H.R. 3023 · 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, Apr 24, 2025
What this bill does
In plain words · AI-written from the official summaryCracks down on hospital outpatient billing practices
Ever wondered why hospitals sometimes charge differently for the same service depending on where you get it? This bill removes certain exceptions that allow hospitals to charge Medicare higher rates for services at off-campus outpatient departments. It also requires hospitals to use distinct identifiers when billing insurance companies for services at these off-campus locations, making billing practices more transparent and consistent.
How it affects you
If you're on Medicare and receive care at a hospital's off-campus outpatient department, this bill could mean lower out-of-pocket costs for you, since hospitals would face more consistent payment rules. Hospitals themselves will need to change their billing systems to comply with the new identifier requirements.
Read the official summary (Introduced in House, Apr 24, 2025)
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.
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. 3023
A BILL
Preventing Hospital Overbilling of Medicare Act
Sponsor: Rep. Victoria Spartz (R-IN-5) · Introduced Apr 24, 2025 · Health · 1 version of the text
Sources: Congress.gov actions and votes · bill text from GovInfo · latest official action Apr 24, 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.”