This legislation aims to prevent health insurers and group health plans from imposing arbitrary time caps on reimbursement for anesthesia services provided during medically necessary procedures. It explicitly prohibits the denial of payment for anesthesia care solely because the duration of service exceeded a pre-set time limit, ensuring that medical necessity, as determined by the attending anesthesia provider, dictates the length of care. The bill extends these prohibitions to Medicaid managed care organizations , ensuring that medical assistance for anesthesia is not subject to such arbitrary limits. Furthermore, it tasks the Office of the Inspector General of the Department of Health and Human Services with conducting periodic audits to assess compliance and investigate allegations of noncompliance. The Inspector General will also be required to submit regular reports to Congress detailing audit findings, violations, and recommendations for improving adherence to these new provisions.
Referred to the House Committee on Energy and Commerce.
Health
Anesthesia for All Act
USA119th CongressHR-6545| House
| Updated: 12/9/2025
This legislation aims to prevent health insurers and group health plans from imposing arbitrary time caps on reimbursement for anesthesia services provided during medically necessary procedures. It explicitly prohibits the denial of payment for anesthesia care solely because the duration of service exceeded a pre-set time limit, ensuring that medical necessity, as determined by the attending anesthesia provider, dictates the length of care. The bill extends these prohibitions to Medicaid managed care organizations , ensuring that medical assistance for anesthesia is not subject to such arbitrary limits. Furthermore, it tasks the Office of the Inspector General of the Department of Health and Human Services with conducting periodic audits to assess compliance and investigate allegations of noncompliance. The Inspector General will also be required to submit regular reports to Congress detailing audit findings, violations, and recommendations for improving adherence to these new provisions.