Congress·In Committee·H.R. 5768

Skin Substitute Access and Payment Reform Act

Medicare: New Payment Rules for Skin Substitutes

Oct 17, 2025·View on Congress.gov·Read full text

StalledNext up: A house committeeNo action in 9 months

This bill is currently sitting in the House committees on Energy and Commerce and Ways and Means. No action has been taken on the bill since October 2025, which means it has been stalled for about eight months. It must receive a vote or review from these committees before it can move forward.

Legislative Progress

House

No action since October 2025

Senate

President

Law

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

Govbase has not yet run an impact analysis on this legislation.

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.

No votes, news coverage, or related bills recorded for this bill yet.

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.

Data Sources

Congress.gov

Official legislative information

Read Full Bill Text

Sponsor

Cosponsors

(7)

D: 2R: 5

Analysis generated by AI. Always verify with official sources.