RAMP Act
Sponsored By: Representative Bilirakis
Introduced
Summary
Creates a private right to sue group health plans that fail to pay as primary under Medicare Secondary Payer rules. It would apply specifically to the group health plans defined in the Social Security Act by replacing the prior "primary plan" reference.
Show full summary
- Patients and Medicare beneficiaries could bring private lawsuits for damages when an employer-sponsored group health plan does not provide primary payment or proper reimbursement.
- Employers and health insurers that sponsor group health plans would face new legal exposure to private damage claims tied to failures to meet Medicare Secondary Payer payment or reimbursement duties.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
Lawsuit option if employer plan won't pay
If enacted, Medicare enrollees with employer group coverage would have a clearer right to sue the group plan for damages when it fails to pay first or reimburse Medicare. The bill would change the law to name "group health plan" instead of "primary plan," focusing the remedy on employer plans. It would not set any new benefit amounts or an effective date. For most people, this would be a legal backstop, not a change in day-to-day coverage.
Sponsors & CoSponsors
Sponsor
Bilirakis
FL • R
Cosponsors
Schneider
IL • D
Sponsored 6/20/2025
Roll Call Votes
No roll call votes available for this bill.
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