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Bill sets Medicare payment floor for remote patient monitoring starting 2026

In markupH.R. 3108Latest action

Sponsor: David Kustoff · Representative · TN

AIDecoded by AI · checked against the record
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Official title: RPM Access Act

119th Congress

Topics: Health care

Introduced:

Read the official bill on Congress.gov

In plain words

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The RPM Access Act would set a minimum Medicare payment floor for remote patient monitoring and add new quality rules starting in 2026.

45-second read · 4 questions answered below

What does this do?

This bill establishes a minimum "floor" for regional Medicare payment calculations for remote patient monitoring (RPM) starting in 2026, so rural and other lower-reimbursement areas aren't paid less based on location. It also adds new quality requirements, including real-time provider availability to respond to health alerts, electronic health record-compatible data sharing, and cost-savings data reporting, unless it creates unreasonable hardship.

Who does it affect?

Medicare patients, especially those in rural areas with limited healthcare access, are primarily affected. Healthcare providers and companies offering RPM technology and services would also need to meet new standards to receive Medicare payment.

Why does it matter?

Regional payment adjustments currently can push RPM payments below a certain level in some areas, even though actual costs don't vary much by region. HHS must report to Congress within five years on RPM's Medicare savings from earlier interventions, fewer hospital stays, and better medication adherence.

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Where does it stand?

  1. IntroducedApr 30, 2025
  2. House committeeYou are here · Jul 15, 2026
  3. House vote
  4. Senate
  5. The president's desk

Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the president.

Latest action: — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 39 - 0.

Data as of October 9, 2026
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