“A bill to ensure high-quality remote physiologic monitoring services for Medicare beneficiaries and for other purposes.”
No CRS summary available for this bill.
This section states congressional findings on remote physiologic monitoring (RPM), including that RPM supports coordinated care, improves patient outcomes, and lowers Medicare costs; three-fifths of federally designated health professional shortage areas are rural, where residents travel farther for care; Medicare RPM reimbursement is lowest in states with above-average prevalence of heart failure, hypertension, and diabetes; and RPM practice and malpractice expenses are not lower in rural areas and vary little by state.
This section establishes a floor of 1.00 for the practice expense and malpractice geographic indices applicable to remote physiologic monitoring services (i.e., Medicare services involving the remote collection and transmission of physiologic data such as blood pressure or glucose levels) under the physician fee schedule for services furnished on or after January 1, 2026. (Thus, the Secretary must increase any such index below 1.00 to 1.00, and the adjustment is not budget neutral.)
This section directs the Secretary of Health and Human Services to ensure that remote physiologic monitoring (RPM) services under Medicare Part B—defined as non-face-to-face monitoring and analysis of physiologic factors, including patient data collection and analysis, to develop and manage treatment plans for chronic or acute conditions—meet three requirements: (1) providers must respond to data anomalies via clinical support, directly or through a partner; (2) providers must transmit captured vitals and treatment notes to the supervising provider's electronic health record; and (3) providers must collect and report data to evaluate Medicare cost savings from RPM services. The section authorizes exceptions for small medical practices and requires the Secretary to submit to Congress, not later than two years after enactment, a report analyzing estimated Medicare savings from RPM due to earlier interventions and reduced hospitalizations, improved medication adherence, and related practice expenses such as cellular connectivity and technology maintenance.