ARC Act of 2025
Sponsored By: Representative McIver
Introduced
Summary
Reduce amputations from peripheral artery disease (PAD). This bill would create a federal framework to expand PAD education, screening, coverage, quality measurement, and a Medicare Innovation pilot to prevent nontraumatic lower‑limb amputations.
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- People at risk and families: Would add Medicare and Medicaid coverage of PAD screening for defined “at‑risk” beneficiaries, including people 65+, ages 50–64 with PAD risk factors, under‑50 people with diabetes plus another risk factor, and those with known atherosclerotic disease. These screenings would have no cost sharing and Medicare coverage changes would start January 1, 2026.
- Providers and health systems: Would require new quality measures for nontraumatic lower‑limb amputation that use PAD screening results and encourage alternatives like revascularization. Those measures must be tested and validated within 18 months and then used in Medicare quality programs such as MIPS, eligible APMs, the Shared Savings Program, and 1115A models.
- Care delivery and innovation: Would create a voluntary Amputation Prevention Pilot through the Medicare Innovation Center to test coordinated screening, risk modification, PAD testing and treatment across hospitals, ambulatory surgical centers, and office‑based settings.
- Public health and education: Would direct the CDC, working with CMS, HRSA, and stakeholders, to run a PAD Education Program that identifies and shares best practices for screening and amputation prevention.
*Authorizes $6.0 million per year for fiscal years 2026 through 2030 for the PAD Education Program at the CDC.*
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 4 benefits, 0 costs, 0 mixed.
Provider measures and pilot to prevent amputations
If enacted, HHS would create and test quality measures for nontraumatic lower‑leg amputations that use PAD screening results and support options like revascularization. Testing and validation must finish within 18 months. Valid measures would be built into Medicare reporting and payment programs like MIPS and the Shared Savings Program. CMMI would also launch, within 18 months, a voluntary pilot to prevent amputations with early screening, PAD testing, risk management, and better care coordination.
Medicaid artery disease screening with no copay
If enacted, State Medicaid plans would cover PAD screening tests for at‑risk enrollees with no cost sharing. Covered tests could include the ankle‑brachial index and arterial duplex scans. States would follow screening frequency limits set by the Secretary. These Medicaid changes would take effect upon enactment.
Medicare artery disease screening with no deductible
If enacted, Medicare would cover screening for peripheral artery disease (PAD) for at‑risk people starting January 1, 2026. Tests like the ankle‑brachial index and lower‑limb arterial duplex scans would be included, and they could be part of your first Medicare preventive visit. You would not owe the Part B deductible for these tests. Medicare would pay 100% of the lesser of the actual charge or the Medicare fee schedule amount. Tests done more often than the Secretary allows would not be covered.
CDC education to prevent amputations, 2026–2030
If enacted, the CDC would run a national education program on peripheral artery disease to reduce amputations. It would work with CMS, HRSA, doctors, and patient groups to share best practices and do outreach, with focus on at‑risk people. The bill would authorize $6 million each year for 2026 through 2030.
Sponsors & CoSponsors
Sponsor
McIver
NJ • D
Cosponsors
Jackson (IL)
IL • D
Sponsored 1/9/2025
Kelly (IL)
IL • D
Sponsored 1/9/2025
Watson Coleman
NJ • D
Sponsored 1/13/2025
Sewell
AL • D
Sponsored 1/13/2025
Davids (KS)
KS • D
Sponsored 1/13/2025
Johnson (GA)
GA • D
Sponsored 1/13/2025
McCollum
MN • D
Sponsored 1/13/2025
Takano
CA • D
Sponsored 1/13/2025
Brownley
CA • D
Sponsored 1/13/2025
Meeks
NY • D
Sponsored 1/14/2025
Davis (NC)
NC • D
Sponsored 1/14/2025
Sykes
OH • D
Sponsored 1/14/2025
Thompson (MS)
MS • D
Sponsored 1/14/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 1/14/2025
Castro (TX)
TX • D
Sponsored 1/15/2025
Clarke (NY)
NY • D
Sponsored 1/15/2025
Lee (PA)
PA • D
Sponsored 1/15/2025
Davis (IL)
IL • D
Sponsored 1/16/2025
Trahan
MA • D
Sponsored 1/21/2025
Beatty
OH • D
Sponsored 1/21/2025
Grijalva
AZ • D
Sponsored 1/28/2025
Doggett
TX • D
Sponsored 1/28/2025
Bergman
MI • R
Sponsored 2/4/2025
Stanton
AZ • D
Sponsored 2/13/2025
Cherfilus-McCormick
FL • D
Sponsored 2/13/2025
Carson
IN • D
Sponsored 2/13/2025
Craig
MN • D
Sponsored 2/13/2025
Wilson (FL)
FL • D
Sponsored 3/4/2025
Bishop
GA • D
Sponsored 3/11/2025
Kean
NJ • R
Sponsored 3/11/2025
Del. Moylan, James C. [R-GU-At Large]
GU • R
Sponsored 4/3/2025
Mfume
MD • D
Sponsored 4/3/2025
Wasserman Schultz
FL • D
Sponsored 4/3/2025
Johnson (TX)
TX • D
Sponsored 4/3/2025
Waters
CA • D
Sponsored 4/3/2025
Frost
FL • D
Sponsored 4/28/2025
Velazquez
NY • D
Sponsored 4/28/2025
Foushee
NC • D
Sponsored 5/8/2025
Gottheimer
NJ • D
Sponsored 5/20/2025
Thanedar
MI • D
Sponsored 6/24/2025
Veasey
TX • D
Sponsored 7/16/2025
Del. Plaskett, Stacey E. [D-VI-At Large]
VI • D
Sponsored 9/26/2025
Ross
NC • D
Sponsored 10/10/2025
Roll Call Votes
No roll call votes available for this bill.
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