Ways and Means Committee, Energy and Commerce Committee
Introduced
In Committee
On Floor
Passed Chamber
Enacted
This bill aims to significantly enhance Medicare coverage for audiology services. It amends the Social Security Act to include audiology services as a covered benefit, specifically defining them as hearing and balance assessment services until the end of 2026, and then as diagnostic or treatment services provided by qualified audiologists starting January 1, 2027. A key provision of this bill is the elimination of the requirement for a physician referral or supervision for beneficiaries to access these services from a qualified audiologist. This change grants Medicare beneficiaries direct access to audiology care, streamlining the process for diagnosis and treatment of hearing and balance conditions. The bill ensures that these services, when furnished by an audiologist, would otherwise be covered if provided by a physician or incident to a physician's service. Furthermore, the legislation establishes that Medicare will pay 80 percent of the lesser of the actual charge or the fee schedule amount for these audiology services. It also includes qualified audiologists as practitioners for assignment-related payments and allows them to provide services in Rural Health Clinics and Federally Qualified Health Centers, broadening access points for care. These changes are set to take effect on January 1, 2027.
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 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.
This bill aims to significantly enhance Medicare coverage for audiology services. It amends the Social Security Act to include audiology services as a covered benefit, specifically defining them as hearing and balance assessment services until the end of 2026, and then as diagnostic or treatment services provided by qualified audiologists starting January 1, 2027. A key provision of this bill is the elimination of the requirement for a physician referral or supervision for beneficiaries to access these services from a qualified audiologist. This change grants Medicare beneficiaries direct access to audiology care, streamlining the process for diagnosis and treatment of hearing and balance conditions. The bill ensures that these services, when furnished by an audiologist, would otherwise be covered if provided by a physician or incident to a physician's service. Furthermore, the legislation establishes that Medicare will pay 80 percent of the lesser of the actual charge or the fee schedule amount for these audiology services. It also includes qualified audiologists as practitioners for assignment-related payments and allows them to provide services in Rural Health Clinics and Federally Qualified Health Centers, broadening access points for care. These changes are set to take effect on January 1, 2027.
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 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.