H.R. 1931 · Where this bill is now
In committee
Introduced in the House, sent 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, Mar 6, 2025
What this bill does
In plain words · AI-written from the official summaryMedicare payment method for pediatric medical devices
When a company invents a new medical device designed mainly for children that Medicare covers, this bill lets them ask the government's health insurance program to set up a specific payment plan for it. Instead of using a temporary billing code, CMS would create a permanent payment method based on pricing data and actual claims from hospitals and doctors. Manufacturers would need to provide the information CMS needs to figure out what doctors and hospitals should be paid for using the device.
How it affects you
This mainly affects pediatric hospitals, doctors, and medical device companies. When a new children's device gets a clearer payment method, it may make it easier for pediatric patients to access newer technologies, and it gives hospitals more certainty about how much they'll be reimbursed for using them.
Read the official summary (Introduced in House, Mar 6, 2025)
Access to Pediatric Technologies Act of 2025
This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish, upon request, specific payment methodologies for qualifying pediatric technologies under the Medicare physician fee schedule. Qualifying pediatric technologies are medical devices that are (1) covered under Medicare, (2) approved by the Food and Drug Administration, (3) currently billed using a specified temporary billing code for emerging technologies, and (4) predominantly used or specifically designated for pediatric patients.
The CMS must develop a payment methodology for a qualifying pediatric technology upon request from the manufacturer and based on available data, including pricing information and claims data. Manufacturers must include relevant information in their requests to enable the CMS to develop the corresponding methodologies.
Written by AI (Claude) using only the official summary by the Congressional Research Service, the Library of Congress’s nonpartisan research staff. It can miss nuance, so check the official summary and the bill text for details.
1st SessionH. R. 1931
A BILL
Access to Pediatric Technologies Act of 2025
Sponsor: Rep. John Joyce (R-PA-13) · Introduced Mar 6, 2025 · Health · 1 version of the text
Sources: Congress.gov actions and votes · bill text from GovInfo · latest official action Mar 6, 2025: “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.”