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Bill would change how CMS sets lab reimbursement under Medicare fee schedule

January 08, 2026 | Energy and Commerce: House Committee, Standing Committees - House & Senate, Congressional Hearings Compilation, Legislative, Federal


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Bill would change how CMS sets lab reimbursement under Medicare fee schedule
Unidentified Speaker said HR 5269, led by Representative Richard Hudson (NC), would update how CMS establishes reimbursement rates for clinical laboratory services paid under the Medicare clinical lab fee schedule. The speaker described the bill’s purpose as creating a “less burdensome process for CMS to determine private payer based rates for lab services.”

The opening statement did not include witness testimony or specific fiscal estimates. The committee said it will hear witnesses before advancing the bill to markup.

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