# 119-hr-3108: RPM Access Act

119-hr-3108, RPM Access Act, is a 119th Congress bill sponsored by Rep. Kustoff, David [R-TN-8] (R-TN); status in_committee; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-3108
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-3108
- Congress: 119
- Title: RPM Access Act
- Status: in_committee
- Introduced: 2025-04-30
- Sponsor: Rep. Kustoff, David [R-TN-8] (R-TN)
- Cosponsors: 9
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## 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. - 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.*

## Cosponsors (9)

- Rep. Balderson, Troy [R-OH-12] (R-OH), 2025-04-30T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2025-04-30T00:00:00.000Z
- Rep. Pocan, Mark [D-WI-2] (D-WI), 2025-04-30T00:00:00.000Z
- Rep. Miller, Carol D. [R-WV-1] (R-WV), 2025-06-25T00:00:00.000Z
- Rep. Wittman, Robert J. [R-VA-1] (R-VA), 2025-09-15T00:00:00.000Z
- Rep. Smith, Adrian [R-NE-3] (R-NE), 2026-02-02T00:00:00.000Z
- Rep. Steube, W. Gregory [R-FL-17] (R-FL), 2026-02-09T00:00:00.000Z
- Rep. Bergman, Jack [R-MI-1] (R-MI), 2026-05-12T00:00:00.000Z
- Rep. Davids, Sharice [D-KS-3] (D-KS), 2026-05-12T00:00:00.000Z

## Provisions PRIA read

- Higher Medicare remote monitoring payments: benefit, medium. 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…
- New Medicare remote monitoring rules: cost, medium. 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 a…

## Related bills

- 119-hr-4669: FEMA Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-1422: Enhanced Iran Sanctions Act of 2025
- 119-hr-3164: Ensuring Community Access to Pharmacist Services Act

## Sources
- [119-hr-3108 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/3108)

## Related
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-1422: Enhanced Iran Sanctions Act of 2025](https://policyrisk.com/legislation/119-hr-1422)
- [119-hr-3164: Ensuring Community Access to Pharmacist Services Act](https://policyrisk.com/legislation/119-hr-3164)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-3108 (as of 2026-09-21).