# 119-hr-4441: Patient Access to Innovative New Technologies Act of 2025

119-hr-4441, Patient Access to Innovative New Technologies Act of 2025, is a 119th Congress bill sponsored by Rep. Carey, Mike [R-OH-15] (R-OH); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4441
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4441
- Congress: 119
- Title: Patient Access to Innovative New Technologies Act of 2025
- Status: introduced
- Introduced: 2025-07-16
- Sponsor: Rep. Carey, Mike [R-OH-15] (R-OH)
- Cosponsors: 2
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Conditional Medicare payments to speed patient access to breakthrough medical devices.** This bill would let Medicare's New Technology Add-On Payment (NTAP) program grant conditional NTAP status when a device has an FDA breakthrough designation even if it misses the normal approval deadline. - Patients and families: Patients could get earlier access to breakthrough technologies because hospitals could receive NTAP for devices that begin discharges in the first quarter after FDA clearance. - Hospitals and providers: Hospitals could claim NTAP only if the device's approval is granted before July 1 of the fiscal year and the device starts discharges in the first quarter after approval. - Device manufacturers: Manufacturers of devices designated under the FDA breakthrough pathway and later cleared under 510(k), 513(f)(2), or 515 could be eligible for conditional NTAP, creating a clearer path to temporary Medicare reimbursement after meeting the designation and timing rules. *This provision would be implemented in a budget-neutral manner and is designed not to change net Medicare spending.*

## Cosponsors (2)

- Rep. Davis, Danny K. [D-IL-7] (D-IL), 2025-07-16T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-09-15T00:00:00.000Z

## Provisions PRIA read

- Faster Medicare access to breakthrough devices: benefit, low. This bill would let hospitals get a temporary extra Medicare payment for some "breakthrough" medical devices. The device would need an FDA breakthrough designation and then receive approval, clearance, or authorization. To qualify for a fiscal year, the FDA action would need to happen before July 1…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-4669: FEMA Act of 2025
- 119-hr-2725: Affordable Housing Credit Improvement Act of 2025
- 119-hr-6900: American Affordability Act of 2025
- 119-hr-1518: New Era of Preventing End-Stage Kidney Disease Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act

## Sources
- [119-hr-4441 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4441)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-2725: Affordable Housing Credit Improvement Act of 2025](https://policyrisk.com/legislation/119-hr-2725)
- [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900)
- [119-hr-1518: New Era of Preventing End-Stage Kidney Disease Act](https://policyrisk.com/legislation/119-hr-1518)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4441 (as of 2026-04-21).