Rep. Fitzpatrick Proposes Bundled Medicare Payments for Cancer Care and Free Rides for Patients
This bill is currently sitting in the House committees and has not moved since March 2025. Nothing has happened with this proposal for 15 months, and it is considered stalled. A similar bill in the Senate is also not moving forward.
Companion bill: Sen. Tillis Introduces the ROCR Act to Overhaul Medicare Cancer Treatment Payments →No action since March 2025
This bill’s path across every version that has carried it.
Reintroduced
Reintroduced from H.R. 8404 (118th), which died when its Congress ended.
H.R. 8404 (118th) →Scores run from -100 (strongly harmful) to +100 (strongly beneficial) for each group, combining impact, certainty, scope, and duration ratings of 1-5. How impact scoring works
Independent radiation therapy clinics and small physician group practices would face a mandatory shift to the new bundled payment model, which changes how they bill and get paid. While the payment floor protects current rates during the transition and accredited practices get a 1% bonus, smaller practices may face challenges adapting to new reporting requirements. Limited-resource providers get some protections, including exemption from payment penalties and alternative pathways to meet accreditation requirements.
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.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in House
The bill was officially filed and given a number. It now enters the legislative queue.
A bipartisan bill aimed at shifting Medicare reimbursements to prioritize quality of care has been reintroduced in Congress. The ROCR Act of 2025 seeks to create patient-specific, episode-based payments and encourage the adoption of shorter, evidence-based treatments.
The Radiation Oncology Case Rate (ROCR) Value Based Payment Program Act would stabilize access to radiation therapy. Key features include patient-specific episode-based payments and targeted assistance to address transportation barriers for rural and underserved patients.
Bipartisan legislation introduced March 13 reasserts the ROCR Value-Based Payment Program, proposing to exempt it from budget neutrality adjustments. The bill favors patient-specific payments and free or discounted transportation for radiation oncology patients.
No votes recorded for this bill yet.
Document Type
Congressional Bill
Official Title
ROCR Value Based Program Act
Analysis generated by AI. Always verify with official sources.