Medicare Audiology Access Improvement Act of 2025
Sponsored By: Representative Bilirakis
Introduced
Summary
Expands Medicare to let qualified audiologists provide audiology services directly. It would also set how Medicare pays for those services and take effect January 1, 2027.
Show full summary
- Seniors and people on Medicare would be able to get hearing and balance assessment services from a qualified audiologist without a physician referral or physician supervision. Medicare would pay 80% of the lesser of the actual charge or the physician fee schedule amount for these services.
- Qualified audiologists would become eligible to bill Medicare for diagnostic and treatment audiology services that they are legally authorized to perform under state law, beginning in 2027.
- Rural Health Clinics and Federally Qualified Health Centers would be able to include qualified audiologists among eligible practitioners who bill under their payment rules.
- The bill includes a rule of construction that limits the change to services and payments that were permissible as of December 31, 2026.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
Medicare covers audiology without referral
If enacted, Medicare would add audiology services as a covered benefit. Starting January 1, 2027, a qualified audiologist could treat you without a doctor's referral or supervision. Medicare would pay 80% of the lower of the provider charge or the Medicare fee amount. You would generally pay the other 20% as coinsurance. Hearing and balance checks through December 31, 2026 would remain covered, and clinic billing would include qualified audiologists at RHCs and FQHCs.
Sponsors & CoSponsors
Sponsor
Bilirakis
FL • R
Cosponsors
Mullin
CA • D
Sponsored 4/9/2025
Rep. Moran, Nathaniel [R-TX-1]
TX • R
Sponsored 4/9/2025
Rep. Massie, Thomas [R-KY-4]
KY • R
Sponsored 4/9/2025
Rep. Gottheimer, Josh [D-NJ-5]
NJ • D
Sponsored 5/21/2025
Webster (FL)
FL • R
Sponsored 6/2/2025
Van Drew
NJ • R
Sponsored 6/2/2025
Crow
CO • D
Sponsored 6/4/2025
Sherrill
NJ • D
Sponsored 6/5/2025
Cohen
TN • D
Sponsored 6/17/2025
Schakowsky
IL • D
Sponsored 6/23/2025
Rep. Latimer, George [D-NY-16]
NY • D
Sponsored 7/22/2025
Rep. Neguse, Joe [D-CO-2]
CO • D
Sponsored 7/25/2025
Rep. Green, Al [D-TX-9]
TX • D
Sponsored 8/12/2025
Rep. Vindman, Eugene Simon [D-VA-7]
VA • D
Sponsored 8/12/2025
Davis (NC)
NC • D
Sponsored 9/2/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 9/30/2025
Rep. Letlow, Julia [R-LA-5]
LA • R
Sponsored 10/3/2025
Rep. Johnson, Julie [D-TX-32]
TX • D
Sponsored 10/6/2025
Rep. Bacon, Don [R-NE-2]
NE • R
Sponsored 10/6/2025
Rep. McClain Delaney, April [D-MD-6]
MD • D
Sponsored 10/8/2025
Rep. Grothman, Glenn [R-WI-6]
WI • R
Sponsored 10/8/2025
Rep. Bynum, Janelle S. [D-OR-5]
OR • D
Sponsored 10/14/2025
Rep. Ross, Deborah K. [D-NC-2]
NC • D
Sponsored 10/21/2025
Craig
MN • D
Sponsored 10/21/2025
Rep. Valadao, David G. [R-CA-22]
CA • R
Sponsored 10/24/2025
Rep. Harder, Josh [D-CA-9]
CA • D
Sponsored 10/24/2025
Rep. Moore, Blake D. [R-UT-1]
UT • R
Sponsored 10/28/2025
Pingree
ME • D
Sponsored 11/7/2025
Loudermilk
GA • R
Sponsored 11/17/2025
Costa
CA • D
Sponsored 11/19/2025
Rutherford
FL • R
Sponsored 12/2/2025
Rep. Pocan, Mark [D-WI-2]
WI • D
Sponsored 12/15/2025
Rep. Chu, Judy [D-CA-28]
CA • D
Sponsored 5/13/2026
Roll Call Votes
No roll call votes available for this bill.
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