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119-hr-5269119th CongressWALLET

RESULTS Act

Sponsored By: Representative Hudson, Richard [R-NC-9]

Introduced

Summary

This bill would create a data-driven framework to set Medicare payment rates for clinical diagnostic laboratory tests using certified nonprofit claims repositories. It focuses on market-based private-payor data, transparent formulas, and transitional safeguards to prevent sudden payment drops.

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Bill Overview

Analyzed Economic Effects

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

New data source for Medicare lab prices

If enacted, Health and Human Services would hire a certified, independent nonprofit to supply private pay claims data for Medicare lab prices. The database would need at least 50,000,000,000 claims from over 50 private payors and cover all states. A test would be "widely available" if more than 100 providers were paid for it in the first six months before the data period. Medicare would start using this data for reporting periods beginning January 1, 2028, based on collections starting January 1, 2027. Before 2028, Medicaid managed care rates would be left out, and final payment rates would ignore denied, appealed, erroneous, or recouped payments.

Smaller Medicare lab payment cuts

This bill would delay and shrink scheduled Medicare lab payment cuts. It would set the maximum cut at 5% for 2029 and later, replacing larger planned 15% cuts for 2026–2028. This could mean slightly higher Medicare payments for some lab tests and slightly higher coinsurance for some patients. It would also update timing references so the rules apply starting with 2017 and move a key year to 2028.

Sponsors & CoSponsors

Sponsor

Hudson, Richard [R-NC-9]

NC • R

Cosponsors

  • Rep. Ruiz, Raul [D-CA-25]

    CA • D

    Sponsored 11/2/2026

  • Rep. Garbarino, Andrew R. [R-NY-2]

    NY • R

    Sponsored 11/2/2026

  • Rep. Escobar, Veronica [D-TX-16]

    TX • D

    Sponsored 11/2/2026

  • Rep. Clarke, Yvette D. [D-NY-9]

    NY • D

    Sponsored 11/2/2026

  • Rep. Peters, Scott H. [D-CA-50]

    CA • D

    Sponsored 9/10/2025

  • Rep. Bilirakis, Gus M. [R-FL-12]

    FL • R

    Sponsored 9/10/2025

  • Rep. Krishnamoorthi, Raja [D-IL-8]

    IL • D

    Sponsored 9/10/2025

  • Rep. Fitzpatrick, Brian K. [R-PA-1]

    PA • R

    Sponsored 9/10/2025

  • Rep. Carter, Earl L. "Buddy" [R-GA-1]

    GA • R

    Sponsored 9/10/2025

  • Rep. Joyce, John [R-PA-13]

    PA • R

    Sponsored 9/10/2025

  • Rep. Ciscomani, Juan [R-AZ-6]

    AZ • R

    Sponsored 9/10/2025

  • Rep. Davis, Donald G. [D-NC-1]

    NC • D

    Sponsored 9/10/2025

  • Rep. Davids, Sharice [D-KS-3]

    KS • D

    Sponsored 9/10/2025

  • Rep. Ross, Deborah K. [D-NC-2]

    NC • D

    Sponsored 9/10/2025

  • Rep. Balderson, Troy [R-OH-12]

    OH • R

    Sponsored 9/10/2025

  • Rep. Sewell, Terri A. [D-AL-7]

    AL • D

    Sponsored 9/10/2025

  • Rep. Lofgren, Zoe [D-CA-18]

    CA • D

    Sponsored 9/11/2025

  • Rep. Kennedy, Mike [R-UT-3]

    UT • R

    Sponsored 9/23/2025

  • Rep. Vindman, Eugene Simon [D-VA-7]

    VA • D

    Sponsored 9/26/2025

  • Rep. Dingell, Debbie [D-MI-6]

    MI • D

    Sponsored 10/3/2025

  • Rep. Horsford, Steven [D-NV-4]

    NV • D

    Sponsored 10/3/2025

  • Rep. Bresnahan, Robert P. [R-PA-8]

