# 119-hr-3288: Access to Prescription Digital Therapeutics Act of 2025

119-hr-3288, Access to Prescription Digital Therapeutics Act of 2025, is a 119th Congress bill sponsored by Rep. Hern, Kevin [R-OK-1] (R-OK); status introduced; PRIA reads it as touching household money (as of 2026-06-24).

- Canonical: https://policyrisk.com/legislation/119-hr-3288
- As of: 2026-06-24
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-3288
- Congress: 119
- Title: Access to Prescription Digital Therapeutics Act of 2025
- Status: introduced
- Introduced: 2025-05-08
- Sponsor: Rep. Hern, Kevin [R-OK-1] (R-OK)
- Cosponsors: 10
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-06-24

## Summary

**National coverage and payment framework for prescription digital therapeutics**. This bill would add FDA‑cleared software therapies to Medicare Part B and to Medicaid while creating rules for payment, coding, manufacturer reporting, and penalties. - Medicare beneficiaries would have PDTs added as a covered Part B item for PDTs furnished on or after January 1, 2026. - Medicaid enrollees would get aligned coverage by adding the same PDT definition to section 1905(a), making Medicaid reimbursement consistent with Medicare rules. - Providers and payers would operate under a payment methodology the Secretary must set within 1 year, allowing one-time or periodic payments, and product‑specific HCPCS codes must be established within 2 years with temporary codes available until then. - Manufacturers must submit annual reports starting January 1, 2026 on private payor rates, volumes, and user counts adjusted for discounts and rebates and face civil monetary penalties up to $10,000 per day for failures or misrepresentations.

## Cosponsors (10)

- Rep. Thompson, Mike [D-CA-4] (D-CA), 2025-05-08T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2025-05-20T00:00:00.000Z
- Rep. Balderson, Troy [R-OH-12] (R-OH), 2025-07-02T00:00:00.000Z
- Rep. Van Duyne, Beth [R-TX-24] (R-TX), 2025-07-14T00:00:00.000Z
- Rep. Wittman, Robert J. [R-VA-1] (R-VA), 2025-09-09T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-09-26T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2025-10-08T00:00:00.000Z
- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-12-09T00:00:00.000Z
- Rep. Ross, Deborah K. [D-NC-2] (D-NC), 2026-03-03T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2026-06-22T00:00:00.000Z

## Provisions PRIA read

- Medicaid could cover digital therapies: benefit, medium. If enacted, state Medicaid programs could cover prescription digital therapeutics that meet the bill’s definition. Whether you get coverage would depend on your state’s Medicaid rules. Coverage would use normal Medicaid processes.
- Medicare coverage and payment for digital therapies: benefit, medium. If enacted, Medicare Part B would cover prescription digital therapeutics furnished on or after January 1, 2026. The Secretary would set how PDTs are paid within 1 year. Payments could be one-time or ongoing and would consider list price, private payor rates, and any ongoing-use costs. Product-spec…
- What counts as a digital therapy: benefit, medium. If enacted, the bill would define which software-based treatments count as prescription digital therapeutics. To qualify, a product must be FDA cleared or approved under 510(k), 513(f)(2), or 515, have a medical use for prevention, management, or treatment, and mainly use software. It must also be…
- New reporting and fines for digital therapy makers: cost, low. If enacted, makers of digital therapeutics billed to Medicare would need to report data by January 1, 2026 and then at least yearly. Reports would include each private payor’s payment rates, volumes distributed, and user counts, with all discounts and rebates reflected. The data would be kept confi…

## 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-4382: America’s Olympic and Paralympic Games Commemorative Coins Act
- 119-hr-1502: North Platte Canteen Congressional Gold Medal Act
- 119-hr-3164: Ensuring Community Access to Pharmacist Services Act
- 119-hr-1340: More Homes on the Market Act

## Sources
- [119-hr-3288 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/3288)

## 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-4382: America’s Olympic and Paralympic Games Commemorative Coins Act](https://policyrisk.com/legislation/119-hr-4382)
- [119-hr-1502: North Platte Canteen Congressional Gold Medal Act](https://policyrisk.com/legislation/119-hr-1502)
- [119-hr-3164: Ensuring Community Access to Pharmacist Services Act](https://policyrisk.com/legislation/119-hr-3164)
- [119-hr-1340: More Homes on the Market Act](https://policyrisk.com/legislation/119-hr-1340)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-3288 (as of 2026-06-24).