HR2757119th CongressWALLET

Medicare Audiology Access Improvement Act of 2025

Sponsored By: Representative Bilirakis

Introduced

Summary

Expands Medicare to let qualified audiologists provide audiology services directly. It would also set how Medicare pays for those services and take effect January 1, 2027.

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  • Seniors and people on Medicare would be able to get hearing and balance assessment services from a qualified audiologist without a physician referral or physician supervision. Medicare would pay 80% of the lesser of the actual charge or the physician fee schedule amount for these services.
  • Qualified audiologists would become eligible to bill Medicare for diagnostic and treatment audiology services that they are legally authorized to perform under state law, beginning in 2027.
  • Rural Health Clinics and Federally Qualified Health Centers would be able to include qualified audiologists among eligible practitioners who bill under their payment rules.
  • The bill includes a rule of construction that limits the change to services and payments that were permissible as of December 31, 2026.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

Medicare covers audiology without referral

If enacted, Medicare would add audiology services as a covered benefit. Starting January 1, 2027, a qualified audiologist could treat you without a doctor's referral or supervision. Medicare would pay 80% of the lower of the provider charge or the Medicare fee amount. You would generally pay the other 20% as coinsurance. Hearing and balance checks through December 31, 2026 would remain covered, and clinic billing would include qualified audiologists at RHCs and FQHCs.

Sponsors & CoSponsors

Sponsor

Bilirakis

FL • R

Cosponsors

  • Mullin

    CA • D

    Sponsored 4/9/2025

  • Moran

    TX • R

    Sponsored 4/9/2025

  • Massie

    KY • R

    Sponsored 4/9/2025

  • Gottheimer

    NJ • D

    Sponsored 5/21/2025

  • Webster (FL)

    FL • R

    Sponsored 6/2/2025

  • Van Drew

    NJ • R

    Sponsored 6/2/2025

  • Crow

    CO • D

    Sponsored 6/4/2025

  • Sherrill

    NJ • D

    Sponsored 6/5/2025

  • Cohen

    TN • D

    Sponsored 6/17/2025

  • Schakowsky

    IL • D

    Sponsored 6/23/2025

  • Latimer

    NY • D

    Sponsored 7/22/2025

  • Neguse

    CO • D

    Sponsored 7/25/2025

  • Green, Al (TX)

    TX • D

    Sponsored 8/12/2025

  • Vindman

    VA • D

    Sponsored 8/12/2025

  • Davis (NC)

    NC • D

    Sponsored 9/2/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 9/30/2025

  • Letlow

    LA • R

    Sponsored 10/3/2025

  • Johnson (TX)

    TX • D

    Sponsored 10/6/2025

  • Bacon

    NE • R

    Sponsored 10/6/2025

  • McClain Delaney

    MD • D

    Sponsored 10/8/2025

  • Grothman

    WI • R

    Sponsored 10/8/2025

  • Bynum

    OR • D

    Sponsored 10/14/2025

  • Ross

    NC • D

    Sponsored 10/21/2025

  • Craig

    MN • D

    Sponsored 10/21/2025

  • Valadao

    CA • R

    Sponsored 10/24/2025

  • Harder (CA)

    CA • D

    Sponsored 10/24/2025

  • Moore (UT)

    UT • R

    Sponsored 10/28/2025

  • Pingree

    ME • D

    Sponsored 11/7/2025

  • Loudermilk

    GA • R

    Sponsored 11/17/2025

  • Costa

    CA • D

    Sponsored 11/19/2025

  • Rutherford

    FL • R

    Sponsored 12/2/2025

  • Pocan

    WI • D

    Sponsored 12/15/2025

Roll Call Votes

No roll call votes available for this bill.

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