S 249

Access to Pediatric Technologies Act of 2025

Summary

Access to Pediatric Technologies Act of 2025 This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish, upon request, specific payment methodologies for qualifying pediatric technologies under the Medicare physician fee schedule.  Qualifying pediatric technologies are medical devices that are (1) covered under Medicare, (2) approved by the Food and Drug Administration, (3) currently billed using a specified temporary billing code for emerging technologies, and (4) predominantly used or specifically designated for pediatric patients. The CMS must develop a payment methodology for a qualifying pediatric technology upon request from the manufacturer and based on available data, including pricing information and claims data. Manufacturers must include relevant information in their requests to enable the CMS to develop the corresponding methodologies.

Bill status

Status
In committee
Sponsor
Sen. Marsha Blackburn [R-TN]
Cosponsors
1
Policy area
Health
Introduced
2025-01-24
Latest action
2025-01-24: Read twice and referred to the Committee on Finance.

Committee referrals

Recent actions

  • 2025-01-24: Read twice and referred to the Committee on Finance.
  • 2025-01-24: Introduced in Senate