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

This bill proposes an amendment to Title XVIII of the Social Security Act, specifically targeting Medicare's cost-sharing structure for services rendered in ambulatory surgical centers (ASCs) . Its primary goal is to establish a limitation on the coinsurance amount that beneficiaries pay for certain facility services provided in these centers. Under the proposed change, if a beneficiary's coinsurance for a surgical procedure in an ASC would exceed the annual inpatient hospital deductible , the Secretary of Health and Human Services would be required to reduce that coinsurance to match the deductible amount. The bill also stipulates that the supplier furnishing the services would receive an amount equal to this reduction. These amendments are slated to take effect for services furnished on or after January 1, 2026 , aiming to mitigate potentially high out-of-pocket expenses for Medicare beneficiaries utilizing ASCs.