H.R. 6366House118th Congress (2023-2025)In Committee

To amend title XVIII of the Social Security Act with respect to the work geographic index for physician payments under the Medicare program, and to revise the phase-in of clinical laboratory test payment changes under such program.

Introduced November 13, 2023

AI-Generated Summary

Updated January 20, 2026 at 1:03 PM UTC

The bill updates the timing of Medicare payment calculations. It moves the work geographic index year for physician payments from 2024 to 2025, and pushes back the schedule for reducing private‑payer rates for clinical laboratory tests and the related reporting periods by one year. These changes affect how Medicare and private insurers set payment rates for doctors and labs.

Key Provisions

  • Changes the work geographic index year for physician Medicare payments from 2024 to 2025.
  • Delays the phase‑in of reductions from private‑payer rates for clinical laboratory tests, shifting the 2026 implementation to 2027, moving the 2023 milestone to 2024, and extending the 2024‑2026 period to 2025‑2027.
  • Updates the reporting period for private‑sector payment rates used to set Medicare rates, moving the 2023 reporting year to 2024 and the 2024 reporting year to 2025.

Legislative Activity

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5 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on Health.

December 17, 2024

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HouseIntro Referral

Introduced in House

November 13, 2023

HouseIntro Referral

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.

November 13, 2023

HouseCommittee

Referred to the Subcommittee on Health.

November 13, 2023

HouseCommittee

Subcommittee Consideration and Mark-up Session Held

November 15, 2023

HouseCommittee

Forwarded by Subcommittee to Full Committee by Voice Vote.

November 15, 2023

HouseCommittee

Referred to the Subcommittee on Health.

December 17, 2024

Floor Debate

1 member

What members said about H.R. 6366 on the floor

1 Democrat
John Garamendi
Rep. John GaramendiD-CA-8 · May 6, 2024

Mr. Speaker, today I rise to thank President Joseph R. Biden, Jr. for his proclamation pursuant to the Antiquities Act of 1906 expanding the Berryessa Snow Mountain National Monument. I also thank…

Bill Text

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Introduced in HouseIssued November 13, 2023

I

118th CONGRESS

1st Session

H. R. 6366

IN THE HOUSE OF REPRESENTATIVES

November 13, 2023

Mr. Hudson introduced the following bill; which was 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

A BILL

To amend title XVIII of the Social Security Act with respect to the work geographic index for physician payments under the Medicare program, and to revise the phase-in of clinical laboratory test payment changes under such program.

1.

Extending floor for work geographic index

Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w–4(e)(1)(E)) is amended by striking 2024 and inserting 2025.

2.

Revising phase-in of Medicare clinical laboratory test payment changes

(a)

Revised phase-In of reductions from private payor rate implementation

Section 1834A(b)(3) of the Social Security Act (42 U.S.C. 1395m–1(b)(3)) is amended—

(1)

in subparagraph (A), by striking 2026 and inserting 2027; and

(2)

in subparagraph (B)—

(A)

in clause (ii), by striking 2023 and inserting 2024; and

(B)

in clause (iii), by striking 2024 through 2026 and inserting 2025 through 2027.

(b)

Revised reporting period for reporting of private sector payment rates for establishment of Medicare payment rates

Section 1834A(a)(1)(B) of the Social Security Act (42 U.S.C. 1395m–1(a)(1)(B)) is amended—

(1)

in clause (i), by striking 2023 and inserting 2024; and

(2)

in clause (ii), by striking 2024 each place it appears and inserting 2025.