Medicare Patient Access and Practice Stabilization Act of 2024
Impact
The bill's amendments reinforce the commitment to support physicians by providing necessary financial adjustments during a period of transition within the Medicare system. By extending the adjustment period and increasing payment rates, the bill seeks to stabilize practices and improve the financial viability of healthcare services for both urban and rural practitioners. This is particularly crucial in light of the ongoing challenges related to healthcare access and provider reimbursement.
Summary
House Bill 10073, titled the ‘Medicare Patient Access and Practice Stabilization Act of 2024,’ aims to amend title XVIII of the Social Security Act in order to enhance support for physicians and other healthcare practitioners in adapting to changes in Medicare payment structures. The proposed legislation includes provisions that extend the timeline for payment adjustments to healthcare services, ensuring that practitioners receive a 4.73% payment increase for services rendered during a specific timeframe from January 1, 2025, to January 1, 2026.
Contention
Despite the generally supportive framework of the bill, discussions may arise regarding its long-term implications for the Medicare program's fiscal sustainability. Critics may express concerns over how increased payments could impact overall healthcare costs and the federal budget in the context of an aging population and rising healthcare demand. On the other hand, proponents will highlight the necessity of providing financial support to maintain a robust healthcare workforce, particularly in under-served areas.
Kids' Access to Primary Care Act of 2025This bill modifies payments for Medicaid primary care services. Specifically, the bill applies a Medicare payment rate floor to Medicaid primary care services that are provided after the date of enactment of the bill and extends the payment rate to additional types of practitioners (e.g., obstetricians).The Centers for Medicare & Medicaid Services must conduct a study on the number of children enrolled in Medicaid, the number of providers receiving payment for primary care services, and associated payment rates before and after the bill's implementation.