S3816119th CongressWALLET

Repair Abuses of MSP Payments (RAMP) Act

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

Introduced

Summary

Creates a private damages remedy against employer‑sponsored group health plans that fail to follow Medicare’s payment rules. This bill would amend the Social Security Act’s Medicare Secondary Payer cross‑reference by replacing “primary plan” with “group health plan (as defined in paragraph (1)(A)(v))” and attaching an explicit private cause of action for damages when a group health plan does not provide primary payment or appropriate reimbursement.

Show full summary
  • Seniors and Medicare beneficiaries: Individuals covered by Medicare could bring private lawsuits to recover damages when a group health plan fails to pay primary or reimburse properly.
  • Workers and employer plan sponsors: Employer‑sponsored group health plans would be subject to private damage claims tied to their Medicare primary‑payment duties.
  • Providers and other entities: Hospitals, clinics, or other parties that lose expected primary payments could pursue damages under the amended Medicare Secondary Payer rule.

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Bill Overview

Analyzed Economic Effects

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

Suing group health plans for Medicare

If enacted, people would be able to sue group health plans for money when the plans fail to pay before Medicare. The bill would change the Medicare law phrase "primary plan" to "group health plan." Medicare enrollees with employer group coverage and others seeking Medicare Secondary Payer reimbursement would be affected. The bill does not set damage amounts, a deadline to sue, 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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