Portable Ultrasound Reimbursement Equity Act of 2025
Sponsored By: Senator John Cornyn
Introduced
Summary
Medicare parity for portable ultrasound. This bill would add portable ultrasound tests to Medicare’s diagnostic imaging category and create a separate Part B payment for portable ultrasound transportation and setup that mirrors portable X‑ray payments. These changes would apply to services furnished on or after January 1, 2027.
Show full summary
- Medicare beneficiaries: Portable ultrasound tests would be covered under Medicare diagnostic imaging, making those tests billable under Part B.
- Portable ultrasound suppliers and clinics: Would receive a separate payment for transportation and setup paid in the same manner and to the same extent as existing portable X‑ray transport and setup payments.
- Supplier rules and oversight: The Secretary must set supplier conditions substantially similar to the current requirements for portable X‑ray suppliers in 42 CFR part 486 subpart C.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
More Medicare coverage for ultrasound
If enacted, Medicare would add diagnostic ultrasound tests to its diagnostic imaging definition. This change would apply to services furnished on or after January 1, 2027. If you are on Medicare and get ultrasound imaging that meets Medicare rules, you could pay less out of pocket. Providers could bill Medicare for covered ultrasound tests.
Separate Medicare fee for portable ultrasound
If enacted, Medicare would pay a separate Part B fee for portable ultrasound transport and set up. Payments would follow the same manner and extent as separate payments now paid for portable X-ray transport and set up. The Secretary would set supplier requirements substantially like current portable X-ray supplier rules. These changes would apply to services furnished on or after January 1, 2027.
Sponsors & CoSponsors
Sponsor
John Cornyn
TX • R
Cosponsors
Maggie Hassan
NH • D
Sponsored 3/27/2025
John Boozman
AR • R
Sponsored 5/20/2025
Roll Call Votes
No roll call votes available for this bill.
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