# 119-hr-2120: ROCR Value Based Program Act

119-hr-2120, ROCR Value Based Program Act, is a 119th Congress bill sponsored by Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA); status introduced; PRIA reads it as touching household money (as of 2026-10-11).

- Canonical: https://policyrisk.com/legislation/119-hr-2120
- As of: 2026-10-11
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-2120
- Congress: 119
- Title: ROCR Value Based Program Act
- Status: introduced
- Introduced: 2025-03-14
- Sponsor: Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA)
- Cosponsors: 48
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-11

## Summary

**Per-episode payments for radiation therapy** is the bill’s core change. It would create the Radiation Oncology Case Rate Value Based Payment Program (ROCR) to pay Medicare Part B radiation therapy as bundled, site-neutral episodes and link pay to accreditation, quality, and transportation access.

## Cosponsors (48)

- Rep. Meuser, Daniel [R-PA-9] (R-PA), 2026-10-09T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-03-14T00:00:00.000Z
- Rep. Joyce, John [R-PA-13] (R-PA), 2025-03-14T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2025-03-14T00:00:00.000Z
- Rep. Stevens, Haley M. [D-MI-11] (D-MI), 2025-04-07T00:00:00.000Z
- Rep. Peters, Scott H. [D-CA-50] (D-CA), 2025-05-13T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-06-02T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2025-07-14T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-08-08T00:00:00.000Z
- Rep. Scholten, Hillary J. [D-MI-3] (D-MI), 2025-08-22T00:00:00.000Z
- Rep. Kim, Young [R-CA-40] (R-CA), 2025-09-02T00:00:00.000Z
- Rep. Mullin, Kevin [D-CA-15] (D-CA), 2025-10-03T00:00:00.000Z
- Rep. Carbajal, Salud O. [D-CA-24] (D-CA), 2025-10-31T00:00:00.000Z
- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2025-12-04T00:00:00.000Z
- Rep. Balderson, Troy [R-OH-12] (R-OH), 2025-12-09T00:00:00.000Z
- Rep. Crenshaw, Dan [R-TX-2] (R-TX), 2026-01-08T00:00:00.000Z
- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL), 2026-01-08T00:00:00.000Z
- Rep. Salazar, Maria Elvira [R-FL-27] (R-FL), 2026-02-02T00:00:00.000Z
- Rep. Lieu, Ted [D-CA-36] (D-CA), 2026-02-03T00:00:00.000Z
- Rep. Bentz, Cliff [R-OR-2] (R-OR), 2026-02-09T00:00:00.000Z
- Rep. Pfluger, August [R-TX-11] (R-TX), 2026-03-20T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2026-03-24T00:00:00.000Z
- Rep. Walkinshaw, James R. [D-VA-11] (D-VA), 2026-03-30T00:00:00.000Z
- Rep. Kiggans, Jennifer A. [R-VA-2] (R-VA), 2026-03-30T00:00:00.000Z
- Rep. McBride, Sarah [D-DE-At Large] (D-DE), 2026-04-15T00:00:00.000Z
- Rep. Tran, Derek [D-CA-45] (D-CA), 2026-04-20T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2026-04-28T00:00:00.000Z
- Rep. LaLota, Nick [R-NY-1] (R-NY), 2026-04-29T00:00:00.000Z
- Rep. Ellzey, Jake [R-TX-6] (R-TX), 2026-05-11T00:00:00.000Z
- Rep. Lee, Susie [D-NV-3] (D-NV), 2026-05-13T00:00:00.000Z
- Rep. Evans, Gabe [R-CO-8] (R-CO), 2026-06-08T00:00:00.000Z
- Rep. Cisneros, Gilbert Ray [D-CA-31] (D-CA), 2026-06-22T00:00:00.000Z
- Rep. Foushee, Valerie P. [D-NC-4] (D-NC), 2026-06-23T00:00:00.000Z
- Rep. Wasserman Schultz, Debbie [D-FL-25] (D-FL), 2026-06-29T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2026-06-29T00:00:00.000Z
- Rep. Perez, Marie Gluesenkamp [D-WA-3] (D-WA), 2026-07-09T00:00:00.000Z
- Rep. Bera, Ami [D-CA-6] (D-CA), 2026-07-14T00:00:00.000Z
- Rep. Morelle, Joseph D. [D-NY-25] (D-NY), 2026-07-16T00:00:00.000Z
- Rep. Murphy, Gregory F. [R-NC-3] (R-NC), 2026-08-03T00:00:00.000Z
- Rep. Miller, Carol D. [R-WV-1] (R-WV), 2026-08-13T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2026-08-13T00:00:00.000Z
- Rep. Boyle, Brendan F. [D-PA-2] (D-PA), 2026-08-20T00:00:00.000Z
- Rep. Babin, Brian [R-TX-36] (R-TX), 2026-09-01T00:00:00.000Z
- Rep. LaHood, Darin [R-IL-16] (R-IL), 2026-09-02T00:00:00.000Z
- Rep. Moran, Nathaniel [R-TX-1] (R-TX), 2026-09-10T00:00:00.000Z
- Rep. Goldman, Craig A. [R-TX-12] (R-TX), 2026-09-15T00:00:00.000Z
- Rep. Gillen, Laura [D-NY-4] (D-NY), 2026-09-24T00:00:00.000Z
- Rep. Conaway, Herbert C. [D-NJ-3] (D-NJ), 2026-09-24T00:00:00.000Z

## Provisions PRIA read

- Radiation payment program rollout guardrails: benefit, medium. Until the new radiation payment program (ROCR) rules take effect, Medicare could not cut current radiation therapy rates under the physician fee schedule or hospital outpatient system. For one year after enactment, ROCR would not be counted in a specific physician fee schedule budget formula; after…
- Rides to treatment under strict rules: benefit, low. Providers could offer free or discounted rides for established patients getting needed radiation therapy. Rides would be limited to within 75 miles or for rural patients, and cannot include air, luxury, or ambulance travel. Providers could not market the rides, pay drivers per patient, or shift the…
- New Medicare episode payments for radiation therapy: mixed, medium. This bill would create a new, episode-based Medicare payment for radiation therapy. The Health Secretary would write rules within 1 year and allow at least 60 days for public comments. Medicare would pay 80% of the episode amount; you would owe the Part B deductible and 20% coinsurance before any s…
- Provider participation, accreditation, bonuses and penalties: mixed, medium. Most Medicare radiation therapy providers would need to join the program, unless they are in a state CMMI model or get a hardship exemption. Providers would need accreditation (ACR, ACRO, or ASTRO), follow EHR rules, and submit proof; limited‑resource sites could use an external audit or other opti…
- How Medicare sets ROCR rates: mixed, low. If enacted, base rates would start from a 2021 national table for each cancer and for doctor and technical parts. Rates would update each year for local wages and inflation, and could not be cut below last year in those annual updates. Rebasing could happen every 5 years, but any cut would be cappe…

## Related bills

- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-2102: Major Richard Star Act
- 119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act

## Sources
- [119-hr-2120 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/2120)

## Related
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act](https://policyrisk.com/legislation/119-hr-1993)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-2120 (as of 2026-10-11).