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Congress·In Committee·3 months ago

House Bill Would Add Hearing Aids and Rehab Services to Medicare Coverage

Also known as: HEAR Act of 2025

Legislative Progress

Filed
Review
House
Senate
President

Impacts

Positive Impacts(4)
Retiree
Helps
Medicare
Helps
Chronic Illness
Helps
Sensory Disability
Helps

Key Points

  • Congress would add hearing aids and hearing rehab services to what Medicare can cover.
  • Coverage would include hearing tests and evaluations, choosing the right hearing aid, fitting and adjustments, and training or counseling to help you hear better.
  • The bill says Medicare-covered hearing aids would be devices that meet FDA marketing rules, but it would not cover over-the-counter hearing aids under this new benefit.
  • It sets a limit: Medicare generally would not cover a new set of hearing aids if you got one ear aid or two ear aids within the last 3 years, unless your hearing has gotten worse and a different type is needed.
  • If enacted, it would start after the law is signed, on a date picked by the Health Department—no earlier than January 1 of the next year and no later than January 1 of the third year.
Medicare MedicaidHealthcarePrescription Drugs

Milestones

2 milestones2 actions
Nov 20, 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.

Nov 20, 2025

Introduced in House

What Happens Next

Projected impacts based on AI analysis

Right after the bill is signed into law

Medicare coverage for hearing rehabilitation is set up in law once the Act is enacted

This is the starting gun for Medicare to build the new benefit, but people still may not get covered hearing aids right away until the start date the Health and Human Services Secretary picks.

After enactment; start date must be no sooner than Jan 1 of the next calendar year and no later than Jan 1 of the third calendar year after enactment

Health and Human Services sets the official start date for covering hearing aids and related hearing services

This decision controls when Medicare beneficiaries can actually begin getting prescription hearing aids and the related testing/fitting covered under the new rules.

On the start date chosen by Health and Human Services (between 1 and 3 years after enactment, depending on when enacted)

Medicare begins paying for covered hearing tests, fittings, and prescription hearing aids for eligible beneficiaries

People with hearing loss who qualify can schedule hearing evaluations and, if appropriate, get prescription hearing aids with Medicare help paying, following Medicare’s rules (including the usual 3-year replacement limit in the bill).

Starting when the first wave of beneficiaries receive covered hearing aids, and continuing after that

Replacement timing rule begins to matter for repeat users (generally not more often than every 3 years)

If you already received covered hearing aids, Medicare will usually expect you to wait about 3 years before covering another set, unless your hearing worsens and Medicare’s criteria for a different type are met.

Related News

2 articles

Source Information

Document Type

Congressional Bill

Official Title

HEAR Act of 2025

Bill NumberHR 6218
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.

Sponsor

Cosponsors

(6)
D: 5R: 1

Analysis generated by AI. While we strive for accuracy, this should not be considered legal or professional advice. Always verify information with official government sources.