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S3816119th CongressWALLET

Repair Abuses of MSP Payments (RAMP) Act

Sponsored By: Senator Scott, Tim [R-SC]

Introduced

Summary

The RAMP Act would create a private right of action against group health plans that fail to make primary payments or reimburse correctly under Medicare's secondary payer rules.

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  • Medicare beneficiaries and health providers could sue group health plans for damages when those plans do not pay as primary or reimburse properly.
  • Group health plans and insurers would face broader legal exposure because the bill replaces the term "primary plan" with the defined term "group health plan" in the cited Medicare statute.
  • The amendment targets Section 1862(b)(3)(A) of the Social Security Act by changing the referenced term to align with the statutory definition of a group health plan.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

Which employer plan pays first

If enacted, this bill would change the wording in Medicare coordination rules so that a "group health plan" is the named primary plan. If you have Medicare and employer coverage, this could change which plan pays first. It could change billing, reimbursements, and paperwork for employers, insurers, providers, and Medicare beneficiaries. The text in this chunk does not set dollar amounts or an effective date.

Sponsors & CoSponsors

Sponsor

Scott, Tim [R-SC]

SC • R

Cosponsors

  • Sen. Hassan, Margaret Wood [D-NH]

    NH • D

    Sponsored 2/10/2026

Roll Call Votes

No roll call votes available for this bill.

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