# 119-s-2497: Fair Billing Act

119-s-2497, Fair Billing Act, is a 119th Congress bill sponsored by Sen. Hassan, Margaret Wood [D-NH] (D-NH); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-2497
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-2497
- Congress: 119
- Title: Fair Billing Act
- Status: introduced
- Introduced: 2025-07-29
- Sponsor: Sen. Hassan, Margaret Wood [D-NH] (D-NH)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

This bill would require **separate unique health identifiers and regular attestations for off‑campus outpatient departments** before Medicare will pay for their services. It targets how hospitals bill for off‑campus departments and sets deadlines and review rules for compliance. - Hospitals and providers with off‑campus outpatient departments would need a distinct Medicare provider identifier for each OCOD and must file an initial attestation and subsequent attestations to keep receiving Medicare payments. One key date is January 1, 2026 for payment eligibility. - Medicare beneficiaries would see that services furnished at an OCOD are not payable by Medicare unless that OCOD meets the new identifier and attestation rules. - The Department of Health and Human Services Secretary would have to set up a notice-and-comment process within one year for submitting attestations and for reviewing compliance through site visits, remote audits, or other means. - The Department’s Inspector General must report to Congress by January 1, 2030 with an analysis of the review process and any recommendations.

## Cosponsors (1)

- Sen. Marshall, Roger [R-KS] (R-KS), 2025-07-29T00:00:00.000Z

## Provisions PRIA read

- New Medicare rules for off-campus care: cost, medium. If enacted, Medicare would not pay for care at an off-campus outpatient department after Jan 1, 2026. The department must use its own standard provider identifier separate from the main provider. The provider must file an initial attestation during the two years before services are furnished. The p…

## Related bills

- 119-s-1748: Kids Online Safety Act
- 119-s-3265: Improve and Enhance the Work Opportunity Tax Credit Act
- 119-s-3339: AI Workforce PREPARE Act
- 119-s-2355: Patients Deserve Price Tags Act
- 119-s-882: Patients Before Middlemen Act
- 119-s-3990: PrEP Access and Coverage Act of 2026

## Sources
- [119-s-2497 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/2497)

## Related
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-3265: Improve and Enhance the Work Opportunity Tax Credit Act](https://policyrisk.com/legislation/119-s-3265)
- [119-s-3339: AI Workforce PREPARE Act](https://policyrisk.com/legislation/119-s-3339)
- [119-s-2355: Patients Deserve Price Tags Act](https://policyrisk.com/legislation/119-s-2355)
- [119-s-882: Patients Before Middlemen Act](https://policyrisk.com/legislation/119-s-882)
- [119-s-3990: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-s-3990)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-2497 (as of 2026-04-21).