    PA • R

    Sponsored 10/3/2025

  • Rep. Craig, Angie [D-MN-2]

    MN • D

    Sponsored 10/3/2025

  • Rep. Dunn, Neal P. [R-FL-2]

    FL • R

    Sponsored 10/3/2025

  • Rep. Auchincloss, Jake [D-MA-4]

    MA • D

    Sponsored 10/6/2025

  • Rep. Panetta, Jimmy [D-CA-19]

    CA • D

    Sponsored 10/10/2025

  • Rep. Mullin, Kevin [D-CA-15]

    CA • D

    Sponsored 10/14/2025

  • Rep. Gottheimer, Josh [D-NJ-5]

    NJ • D

    Sponsored 10/14/2025

  • Rep. Kean, Thomas H. [R-NJ-7]

    NJ • R

    Sponsored 10/17/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 10/17/2025

  • Rep. Thompson, Mike [D-CA-4]

    CA • D

    Sponsored 10/17/2025

  • Rep. Stevens, Haley M. [D-MI-11]

    MI • D

    Sponsored 10/15/2026

  • Rep. Wilson, Joe [R-SC-2]

    SC • R

    Sponsored 10/15/2026

  • Rep. Tonko, Paul [D-NY-20]

    NY • D

    Sponsored 10/22/2026

  • Rep. Carson, André [D-IN-7]

    IN • D

    Sponsored 10/22/2026

  • Rep. Brownley, Julia [D-CA-26]

    CA • D

    Sponsored 10/21/2025

  • Rep. Pettersen, Brittany [D-CO-7]

    CO • D

    Sponsored 10/21/2025

  • Rep. Rouzer, David [R-NC-7]

    NC • R

    Sponsored 10/24/2025

  • Rep. McBride, Sarah [D-DE-At Large]

    DE • D

    Sponsored 10/24/2025

  • Rep. Moore, Blake D. [R-UT-1]

    UT • R

    Sponsored 10/31/2025

  • Rep. Thanedar, Shri [D-MI-13]

    MI • D

    Sponsored 11/4/2025

  • Rep. Davis, Danny K. [D-IL-7]

    IL • D

    Sponsored 11/10/2025

  • Rep. Langworthy, Nicholas A. [R-NY-23]

    NY • R

    Sponsored 11/10/2025

  • Rep. Cohen, Steve [D-TN-9]

    TN • D

    Sponsored 11/12/2025

  • Rep. Tenney, Claudia [R-NY-24]

    NY • R

    Sponsored 11/19/2025

  • Rep. Moore, Tim [R-NC-14]

    NC • R

    Sponsored 11/19/2025

  • Rep. Sánchez, Linda T. [D-CA-38]

    CA • D

    Sponsored 11/19/2025

  • Rep. Crenshaw, Dan [R-TX-2]

    TX • R

    Sponsored 11/19/2025

  • Rep. Trahan, Lori [D-MA-3]

    MA • D

    Sponsored 11/19/2025

  • Rep. Carey, Mike [R-OH-15]

    OH • R

    Sponsored 11/21/2025

  • Rep. Suozzi, Thomas R. [D-NY-3]

    NY • D

    Sponsored 12/1/2025

  • Rep. Levin, Mike [D-CA-49]

    CA • D

    Sponsored 12/9/2025

  • Rep. Weber, Randy K. Sr. [R-TX-14]

    TX • R

    Sponsored 12/11/2025

  • Rep. DelBene, Suzan K. [D-WA-1]

    WA • D

    Sponsored 12/11/2025

  • Rep. Fletcher, Lizzie [D-TX-7]

    TX • D

    Sponsored 12/11/2025

  • Rep. Landsman, Greg [D-OH-1]

    OH • D

    Sponsored 12/15/2025

  • Rep. Soto, Darren [D-FL-9]

    FL • D

    Sponsored 12/15/2025

  • Rep. Pou, Nellie [D-NJ-9]

    NJ • D

    Sponsored 12/16/2025

  • Rep. Edwards, Chuck [R-NC-11]

