H.R. 3580

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 3580 Introduced in House (IH)] <DOC> 119th CONGRESS 1st Session H. R. 3580 To increase oversight and transparency with respect to Medicare billing codes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES May 23, 2025 Mr. Ciscomani (for himself, Mr. Smucker, and Mrs. Harshbarger) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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 increase oversight and transparency with respect to Medicare billing codes. 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 ``Oversight of Medicare Billing Code Cost Act''. SEC. 2. INCREASING OVERSIGHT AND TRANSPARENCY WITH RESPECT TO MEDICARE BILLING CODES. (a) HHS OIG Study and Report.-- (1) Study.--The Inspector General of the Department of Health and Human Services shall conduct a comprehensive study of the processes used by the Centers for Medicare & Medicaid Services for adding, modifying, and removing billing codes under the Medicare program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.). Such study shall include an analysis of-- (A) the level and types of data and analysis considered; (B) trends in the number and types of codes added, modified, removed, or revalued; (C) areas or specialties with the highest growth; and (D) efforts by the Centers for Medicare & Medicaid Services to monitor effects on outcomes, costs over time, and other issues. (2) Report.--Not later than 12 months after the date of enactment of this Act, the Inspector General shall submit to Congress a report containing the results of the study conducted under paragraph (1), together with recommendations for such legislation and administrative action the Inspector General determines appropriate to improve transparency and oversight of the processes described in such paragraph. (b) Annual Reporting on New Medicare Billing Codes.--Not later than June 1 of each year (beginning with 2025), the Secretary of Health and Human Services shall submit to Congress and make publicly available on the internet website of the Centers for Medicare & Medicaid Services a report listing any billing codes added under the Medicare program under title XVIII of the Social Security Act during the preceding year, along with the associated volume and expenditures for such codes under the Medicare program. <all>