Access to Pediatric Technologies Act of 2025

Medicare rates for pediatric devices

If enacted, HHS would set national payment values (RVUs) for certain pediatric medical devices under Medicare. A manufacturer would have to send a written request with data, like pricing, claims, time-and-motion, or invoices. Requests received by May 1 would be handled in that year’s physician fee schedule; later requests the next year. It would apply to items furnished on or after January 1, 2026. This would not require Medicare to cover any device or change medical-necessity rules; only devices that meet FDA and billing-code tests for pediatric use would qualify.