Access to Pediatric Technologies Act of 2025

Sponsor: John Joyce (Republican-PA)

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Introduced

In Committee

Passed One Chamber

Passed Both Chambers

Signed into Law

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Would standardize Medicare payments for certain medical devices used by children.

This bill would help standardize how Medicare pays for certain medical devices used by children. It would require the government to set clear payment rates for "qualifying pediatric technologies" when device makers ask. These new payment rates would apply to devices used on patients starting January 1, 2026. This change aims to give doctors and hospitals more predictable payments, which could help improve access for young patients.

What Would Change

Today, standard payment rates for certain qualifying pediatric technologies under Medicare may not be consistently set, which could hinder patient access. After this bill, the government would be required to establish these standard payment rates for qualifying pediatric technologies upon a manufacturer's request. These new rates would apply to devices used on patients starting January 1, 2026. This change aims to make reimbursement more predictable for providers, which could help improve access for children.

Key Provisions

Would require the government to set standard payment rates for certain pediatric medical devices under Medicare.
Would define a "qualifying pediatric technology" as a Medicare-covered, FDA-approved device with a temporary Level I HCPCS Code, primarily for children or specifically designed for them.
Would allow device makers to request these standard payment rates, which would apply to devices used on patients starting January 1, 2026.
Would clarify that this bill does not require Medicare to cover new pediatric technologies.

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HR 1931 · 119th Congress · AI Summary by gemini-2.5-flash · 9/10

Access to Pediatric Technologies Act of 2025

What Would Change

Key Provisions

Lobbying Activity