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Preventing Hospital Overbilling
Recent Bills/Preventing Hospital Overbilling

Preventing Hospital Overbilling

IntroducedApril 24, 2025
In Senate5 months ago
Intro
House
Senate
Pres
Reported to Senate
Health
Why This Matters

This bill aims to stop hospitals from charging more for services provided at off-campus locations than they would at their main facility. It helps ensure fair billing practices for Medicare patients.

If you use Medicare and visit an off-campus hospital department, your bills could be lower starting in 2026.
Who this affects
Medicare patients
What changes is this bill making?
  1. 1This bill changes how hospitals bill for services provided at off-campus locations.
  2. 2It ensures that off-campus departments are treated the same as other outpatient facilities.
  3. 3The bill requires hospitals to have separate identifiers for off-campus departments.
  4. 4It aims to reduce costs for Medicare by preventing overbilling.
  5. 5The changes will take effect starting January 1, 2026.
Read the detailed summary

Preventing Hospital Overbilling of Medicare Act This bill repeals certain exceptions to site-neutral payments with respect to Medicare payments to an off-campus outpatient department of a health care provider. It also requires providers to use separate, unique health identifiers when submitting a claim to a health insurance issuer for services provided at an off-campus outpatient department.

Read full document
Bill Progress3 of 4
Bills must pass the House, Senate, and be signed by the President to become law.
Intro
House
Senate
Pres
IntroducedApr 24, 2025
Sponsors
See all 8 sponsors
House
SenateCurrent

Reported to Senate

President

The President

Donald Trump
President
Awaiting Vote
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