Preventing Hospital Overbilling of Medicare Act

# Preventing Hospital Overbilling of Medicare Act (HR 3023) - Summary **What the Bill Does:** This bill aims to reduce overpayments to hospitals by changing how Medicare reimburses off-campus hospital outpatient departments (clinics and facilities owned by hospitals but located away from the main hospital building). Currently, these departments can receive higher payment rates than independent clinics providing the same services. The bill would eliminate certain exceptions that allow these off-campus departments to charge more, and it would require hospitals to use distinct identifiers when billing for off-campus services so payments can be tracked more easily. **Who It Affects:** The bill primarily affects hospitals with off-campus outpatient facilities and Medicare beneficiaries.

Hospitals would receive lower reimbursement rates for off-campus services, potentially affecting their revenue and operations. Medicare beneficiaries could see indirect effects through changes in how and where hospital services are delivered or priced. **Current Status:** The bill is currently in committee and has not yet been voted on by the full House. It was introduced by Representative Victoria Spartz (R-Indiana) and remains under review.