    NC • R

    Sponsored 12/16/2025

  • Rep. Kelly, Mike [R-PA-16]

    PA • R

    Sponsored 12/18/2025

  • Rep. Neguse, Joe [D-CO-2]

    CO • D

    Sponsored 12/18/2025

  • Rep. Pfluger, August [R-TX-11]

    TX • R

    Sponsored 12/18/2025

  • Rep. Wittman, Robert J. [R-VA-1]

    VA • R

    Sponsored 1/7/2026

  • Rep. Pocan, Mark [D-WI-2]

    WI • D

    Sponsored 1/7/2026

  • Rep. Lee, Laurel M. [R-FL-15]

    FL • R

    Sponsored 1/7/2026

  • Rep. Rulli, Michael A. [R-OH-6]

    OH • R

    Sponsored 1/7/2026

  • Rep. Lawler, Michael [R-NY-17]

    NY • R

    Sponsored 1/13/2026

  • Rep. Van Duyne, Beth [R-TX-24]

    TX • R

    Sponsored 1/13/2026

  • Rescom. Hernández, Pablo Jose [D-PR-At Large]

    PR • D

    Sponsored 1/20/2026

  • Rep. Veasey, Marc A. [D-TX-33]

    TX • D

    Sponsored 2/4/2026

  • Rep. Barragán, Nanette Diaz [D-CA-44]

    CA • D

    Sponsored 2/9/2026

  • Rep. Miller, Carol D. [R-WV-1]

    WV • R

    Sponsored 2/23/2026

  • Rep. Schneider, Bradley Scott [D-IL-10]

    IL • D

    Sponsored 2/23/2026

  • Rep. Bentz, Cliff [R-OR-2]

    OR • R

    Sponsored 2/23/2026

  • Rep. Cammack, Kat [R-FL-3]

    FL • R

    Sponsored 3/3/2026

  • Rep. Owens, Burgess [R-UT-4]

    UT • R

    Sponsored 3/5/2026

  • Rep. Jayapal, Pramila [D-WA-7]

    WA • D

    Sponsored 3/16/2026

  • Rep. Miller-Meeks, Mariannette [R-IA-1]

    IA • R

    Sponsored 4/14/2026

  • Rep. Murphy, Gregory F. [R-NC-3]

    NC • R

    Sponsored 4/14/2026

  • Rep. LaHood, Darin [R-IL-16]

    IL • R

    Sponsored 4/20/2026

  • Rep. Beatty, Joyce [D-OH-3]

    OH • D

    Sponsored 4/21/2026

  • Rep. Goldman, Craig A. [R-TX-12]

    TX • R

    Sponsored 4/16/2026

  • Rep. Houchin, Erin [R-IN-9]

    IN • R

    Sponsored 4/15/2026

  • Rep. Evans, Gabe [R-CO-8]

    CO • R

    Sponsored 4/16/2026

  • Rep. Titus, Dina [D-NV-1]

    NV • D

    Sponsored 4/29/2026

  • Rep. Bacon, Don [R-NE-2]

    NE • R

    Sponsored 5/12/2026

  • Rep. Harrigan, Pat [R-NC-10]

    NC • R

    Sponsored 5/14/2026

  • Rep. Finstad, Brad [R-MN-1]

    MN • R

    Sponsored 5/14/2026

  • Rep. Knott, Brad [R-NC-13]

    NC • R

    Sponsored 5/14/2026

  • Rep. Castor, Kathy [D-FL-14]

    FL • D

    Sponsored 5/14/2026

  • Rep. Wasserman Schultz, Debbie [D-FL-25]

    FL • D

    Sponsored 5/19/2026

  • Rep. Moran, Nathaniel [R-TX-1]

    TX • R

    Sponsored 5/20/2026

  • Rep. Bera, Ami [D-CA-6]

    CA • D

    Sponsored 5/21/2026

  • Rep. McDowell, Addison P. [R-NC-6]

    NC • R

    Sponsored 6/2/2026

  • Rep. Allen, Rick W. [R-GA-12]

