To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.

Key Points

• The bill caps how much Medicare patients pay in coinsurance for surgery done at an outpatient ambulatory surgical center, setting the limit equal to the Medicare inpatient hospital deductible amount for that year.
• If a patient's coinsurance bill would otherwise be higher than that deductible amount, Medicare reduces the patient's share and pays the surgical center the difference directly.
• The change amends the Social Security Act's Medicare payment rules for facility services at ambulatory surgical centers, adding a new subsection specifically addressing this coinsurance limit.
• The new cost cap would apply to services provided starting January 1, 2026, giving Medicare and surgical facilities time to adjust billing systems.
• The bill has bipartisan sponsorship and was referred to two House committees, meaning it still needs committee action and floor votes before it could become law.