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Outpatient Surgery Access Act of 2026
To amend title XVIII of the Social Security Act to modernize payments for ambulatory surgical centers under the Medicare program.
Summary
This bill modernizes how Medicare pays ambulatory surgical centers for outpatient procedures. Starting in 2027, it aligns the annual payment updates for ambulatory surgical centers with the payment updates used for hospital outpatient departments. The bill removes a budget neutrality adjustment that was specific to ambulatory surgical centers and instead combines their expenditures with hospital outpatient department spending for budget calculations. These changes aim to create a more consistent and modernized payment system for outpatient surgical services.
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)
1 cosponsor
Money behind the sponsor
Top reported contributors to Beth Van Duyne’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- NULL $51,100
- INSPERITY $14,800
- AMERICAN AIRLINES $14,473
- BANK OF THE WEST $14,200
- CHARTER BROKERAGE LLC $13,862
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Beth Van Duyne → · Outside spending →
Actions (2)
- Mar 25, 2026 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
- Mar 25, 2026 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.
Full text
IN THE HOUSE OF REPRESENTATIVES
March 25, 2026
Ms. Van Duyne (for herself 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 modernize payments for ambulatory surgical centers under the Medicare program.
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 “Outpatient Surgery Access Act of 2026”.
SEC. 2. ALIGNING UPDATES FOR AMBULATORY SURGICAL CENTER SERVICES WITH UPDATES FOR OPD SERVICES.
Section 1833(i)(2)(D) of the Social Security Act (42 U.S.C. 1395l(i)(2)(D)) is amended—
(1) in clause (v), by moving the margin 6 ems to the left;
(2) by redesignating clause (vi) as clause (vii); and
(3) by inserting after clause (v) the following new clause:
“(vi) In implementing the system described in clause (i) for 2027 and each subsequent year, the Secretary shall apply an annual update under such system that is equal to the OPD fee schedule increase factor specified under subsection (t)(3)(C)(iv) for such year, adjusted in accordance with clauses (iv) and (v).”.
SEC. 3. ALIGNMENT OF BUDGET NEUTRALITY ADJUSTMENT FOR OUTPATIENT SURGICAL PROCEDURES.
(a) Prohibiting ASC-Specific Budget Neutrality Adjustment.—Section 1833(i)(2)(D)(ii) of the Social Security Act (42 U.S.C. 1395l(i)(2)(D)(ii)) is amended by adding at the end the following new sentence: “In implementing such system for 2027 and each subsequent year, the Secretary may not apply under such system any adjustment designed to result in the same aggregate amount of expenditures for such services for the year as would be made if this subparagraph did not apply (as described in the preceding sentence).”.
(b) Combining Volume for Budget Neutrality Calculation.—Section 1833(t)(9)(B) of the Social Security Act (42 U.S.C. 1395l(t)(9)(B)) is amended by adding at the end the following new sentence: “In determining adjustments under the first sentence of this subparagraph for 2027 and each subsequent year, the Secretary shall take into account any expenditures made under the revised payment system under subsection (i)(2)(D).”. <all>
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