Congress·In Committee·H.R. 5768

Skin Substitute Access and Payment Reform Act

Medicare: New Payment Rules for Skin Substitutes

9 months ago·View on Congress.gov·Read full text

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Stalled

No legislative action in over 90 days.

Legislative Progress

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Key Points

This bill changes how Medicare pays for 'skin substitutes,' which are special materials used to help heal serious wounds. Currently, prices can vary wildly, but this plan would create a single price based on average costs and inflation to keep prices steady.
Starting in 2026, Medicare will pay 80% of the set cost for these products. This aims to make sure patients can get the treatments they need without the government overpaying for expensive brands that do the same job as more affordable ones.
To stop waste and fraud, the government will track the top 3% of doctors and clinics that spend the most on these products. These high-spending providers will have their bills double-checked by Medicare before they are allowed to receive payment.
If a high-spending clinic continues to submit improper bills, they could be banned from the Medicare program entirely. This helps protect taxpayer money from being used on unnecessary or overpriced medical treatments.

Impact Analysis

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Milestones

2 milestones2 actions

Oct 17, 2025House

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.

Oct 17, 2025

Introduced in House

The bill was officially filed and given a number. It now enters the legislative queue.

Votes

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News

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Source Information

Document Type

Congressional Bill

Official Title

Skin Substitute Access and Payment Reform Act

Bill NumberHR 5768

Congress119th Congress

ChamberHouse of Representatives

Latest ActionReferred 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.