Sen. Tillis Introduces the ROCR Act to Overhaul Medicare Cancer Treatment Payments
A senate committee must act next: committee consideration.
Companion bill: Rep. Fitzpatrick Proposes Bundled Medicare Payments for Cancer Care and Free Rides for Patients →No action since March 2025
This bill’s path across every version that has carried it.
Scores run from -100 (strongly harmful) to +100 (strongly beneficial) for each group, combining impact, certainty, scope, and duration ratings of 1-5. How impact scoring works
Independent radiation oncology practices and freestanding radiation therapy centers face mandatory participation in this new payment program. While the bundled payments offer more predictability and the bill prevents payment cuts during the transition, smaller practices may face challenges meeting new accreditation requirements. Practices that don't get accredited face a 2.5% payment reduction after two years, though the bill includes a 'limited resource' exemption for up to 10% of providers serving rural or underserved areas.
Read twice and referred to the Committee on Finance.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in Senate
The bill was officially filed and given a number. It now enters the legislative queue.
The ROCR Act aims to shift radiation reimbursement from fee-for-service to bundled payments. It includes a $500 bonus for accredited centers and addresses transportation barriers through the HEART initiative, providing assistance for underserved patients to complete their treatments.
Introduced by a bipartisan group of lawmakers, the ROCR Act of 2025 proposes patient-specific episode-based payments and quality standards. The bill seeks to unify technical payments across hospital and community settings while providing transportation support for patients.
The bipartisan ROCR Act of 2025 aims to modernize Medicare reimbursement for radiation therapy by shifting to a bundled, episode-based payment structure. It emphasizes practice accreditation, patient safety, and equitable access, with projected Medicare savings of $200 million over ten years.
No votes recorded for this bill yet.
Document Type
Congressional Bill
Official Title
ROCR Value Based Program Act
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