ASCA works with the United States Congress to ensure sound public policy concerning ASCs and their Medicare patients is implemented. Because ASCs provide superior quality and timely patient care, the ASC community must work with Congress to ensure Medicare patients continue to have access to ASCs.
2025-2026 Legislative Priorities
The 119th Congress convened in January 2025, and ASCA is actively collaborating with stakeholders, ASC advocates and congressional leaders to advance key federal legislative priorities this session. A primary focus is the introduction and passage of the Medicare Beneficiary Co-Pay Fairness Act of 2025, legislation that addresses the co-pay penalty experienced by Medicare beneficiaries when seeking care at an ASC. This critical legislation aims to ensure Medicare Part B patients pay the same maximum out-of-pocket amount ($1,676 for 2025, equivalent to the current hospital inpatient deductible) when receiving the same services in an ASC as they would in a hospital outpatient department (HOPD). In HOPDs, the 20 percent co-pay is already capped at the hospital inpatient deductible amount.
Later in the 119th Congress, ASCA also plans to introduce further legislation building upon the foundation of the Outpatient Surgery Quality and Access Act of 2023.
For comprehensive information regarding ASCA’s legislative priorities, please contact David Opong-Wadee at dopongwadee@ascassociation.org.