S.1776

Medicare Beneficiary Co-Pay Fairness Act limits coinsurance for certain services in ambulatory surgical centers.

The Medicare Beneficiary Co-Pay Fairness Act amends title XVIII of the Social Security Act to limit the coinsurance amount for certain services provided in an ambulatory surgical center. Specifically, if the coinsurance amount exceeds the inpatient hospital deductible for the year, the Secretary must reduce the coinsurance amount to the deductible level and compensate the service provider for the difference. This change will apply to services provided on or after January 1, 2026.