Establishes fair pricing for low-complexity, routine medical care to align payment rates across ambulatory settings.

This bill aims to create a site-neutral payment policy for certain outpatient or ambulatory services, ensuring they are reimbursed the same amount regardless of the setting. It prohibits health care providers from charging more than 150% of the Medicare non-hospital rate for these services. The bill also mandates that health care providers cannot charge for the same service on both professional and institutional claim forms. Violations of these provisions can result in penalties.

Establishes fair pricing for low-complexity, routine medical care to align payment rates across ambulatory settings.

This bill aims to create a site-neutral payment policy for certain outpatient or ambulatory services, ensuring they are reimbursed the same amount regardless of the setting. It prohibits health care providers from charging more than 150% of the Medicare non-hospital rate for these services. The bill also mandates that health care providers cannot charge for the same service on both professional and institutional claim forms. Violations of these provisions can result in penalties.