I 118th CONGRESS 1st Session H. R. 6366 IN THE HOUSE OF REPRESENTATIVES November 13, 2023 Mr. Hudson introduced the following bill; which was 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 A BILL To amend title XVIII of the Social Security Act with respect to the work geographic index for physician payments under the Medicare program, and to revise the phase-in of clinical laboratory test payment changes under such program.

1. Extending floor for work geographic index Section 1848(e)(1)(E) of the Social Security Act ( 42 U.S.C. 1395w–4(e)(1)(E) ) is amended by striking 2024 and inserting 2025 . 2. Revising phase-in of Medicare clinical laboratory test payment changes (a) Revised phase-In of reductions from private payor rate implementation Section 1834A(b)(3) of the Social Security Act ( 42 U.S.C. 1395m–1(b)(3) ) is amended— (1) in subparagraph (A), by striking 2026 and inserting 2027 ; and (2) in subparagraph (B)— (A) in clause (ii), by striking 2023 and inserting 2024 ; and (B) in clause (iii), by striking 2024 through 2026 and inserting 2025 through 2027 . (b) Revised reporting period for reporting of private sector payment rates for establishment of Medicare payment rates Section 1834A(a)(1)(B) of the Social Security Act ( 42 U.S.C. 1395m–1(a)(1)(B) ) is amended— (1) in clause (i), by striking 2023 and inserting 2024 ; and (2) in clause (ii), by striking 2024 each place it appears and inserting 2025 .