2024.
  • Section H368C05B9787249B58185E2BDBACC99A1: 2. Clarifying the application of the in-office ancillary services exception to the physician self-referral prohibition for covered outpatient drugs furnished...
  • Section H25A65A42643141769B6EE1D740F97729: 3. Medicare coverage of external infusion pumps and non-self-administrable home infusion drugs Section 1861(n) of the Social Security Act (42 U.S.C. 1395x(n))...
  • Section H560CE96D7E0F4DA58B5C72E223D40311: 4. Medicare Improvement Fund Section 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking $0 and inserting $114,000,000.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

This bill, To amend title XVIII of the Social Security Act to clarify the application of the in-office ancillary services exception to the physician self-referral prohibition for drugs furnished under the Medicare program., changes federal law or congressional policy affecting health care providers and patients.

Key Policy Areas

Healthcare, Social Welfare, Government Operations

Primary Purpose

This bill, To amend title XVIII of the Social Security Act to clarify the application of the in-office ancillary services exception to the physician self-referral prohibition for drugs furnished under the Medicare program., changes federal law or congressional policy affecting health care providers and patients.

Policy Domains

Healthcare Social Welfare Government Operations

Whole bill

Identified Gains
  • health care providers and patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: eh
health care providers and patients:
Identified Costs
  • federal implementing agencies
  • health care providers and patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: eh
federal implementing agencies:
health care providers and patients:

Legislative Progress

Reported
Introduced Committee Passed
Sep 24, 2024

Received; read twice and referred to the Committee on Finance

Sep 19, 2024

Additional sponsors: Mr. Johnson of Ohio, Mr. Hudson, Ms. Blunt …

Sep 19, 2024

Reported from the Committee on Energy and Commerce with amendments

Sep 19, 2024

Committee on Ways and Means discharged; committed to the Committee …

Sep 18, 2023

Mrs. Harshbarger (for herself, Ms. Wasserman Schultz, Mr. Fleischmann, Mr. …

Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Social Welfare Government Operations
Actor Mappings
"secretary_of_health_and_human_services"
→ Secretary of Health and Human Services

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology