Preventing Hospital Overbilling of Medicare Act
Rep. Spartz Introduces Bill to End Higher Hospital Fees at Off-Campus Clinics
This bill is currently in the early stages of the legislative process and is being reviewed by two House committees. It was recently introduced and is considered active as it waits for further study by these groups. There are no upcoming votes scheduled at this time.
Legislative Progress
While site-neutral payments have some bipartisan interest, hospital lobbies strongly oppose them, and the bill has not yet moved past the committee stage.
Key Points
Impact Analysis
Personal Impact
Life & Work
Small businesses that provide group health plans to employees could see some cost relief if hospital facility fee overbilling is reduced. The bill lets insurers reject improperly billed claims from off-campus clinics, which could help lower the overall cost of employer-sponsored health insurance over time.
Programs
Disabilities
State Impacts
Milestones
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.
Votes
No votes have been recorded for this legislation yet.
Related News
4 articlesHoosiers air frustrations at town halls
U.S. Rep. Victoria Spartz faced a contentious town hall in Westfield where she defended her legislative focus on improving healthcare competition and fixing the national debt, including her efforts to address hospital overbilling through site-neutral payment policies.
Democratic legislator seeks to challenge GOP Rep. Spartz
State Sen. J.D. Ford announced a challenge to Rep. Victoria Spartz, who cited her 'extensive expertise on fiscal issues and health care' as a primary reason for her re-election bid. Spartz has introduced a package of bills targeting hospital monopolies and overbilling.
Stop Hospitals from Padding Bills for Routine Care
The report highlights the Preventing Hospital Overbilling of Medicare Act, introduced by Rep. Victoria Spartz, as a key legislative solution to eliminate the 'grandfathering' loophole that allows older off-campus hospital departments to charge higher facility fees than independent clinics.
Source Information
Document Type
Congressional Bill
Official Title
Preventing Hospital Overbilling of Medicare Act
Data Sources
Sponsor
Analysis generated by AI. Always verify with official sources.