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119-hr-3108119th CongressWALLET

RPM Access Act

Sponsored By: Representative Kustoff, David [R-TN-8]

In Committee

Summary

Sets a minimum payment floor for Medicare remote patient monitoring (RPM). It also requires real-time clinician availability, electronic health record compatible data transmission, and a congressionally mandated evaluation of RPM costs and savings.

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  • Rural providers: Guarantees practice expense and malpractice geographic indices of at least 1.00 for RPM payments for services furnished on or after January 1, 2026. The floor is applied without a budget-neutral offset.
  • Medicare beneficiaries: RPM payment will be conditioned on a physician or qualified professional being available in real time to respond to physiologic anomalies. RPM data must be transmitted in a format compatible with electronic health records when needed.
  • Medicare oversight and policymakers: Requires collection and reporting of RPM data and a congressional report due within five years covering a four-year period beginning January 1, 2026. The report must estimate Medicare savings from earlier interventions and improved medication adherence and detail practice expenses for cellular connectivity and platform maintenance.

*Expected to increase Medicare spending for RPM because the geographic-payment floor is not applied in a budget-neutral manner.*

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 1 costs, 0 mixed.

Higher Medicare remote monitoring payments

If enacted, this bill would set a minimum (floor) of 1.00 for two geographic payment indexes used to compute Medicare payments for remote patient monitoring. The floor would apply after CMS calculates the practice expense and malpractice indexes for RPM. The floor would apply to RPM furnished on or after January 1, 2026. The bill says the floor would not be applied in a budget-neutral way, which would raise Medicare payments for RPM in areas with indexes below 1.00.

New Medicare remote monitoring rules

If enacted, this bill would bar Medicare payment for remote patient monitoring furnished on or after January 1, 2026 unless three rules are met. Providers would need a physician, nurse practitioner, clinical nurse specialist, or physician assistant available in real time to respond to physiologic anomalies. RPM systems would need to transmit physiologic data in a format compatible with electronic health records as needed. Providers or suppliers would also have to collect and report data the Secretary requires to evaluate program cost savings, though the Secretary may excuse a provider for unreasonable hardship.

Sponsors & CoSponsors

Sponsor

Kustoff, David [R-TN-8]

TN • R

Cosponsors

  • Rep. Balderson, Troy [R-OH-12]

    OH • R

    Sponsored 4/30/2025

  • Rep. Davis, Donald G. [D-NC-1]

    NC • D

    Sponsored 4/30/2025

  • Rep. Pocan, Mark [D-WI-2]

    WI • D

    Sponsored 4/30/2025

  • Rep. Miller, Carol D. [R-WV-1]

    WV • R

    Sponsored 6/25/2025

  • Rep. Wittman, Robert J. [R-VA-1]

    VA • R

    Sponsored 9/15/2025

  • Rep. Smith, Adrian [R-NE-3]

    NE • R

    Sponsored 2/2/2026

  • Rep. Steube, W. Gregory [R-FL-17]

    FL • R

    Sponsored 2/9/2026

  • Rep. Bergman, Jack [R-MI-1]

    MI • R

    Sponsored 5/12/2026

  • Rep. Davids, Sharice [D-KS-3]

    KS • D

    Sponsored 5/12/2026

Roll Call Votes

No roll call votes available for this bill.

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