    GA • R

    Sponsored 6/2/2026

  • Rep. Yakym, Rudy [R-IN-2]

    IN • R

    Sponsored 6/3/2026

  • Rep. McClellan, Jennifer L. [D-VA-4]

    VA • D

    Sponsored 6/3/2026

  • Rep. Shreve, Jefferson [R-IN-6]

    IN • R

    Sponsored 6/8/2026

  • Rep. McCormick, Richard [R-GA-7]

    GA • R

    Sponsored 6/9/2026

  • Rep. Mejia, Analilia [D-NJ-11]

    NJ • D

    Sponsored 6/18/2026

  • Rep. Fedorchak, Julie [R-ND-At Large]

    ND • R

    Sponsored 6/18/2026

  • Rep. Babin, Brian [R-TX-36]

    TX • R

    Sponsored 6/18/2026

  • Rep. Malliotakis, Nicole [R-NY-11]

    NY • R

    Sponsored 6/25/2026

  • Rep. Dean, Madeleine [D-PA-4]

    PA • D

    Sponsored 6/29/2026

  • Rep. Thompson, Glenn [R-PA-15]

    PA • R

    Sponsored 6/30/2026

  • Rep. Crow, Jason [D-CO-6]

    CO • D

    Sponsored 7/2/2026

  • Rep. Huizenga, Bill [R-MI-4]

    MI • R

    Sponsored 7/2/2026

  • Rep. Carbajal, Salud O. [D-CA-24]

    CA • D

    Sponsored 7/13/2026

  • Rep. Kim, Young [R-CA-40]

    CA • R

    Sponsored 7/13/2026

  • Rep. Bean, Aaron [R-FL-4]

    FL • R

    Sponsored 7/13/2026

  • Rep. Rutherford, John H. [R-FL-5]

    FL • R

    Sponsored 7/16/2026

  • Rep. Walkinshaw, James R. [D-VA-11]

    VA • D

    Sponsored 7/20/2026

  • Rep. Flood, Mike [R-NE-1]

    NE • R

    Sponsored 7/20/2026

  • Rep. Valadao, David G. [R-CA-22]

    CA • R

    Sponsored 7/21/2026

  • Rep. Pingree, Chellie [D-ME-1]

    ME • D

    Sponsored 8/3/2026

  • Rep. LaLota, Nick [R-NY-1]

    NY • R

    Sponsored 8/3/2026

  • Rep. Watson Coleman, Bonnie [D-NJ-12]

    NJ • D

    Sponsored 8/3/2026

  • Rep. Salazar, Maria Elvira [R-FL-27]

    FL • R

    Sponsored 8/3/2026

  • Rep. Kennedy, Timothy M. [D-NY-26]

    NY • D

    Sponsored 8/3/2026

  • Rep. Mackenzie, Ryan [R-PA-7]

    PA • R

    Sponsored 8/20/2026

  • Rep. Costa, Jim [D-CA-21]

    CA • D

    Sponsored 8/20/2026

  • Rep. Steube, W. Gregory [R-FL-17]

    FL • R

    Sponsored 8/20/2026

  • Rep. Boyle, Brendan F. [D-PA-2]

    PA • D

    Sponsored 8/27/2026

  • Rep. Bynum, Janelle S. [D-OR-5]

    OR • D

    Sponsored 9/2/2026

  • Rep. Jackson, Ronny [R-TX-13]

    TX • R

    Sponsored 9/4/2026

  • Rep. Conaway, Herbert C. [D-NJ-3]

    NJ • D

    Sponsored 9/4/2026

  • Rep. Steil, Bryan [R-WI-1]

    WI • R

    Sponsored 9/4/2026

  • Rep. Norcross, Donald [D-NJ-1]

    NJ • D

    Sponsored 9/15/2026

  • Rep. Strickland, Marilyn [D-WA-10]

    WA • D

    Sponsored 9/16/2026

Roll Call Votes

No roll call votes available for this bill.

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