HR6545-119

Introduced

To prohibit health insurers, including Medicaid managed care organizations and other private health plans, from imposing arbitrary time caps on reimbursement for anesthesia services and for other purposes.

119th Congress Introduced Dec 9, 2025

Legislative Progress

Introduced
Introduced Committee Passed
Dec 9, 2025

Mr. Torres of New York introduced the following bill; which …

Summary

What This Bill Does

The Anesthesia for All Act prohibits health insurance companies and Medicaid managed care organizations from putting arbitrary time limits on how long they will pay for anesthesia during medical procedures. Instead of insurers deciding when to cut off payment based on a clock, the bill requires them to reimburse anesthesia providers based on what is medically necessary for the patient, as determined by the attending anesthesiologist or nurse anesthetist.

Who Benefits and How

Anesthesiologists, Certified Registered Nurse Anesthetists (CRNAs), and hospitals benefit because they will receive full reimbursement for anesthesia care without fear of payment denials for longer procedures. Patients undergoing surgeries that require extended anesthesia—such as complex cardiac, orthopedic, or trauma surgeries—benefit by not being stuck with surprise bills when their insurance stops paying mid-procedure. This is especially important for elderly patients and those with complicated conditions who often need longer surgical times.

Who Bears the Burden and How

Health insurance companies and Medicaid managed care organizations face increased costs because they can no longer limit anesthesia payments to predetermined time periods. They must also submit to periodic audits by the HHS Inspector General and respond to compliance investigations. Insurance companies that violate the law face enforcement actions and must report to regulators.

Key Provisions

  • Prohibits group health plans and individual health insurance from imposing time caps on anesthesia reimbursement
  • Requires Medicaid programs to pay for anesthesia without arbitrary time limits
  • Gives attending anesthesia providers—not insurers—authority to determine medical necessity
  • Requires the HHS Inspector General to audit insurers for compliance every 3 years
  • Creates a mechanism for patients and providers to report violations and trigger investigations
Model: claude-opus-4
Generated: Dec 27, 2025 17:41

Evidence Chain:

This summary is derived from the structured analysis below. See "Detailed Analysis" for per-title beneficiaries/burden bearers with clause-level evidence links.

Primary Purpose

Prohibits health insurers and Medicaid from imposing arbitrary time caps on reimbursement for anesthesia services during medically necessary procedures.

Policy Domains

Healthcare Insurance Regulation Medicaid

Legislative Strategy

"Patient protection through prohibition of insurer time caps on anesthesia reimbursement"

Likely Beneficiaries

  • Anesthesia providers (anesthesiologists, CRNAs)
  • Patients undergoing surgeries or procedures requiring extended anesthesia
  • Hospitals and surgical centers

Likely Burden Bearers

  • Health insurance companies
  • Medicaid managed care organizations
  • Group health plans

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Insurance Regulation
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
"the_inspector_general"
→ Inspector General of Department of Health and Human Services

Key Definitions

Terms defined in this bill

2 terms
"anesthesia services" §3

Medical care provided by an anesthesiologist, certified registered nurse anesthetist, or licensed anesthesia provider during medically necessary procedures

"medical necessity" §3(b)

Necessity as assessed by the attending anesthesiologist, certified registered nurse anesthetist, or licensed anesthesia provider

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