# 119-s-3763: ALS Better Care Act

119-s-3763, ALS Better Care Act, is a 119th Congress bill sponsored by Sen. Murkowski, Lisa [R-AK] (R-AK); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-3763
- 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-3763
- Congress: 119
- Title: ALS Better Care Act
- Status: introduced
- Introduced: 2026-02-03
- Sponsor: Sen. Murkowski, Lisa [R-AK] (R-AK)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**A new Medicare payment and delivery system for ALS care** would create a dedicated category of outpatient ALS-related services and set a per-visit payment to improve access and align reimbursement with ALS care needs. - People with ALS would gain Medicare coverage for a defined package of outpatient ALS-related services. These services would have no cost sharing. - Qualified providers would receive a single per-visit payment starting at $800. Future increases would follow an ALS services market basket or Comptroller General recommendations. - The bill would require rulemaking to define who counts as a qualified provider, require an ICD-10-CM code to trigger payments, and mandate a Comptroller General report every three years starting by January 1, 2027 to guide payment updates. It also directs a rapid report on ALS clinical-trial administration and staffing to identify implementation challenges and possible legislative changes.

## Cosponsors (1)

- Sen. Coons, Christopher A. [D-DE] (D-DE), 2026-02-03T00:00:00.000Z

## Provisions PRIA read

- Medicare single payment for ALS visits: benefit, medium. If enacted, Medicare would pay a single per-visit amount for outpatient ALS care. The payment would be $800 for 2027 and $800 for 2028 unless the Comptroller General recommends a higher amount. From 2029 on the amount would increase by an ALS services market basket percentage each year, except in c…
- Medicare coverage for ALS services: benefit, low. If enacted, the bill would define which outpatient items and services count as ALS-related care. Examples include specialized physician or nurse practitioner support, occupational and physical therapy, speech pathology, dietary and respiratory support, registered nurse support, and coordination of…
- Rules for ALS providers and payments: mixed, low. If enacted, the Secretary would write rules by notice-and-comment to define which providers are "qualified" to furnish ALS-related services and receive the single payment. The Secretary must consult ALS patients, physicians, and ALS organizations when making those rules. The bill would also add qua…

## Related bills

- 119-s-2431: Department of the Interior, Environment, and Related Agencies Appropriations Act, 2026
- 119-s-2120: Older Americans Act Reauthorization Act of 2025
- 119-s-4976: Native Children’s Commission Implementation Act of 2026
- 119-s-688: Fighting Foreign Illegal Seafood Harvests Act of 2025
- 119-s-1748: Kids Online Safety Act
- 119-s-1541: SHIPS for America Act of 2025

## Sources
- [119-s-3763 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3763)

## Related
- [119-s-2431: Department of the Interior, Environment, and Related Agencies Appropriations Ac…](https://policyrisk.com/legislation/119-s-2431)
- [119-s-2120: Older Americans Act Reauthorization Act of 2025](https://policyrisk.com/legislation/119-s-2120)
- [119-s-4976: Native Children’s Commission Implementation Act of 2026](https://policyrisk.com/legislation/119-s-4976)
- [119-s-688: Fighting Foreign Illegal Seafood Harvests Act of 2025](https://policyrisk.com/legislation/119-s-688)
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-1541: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-s-1541)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3763 (as of 2026-04-21).