This bill aims to significantly improve Medicare coverage for audiology services by amending the Social Security Act. It defines covered audiology services to include both hearing and balance assessment services, and beginning January 1, 2027, treatment services. A key provision allows these services to be furnished by a qualified audiologist without requiring a physician referral or supervision, thereby expanding direct access for beneficiaries. The legislation specifies that Medicare will pay 80 percent of the lesser of the actual charge or the fee schedule amount for these services. It also includes qualified audiologists as practitioners in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), further enhancing access to care. The provisions of this Act are set to take effect for services furnished on or after January 1, 2027 , ensuring a clear implementation timeline for these expanded benefits.
This bill aims to significantly improve Medicare coverage for audiology services by amending the Social Security Act. It defines covered audiology services to include both hearing and balance assessment services, and beginning January 1, 2027, treatment services. A key provision allows these services to be furnished by a qualified audiologist without requiring a physician referral or supervision, thereby expanding direct access for beneficiaries. The legislation specifies that Medicare will pay 80 percent of the lesser of the actual charge or the fee schedule amount for these services. It also includes qualified audiologists as practitioners in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), further enhancing access to care. The provisions of this Act are set to take effect for services furnished on or after January 1, 2027 , ensuring a clear implementation timeline for these expanded benefits.