H.R. 3108

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3108 Introduced in House (IH)]

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119th CONGRESS
1st Session
H. R. 3108

To amend title XVIII of the Social Security Act with respect to payment 
for remote patient monitoring under the Medicare program.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

April 30, 2025

Mr. Kustoff (for himself, Mr. Balderson, Mr. Davis of North Carolina, 
and Mr. Pocan) 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 with respect to payment 
for remote patient monitoring 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 ``Rural Patient Monitoring Access 
Act'' or the ``RPM Access Act''.

SEC. 2. FINDINGS.

Congress finds the following:
(1) Remote patient monitoring (in this section referred to 
as ``RPM'') supports highly coordinated care, improves patient 
outcomes, and can lower costs to the Medicare program.
(2) Three out of five federally designated health 
professional shortage areas are in rural regions, and rural 
residents generally must travel farther than urban counterparts 
to access health care services.
(3) Medicare reimbursement for RPM is lowest in States 
where the prevalence of heart failure, hypertension, and 
diabetes are well above the national average.
(4) The practice expenses and malpractice expenses incurred 
in the delivery of RPM are not lower in rural areas and do not 
widely vary by State.

SEC. 3. FLOOR FOR PRACTICE EXPENSE AND MALPRACTICE GEOGRAPHIC INDICES 
FOR REMOTE PATIENT MONITORING.

Section 1848(e)(1) of the Social Security Act (42 U.S.C. 1395w-
4(e)(1)) is amended by adding at the end the following new 
subparagraph:
``(J) Floor for practice expense and malpractice 
geographic indices for remote patient monitoring.--For 
purposes of payment for remote patient monitoring 
furnished on or after January 1, 2026, after 
calculating the practice expense and malpractice 
geographic indices in clauses (i) and (ii) of 
subparagraph (A) and in subparagraph (B), the Secretary 
shall increase any such index to 1.00 if such index 
would otherwise be less than 1.00. The preceding 
sentence shall not be applied in a budget neutral 
manner.''.

SEC. 4. ENSURING HIGH-QUALITY REMOTE PATIENT MONITORING UNDER MEDICARE.

(a) In General.--Section 1834 of the Social Security Act (42 U.S.C. 
1395m) is amended by adding at the end the following new subsection:
``(aa) Payment for Remote Patient Monitoring.--In the case of 
remote patient monitoring furnished on or after January 1, 2026, no 
payment may be made under this part for such monitoring furnished by a 
provider of services or supplier unless--
``(1) a physician, nurse practitioner, clinical nurse 
specialist, or physician assistant is available in real time to 
respond to any physiologic anomaly detected through such 
monitoring;
``(2) such monitoring is furnished through a system that 
can transmit physiologic data obtained through such monitoring 
in a format that is compatible with electronic health records, 
as needed; and
``(3) the provider or supplier collects and reports such 
data as the Secretary may require in order to facilitate the 
evaluation of cost savings to the program under this title that 
are generated by the use of remote patient monitoring, except 
that the Secretary may exempt a provider or supplier under this 
paragraph if the Secretary determines that such collection and 
reporting of data would result in unreasonable hardship upon 
such provider or supplier.''.
(b) Report.--
(1) In general.--Not later than 5 years after the date of 
the enactment of this section, the Secretary of Health and 
Human Services shall submit to Congress a report that includes 
the following information, with respect to the 4-year period 
beginning January 1, 2026:
(A) An analysis of the estimated savings to the 
Medicare program resulting from earlier interventions 
and fewer days of hospitalization among Medicare 
beneficiaries furnished remote patient monitoring (as 
such term is used for purposes of title XVIII of the 
Social Security Act (42 U.S.C. 1395 et seq.)) during 
such period.
(B) An analysis of the estimated savings to the 
Medicare program resulting from increased adherence to 
prescription medications among Medicare beneficiaries 
furnished remote patient monitoring during such period.
(C) An analysis of practice expenses as defined in 
section 1848(j) of the Social Security Act (42 U.S.C. 
1395w-4(j)) related to the furnishing of remote patient 
monitoring during such period, including expenses 
related to cellular connectivity and other technology 
platform maintenance.
(2) Definitions.--In this subsection:
(A) Medicare beneficiary.--The term ``Medicare 
beneficiary'' means an individual entitled to benefits 
under part A of title XVIII of the Social Security Act 
(42 U.S.C. 1395c et seq.) or enrolled under part B of 
such title (42 U.S.C. 1395j et seq.)
(B) Medicare program.--The term ``Medicare 
program'' means the Medicare program under title XVIII 
of the Social Security Act (42 U.S.C. 1395 et seq.).
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