HR 5392 United States House · 118th Congress

Timely Access to Coverage Decisions Act of 2023

This bill sets strict timelines for Medicare administrative contractors to review requests for local coverage determinations. It requires contractors to determine within 30 days if a request is complete or incomplete, and if incomplete, notify the submitter within 60 days of missing information. For complete requests, contractors must complete research, consult experts, hold a 45-day public comment period, and issue a final decision within 9 months. The bill directly affects Medicare contractors and healthcare providers or entities seeking coverage decisions for Medicare services.
Bill status in committee 1 of 4 stages cleared
Introduction
Sep 2023
Committee Review
Floor Vote
President
Introduced Sep 12, 2023 Last action Dec 17, 2024
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Full legislative history

Actions timeline

Total actions
4
Key actions
0
Committee
3
Dec 17, 2024
Committee
Referred to the Subcommittee on Health.
lower
Sep 15, 2023
Committee
Referred to the Subcommittee on Health.
lower
Sep 12, 2023
Committee
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
lower
Sep 12, 2023
Introduced
Introduced in House
lower
1 primary · 1 co-sponsor

Sponsors