RESULTS Act
Sponsored By: Representative Hudson
Introduced
Summary
This bill would create a data-driven framework to set Medicare payment rates for clinical diagnostic laboratory tests using certified nonprofit claims repositories. It focuses on market-based private-payor data, transparent formulas, and transitional safeguards to prevent sudden payment drops.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 0 benefits, 0 costs, 2 mixed.
New data source for Medicare lab prices
If enacted, Health and Human Services would hire a certified, independent nonprofit to supply private pay claims data for Medicare lab prices. The database would need at least 50,000,000,000 claims from over 50 private payors and cover all states. A test would be "widely available" if more than 100 providers were paid for it in the first six months before the data period. Medicare would start using this data for reporting periods beginning January 1, 2028, based on collections starting January 1, 2027. Before 2028, Medicaid managed care rates would be left out, and final payment rates would ignore denied, appealed, erroneous, or recouped payments.
Smaller Medicare lab payment cuts
This bill would delay and shrink scheduled Medicare lab payment cuts. It would set the maximum cut at 5% for 2029 and later, replacing larger planned 15% cuts for 2026–2028. This could mean slightly higher Medicare payments for some lab tests and slightly higher coinsurance for some patients. It would also update timing references so the rules apply starting with 2017 and move a key year to 2028.
Sponsors & CoSponsors
Sponsor
Hudson
NC • R
Cosponsors
Peters
CA • D
Sponsored 9/10/2025
Bilirakis
FL • R
Sponsored 9/10/2025
Krishnamoorthi
IL • D
Sponsored 9/10/2025
Fitzpatrick
PA • R
Sponsored 9/10/2025
Carter (GA)
GA • R
Sponsored 9/10/2025
Joyce (PA)
PA • R
Sponsored 9/10/2025
Ciscomani
AZ • R
Sponsored 9/10/2025
Davis (NC)
NC • D
Sponsored 9/10/2025
Davids (KS)
KS • D
Sponsored 9/10/2025
Ross
NC • D
Sponsored 9/10/2025
Balderson
OH • R
Sponsored 9/10/2025
Sewell
AL • D
Sponsored 9/10/2025
Lofgren
CA • D
Sponsored 9/11/2025
Kennedy (UT)
UT • R
Sponsored 9/23/2025
Vindman
VA • D
Sponsored 9/26/2025
Dingell
MI • D
Sponsored 10/3/2025
Horsford
NV • D
Sponsored 10/3/2025
Bresnahan
PA • R
Sponsored 10/3/2025
Craig
MN • D
Sponsored 10/3/2025
Dunn (FL)
FL • R
Sponsored 10/3/2025
Auchincloss
MA • D
Sponsored 10/6/2025
Panetta
CA • D
Sponsored 10/10/2025
Mullin
CA • D
Sponsored 10/14/2025
Gottheimer
NJ • D
Sponsored 10/14/2025
Kean
NJ • R
Sponsored 10/17/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 10/17/2025
Thompson (CA)
CA • D
Sponsored 10/17/2025
Brownley
CA • D
Sponsored 10/21/2025
Pettersen
CO • D
Sponsored 10/21/2025
Rouzer
NC • R
Sponsored 10/24/2025
McBride
DE • D
Sponsored 10/24/2025
Moore (UT)
UT • R
Sponsored 10/31/2025
Thanedar
MI • D
Sponsored 11/4/2025
Davis (IL)
IL • D
Sponsored 11/10/2025
Langworthy
NY • R
Sponsored 11/10/2025
Cohen
TN • D
Sponsored 11/12/2025
Tenney
NY • R
Sponsored 11/19/2025
Moore (NC)
NC • R
Sponsored 11/19/2025
Sanchez
CA • D
Sponsored 11/19/2025
Crenshaw
TX • R
Sponsored 11/19/2025
Trahan
MA • D
Sponsored 11/19/2025
Carey
OH • R
Sponsored 11/21/2025
Suozzi
NY • D
Sponsored 12/1/2025
Levin
CA • D
Sponsored 12/9/2025
Weber (TX)
TX • R
Sponsored 12/11/2025
DelBene
WA • D
Sponsored 12/11/2025
Fletcher
TX • D
Sponsored 12/11/2025
Landsman
OH • D
Sponsored 12/15/2025
Soto
FL • D
Sponsored 12/15/2025
Pou
NJ • D
Sponsored 12/16/2025
Edwards
NC • R
Sponsored 12/16/2025
Kelly (PA)
PA • R
Sponsored 12/18/2025
Neguse
CO • D
Sponsored 12/18/2025
Pfluger
TX • R
Sponsored 12/18/2025
Wittman
VA • R
Sponsored 1/7/2026
Pocan
WI • D
Sponsored 1/7/2026
Lee (FL)
FL • R
Sponsored 1/7/2026
Rulli
OH • R
Sponsored 1/7/2026
Lawler
NY • R
Sponsored 1/13/2026
Van Duyne
TX • R
Sponsored 1/13/2026
Rescom. Hernández, Pablo Jose [D-PR-At Large]
PR • D
Sponsored 1/20/2026
Veasey
TX • D
Sponsored 2/4/2026
Barragan
CA • D
Sponsored 2/9/2026
Miller (WV)
WV • R
Sponsored 2/23/2026
Schneider
IL • D
Sponsored 2/23/2026
Bentz
OR • R
Sponsored 2/23/2026
Cammack
FL • R
Sponsored 3/3/2026
Owens
UT • R
Sponsored 3/5/2026
Jayapal
WA • D
Sponsored 3/16/2026
Roll Call Votes
No roll call votes available for this bill.
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