# 119-s-1399: Health Tech Investment Act

119-s-1399, Health Tech Investment Act, is a 119th Congress bill sponsored by Sen. Rounds, Mike [R-SD] (R-SD); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-s-1399
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-1399
- Congress: 119
- Title: Health Tech Investment Act
- Status: introduced
- Introduced: 2025-04-09
- Sponsor: Sen. Rounds, Mike [R-SD] (R-SD)
- Cosponsors: 4
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

**Algorithm-based healthcare services under Medicare** would get a clear payment and classification pathway. The bill would add rules to assign FDA-cleared AI and machine learning clinical software to a New Technology Ambulatory Payment Classification (NTAPC) and lock in Software as a Service payments under the hospital outpatient prospective payment system. - Hospitals and clinicians: Hospitals could bill and receive separate outpatient payments when they use AI/ML clinical software that meets the bill's definition. Eligible services furnished on or after January 1, 2026 may not be removed from the NTAPC until they have received payment under that classification for at least five years. - Manufacturers and vendors: The Secretary must base NTAPC assignment on cost data submitted by the manufacturer. That data can include invoice or subscription prices, clinical staff costs, overhead, and other technology-related costs. - Medicare program and hospitals: The bill directs CMS to expand NTAPC criteria so services that are distinct but provided alongside other procedures can qualify. It also codifies OPPS payment for Software as a Service effective January 1, 2023, using the Department of Health and Human Services final rule published November 23, 2022.

## Cosponsors (4)

- Sen. Heinrich, Martin [D-NM] (D-NM), 2025-04-09T00:00:00.000Z
- Sen. Blackburn, Marsha [R-TN] (R-TN), 2025-04-09T00:00:00.000Z
- Sen. Coons, Christopher A. [D-DE] (D-DE), 2025-06-17T00:00:00.000Z
- Sen. Banks, Jim [R-IN] (R-IN), 2025-06-24T00:00:00.000Z

## Provisions PRIA read

- Medicare outpatient pay rules for SaaS: benefit, high. If enacted, this bill would require HHS to apply Medicare hospital outpatient payment rules for software-as-a-service. The rule referenced was published November 23, 2022. The change would apply to outpatient services provided on or after January 1, 2023. Hospitals and software vendors would get cl…
- Medicare payment for algorithm-based tools: benefit, high. If enacted, the bill would define an "algorithm-based healthcare service" as an FDA-cleared device using AI, machine learning, or similar software to produce clinical outputs for clinicians. For covered outpatient services on or after January 1, 2026, qualifying services assigned to the new technol…

## Related bills

- 119-s-237: Honoring Our Fallen Heroes Act of 2025
- 119-s-4429: Connected Vehicle Security Act of 2026
- 119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025
- 119-s-1032: Major Richard Star Act
- 119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former United States Senator for the State of Kansas.
- 119-sres-897: A resolution honoring the life, service, and legacy of the Honorable Jon Llewellyn Kyl, former Senator for the State of Arizona.

## Sources
- [119-s-1399 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/1399)

## Related
- [119-s-237: Honoring Our Fallen Heroes Act of 2025](https://policyrisk.com/legislation/119-s-237)
- [119-s-4429: Connected Vehicle Security Act of 2026](https://policyrisk.com/legislation/119-s-4429)
- [119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-s-1816)
- [119-s-1032: Major Richard Star Act](https://policyrisk.com/legislation/119-s-1032)
- [119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former Uni…](https://policyrisk.com/legislation/119-sres-913)
- [119-sres-897: A resolution honoring the life, service, and legacy of the Honorable Jon Llewel…](https://policyrisk.com/legislation/119-sres-897)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-1399 (as of 2025-12-21).