RESULTS Act

This bill changes how Medicare decides how much to pay for common lab tests. Starting in 2028, the government would be required to use a database of private insurance claims data — maintained by an independent nonprofit — to help set Medicare payment rates for lab tests that are widely available. The bill also sets up processes for determining payment rates for less common lab tests that don't have enough claims data, delays planned payment cuts for lab tests until 2028, and allows for legal challenges to the payment rates that are set.

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