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Oversight of Medicare Billing Code Cost Act
To increase oversight and transparency with respect to Medicare billing codes.
Summary
- Directs the HHS Inspector General to conduct a comprehensive study of the Centers for Medicare & Medicaid Services processes for adding, modifying, and removing Medicare billing codes.
- Requires the Inspector General to analyze data types considered, trends in codes, high-growth specialties, and efforts to monitor effects on outcomes and costs.
- Requires the Inspector General to submit a report to Congress within 12 months with study results and recommendations for improving transparency and oversight of billing code processes.
- Requires the Secretary of Health and Human Services to submit an annual report to Congress by June 1 each year (beginning 2025) listing new Medicare billing codes added and their associated volume and expenditures.
- Requires the annual report to be made publicly available on the Centers for Medicare & Medicaid Services website.
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)
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![Rep. Ciscomani, Juan [R-AZ-6]](https://media.civicgate.org/people/d/politicians/C001133.thumb.jpg)
Rep. Ciscomani, Juan (R-AZ) [#6]
2 cosponsors
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![Rep. Harshbarger, Diana [R-TN-1]](https://media.civicgate.org/people/d/politicians/H001086.thumb.jpg)
Rep. Harshbarger, Diana (R-TN) [#1] -
![Rep. Smucker, Lloyd [R-PA-11]](https://media.civicgate.org/people/d/politicians/S001199.thumb.jpg)
Rep. Smucker, Lloyd (R-PA) [#11]
Money behind the sponsor
Top reported contributors to Juan Ciscomani’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- Employer not reported $28,615
- HSL PROPERTIES $26,900
- APS $23,350
- HYDRONALIX $21,800
- COTTONWOOD PROPERTIES $21,071
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Juan Ciscomani → · Outside spending →
Actions (2)
- May 23, 2025 Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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
- May 23, 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.
Text versions (1)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
IN THE HOUSE OF REPRESENTATIVES
May 23, 2025
Mr. Ciscomani (for himself, Mr. Smucker, and Mrs. Harshbarger) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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 increase oversight and transparency with respect to Medicare billing codes.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “Oversight of Medicare Billing Code Cost Act”.
SEC. 2. INCREASING OVERSIGHT AND TRANSPARENCY WITH RESPECT TO MEDICARE BILLING CODES.
(a) HHS OIG Study and Report.—
(1) Study.—The Inspector General of the Department of Health and Human Services shall conduct a comprehensive study of the processes used by the Centers for Medicare & Medicaid Services for adding, modifying, and removing billing codes under the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.). Such study shall include an analysis of—
(A) the level and types of data and analysis considered;
(B) trends in the number and types of codes added, modified, removed, or revalued;
(C) areas or specialties with the highest growth; and
(D) efforts by the Centers for Medicare & Medicaid Services to monitor effects on outcomes, costs over time, and other issues.
(2) Report.—Not later than 12 months after the date of enactment of this Act, the Inspector General shall submit to Congress a report containing the results of the study conducted under paragraph (1), together with recommendations for such legislation and administrative action the Inspector General determines appropriate to improve transparency and oversight of the processes described in such paragraph.
(b) Annual Reporting on New Medicare Billing Codes.—Not later than June 1 of each year (beginning with 2025), the Secretary of Health and Human Services shall submit to Congress and make publicly available on the internet website of the Centers for Medicare & Medicaid Services a report listing any billing codes added under the Medicare program under title XVIII of the Social Security Act during the preceding year, along with the associated volume and expenditures for such codes under the Medicare program. <all>
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