Skip to main content
CivicGate

HR 3006
Introduced Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.

To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.

To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.

Introduced Apr 24, 2025

Latest action (Apr 24, 2025) 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.

Referred to
Ways and Means Committee Energy and Commerce Committee
Policy area
Health
Issues
Healthcare

Summary

This bill amends Medicare to limit the coinsurance amount that beneficiaries must pay for surgical procedures performed in ambulatory surgical centers. Currently, Medicare coinsurance for ambulatory surgical center facility services can exceed the annual inpatient hospital deductible. Under this bill, if the coinsurance amount would exceed the inpatient hospital deductible for that year, the coinsurance is reduced to equal the deductible amount instead. Medicare pays the surgical center the difference between the original coinsurance and the reduced amount. The changes take effect for services furnished on or after January 1, 2026.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)
21 cosponsors

Money behind the sponsor

Top reported contributors to Mike Kelly’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.

  • NULL $43,700
  • THE PARKER FOUNDATION $13,200
  • LINDY PAVING INC. $8,800
  • GREATER PITTSBURGH AUTO DEALERS ASSOCI $8,300
  • ANDERSON COACH & TRAVEL $8,300

Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Mike Kelly → · Outside spending →

Actions (2)
  1. Apr 24, 2025 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. · house
  2. Apr 24, 2025 Introduced in House

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

  • HR 1867 — To amend title XVIII of the Social Security Act to remove in-person requirements under Medicare for mental health services furnished through telehealth and telecommunications technology. · Introduced Mar 5, 2025 · Cong. 119 74%
  • HR 3007 — Medicare Protection Act of 2025 · Introduced Apr 24, 2025 · Cong. 119 74%
  • HR 1614 — To amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program. · Introduced Feb 26, 2025 · Cong. 119 73%
  • HR 5064 — Save our Safety-Net Hospitals Act of 2025 · Introduced Aug 29, 2025 · Cong. 119 71%
  • HR 4345 — To amend title XVIII of the Social Security Act to expand the definition of critical access hospital under the Medicare program to include certain hospitals on Indian reservations. · Introduced Jul 10, 2025 · Cong. 119 71%
  • HR 3501 — To amend title XVIII of the Social Security Act to provide for certain cognitive impairment detection in the Medicare annual wellness visit and initial preventive physical examination. · Introduced May 19, 2025 · Cong. 119 70%

Text versions (1)
  • Introduced in House · Apr 24, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

Full text

IN THE HOUSE OF REPRESENTATIVES

April 24, 2025

Mr. Kelly of Pennsylvania (for himself, Mr. Menendez, Mr. Balderson, and Mr. Larson of Connecticut) introduced the following bill; which 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

A BILL

To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. LIMITATION ON COINSURANCE AMOUNT.

(a) In General.—Section 1833 of the Social Security Act (42 U.S.C. 1395l) is amended—

(1) in subsection (a)(1)(G), by inserting “subject to subsection (ee),” before “with respect to facility services”; and

(2) by adding at the end the following new subsection: “(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—

“(1) reduce the amount of such coinsurance to an amount equal to such deductible; and

“(2) pay to the supplier furnishing such services an amount equal to such reduction.”.

(b) Effective Date.—The amendments made by this section shall apply to services furnished on or after January 1, 2026. <all>

Comments

Comments

Loading comments…