Ways and Means Committee, Energy and Commerce Committee
Introduced
In Committee
On Floor
Passed Chamber
Enacted
This bill, known as the "Access to Pediatric Technologies Act of 2025," aims to facilitate patient access to certain pediatric medical devices by amending Title XVIII of the Social Security Act. It mandates the Secretary to establish national relative value units (RVUs) for "qualifying pediatric technologies" under the Medicare physician fee schedule. This process will be initiated upon a manufacturer's written request for technologies furnished on or after January 1, 2026, ensuring appropriate payment mechanisms are in place where none currently exist. A qualifying pediatric technology is defined as a Medicare-covered medical device that is FDA-approved, cleared, or authorized, described by a temporary HCPCS code, and either predominantly used in pediatric patients or specifically designed for them. Manufacturers must submit a request with relevant data, such as pricing information or claims data, to support the establishment of these RVUs. The Secretary will incorporate these into the annual rulemaking process for the physician fee schedule, with specific timelines for requests received before or after May 1. Importantly, this legislation focuses on establishing payment rates and does not require Medicare coverage for these technologies.
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.
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.
This bill, known as the "Access to Pediatric Technologies Act of 2025," aims to facilitate patient access to certain pediatric medical devices by amending Title XVIII of the Social Security Act. It mandates the Secretary to establish national relative value units (RVUs) for "qualifying pediatric technologies" under the Medicare physician fee schedule. This process will be initiated upon a manufacturer's written request for technologies furnished on or after January 1, 2026, ensuring appropriate payment mechanisms are in place where none currently exist. A qualifying pediatric technology is defined as a Medicare-covered medical device that is FDA-approved, cleared, or authorized, described by a temporary HCPCS code, and either predominantly used in pediatric patients or specifically designed for them. Manufacturers must submit a request with relevant data, such as pricing information or claims data, to support the establishment of these RVUs. The Secretary will incorporate these into the annual rulemaking process for the physician fee schedule, with specific timelines for requests received before or after May 1. Importantly, this legislation focuses on establishing payment rates and does not require Medicare coverage for these technologies.
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.
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.