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H.R. 3006
U.S. House•In House Committee
Summary
H.R. 3006, the To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center, was introduced in the House on Apr 24, 2025 by Rep. Mike Kelly (R) with 21 co-sponsors. It was referred to Energy And Commerce, and last saw action on Apr 24, 2025: 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.
Record
Text
H.R. 3006 has 21 co-sponsors.
hb3006/introduced-in-house.txt119 HR 3006 IH: To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.U.S. House of Representatives2025-04-24text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I 119th CONGRESS 1st Session H. R. 3006 IN THE HOUSE OF REPRESENTATIVES April 24, 2025 Mr. Kelly of Pennsylvania (for himself, Mr. Menendez , Mr. Balderson , and Mr. Larson of Connecticut ) 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 BILLTo amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center.1.Limitation on coinsurance amount(a)In generalSection 1833 of the Social Security Act ( 42 U.S.C. 1395l ) is amended—(1)in subsection (a)(1)(G), by inserting subject to subsection (ee), before with respect to facility services ; and(2)by adding at the end the following new subsection:(ee)Limitation on coinsurance amount for certain services furnished in an ambulatory surgical centerIn the case that application of subsection (a)(1)(G) would result in the imposition of a coinsurance amount with respect to facility services described in such subsection furnished during a year with respect to a surgical procedure that exceeds the amount of the inpatient hospital deductible established under section 1813(b) for such year, the Secretary shall—(1)reduce the amount of such coinsurance to an amount equal to such deductible; and(2)pay to the supplier furnishing such services an amount equal to such reduction..(b)Effective dateThe amendments made by this section shall apply to services furnished on or after January 1, 2026.
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-04-24
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
CRS Summary
The summaries are the Congressional Research Service’s, one per stage. Read them in full.
Introduced in House Apr 24, 2025
hb3006/introduced-in-house.mdShown Here:
Introduced in House (04/24/2025)
This bill limits the amount of coinsurance that may be assessed under Medicare for services performed in ambulatory surgical centers.
Specifically, if the applicable coinsurance amount exceeds the inpatient hospital deductible, the Centers for Medicare & Medicaid Services must reduce the coinsurance amount so that it is equal to the amount of the deductible and pay the difference to the service provider.
Sponsors
Rep. Mike Kelly (R) sponsors H.R. 3006, and 21 members have co-sponsored it, 3 of them from the day it was introduced.

Rep. · R–PA-16 · Sponsor
Introduced Apr 24, 2025

Rep. · R–OH-12 · Co-sponsor
Joined Apr 24, 2025 · Original

Rep. · D–CT-1 · Co-sponsor
Joined Apr 24, 2025 · Original

Rep. · D–NJ-8 · Co-sponsor
Joined Apr 24, 2025 · Original

Rep. · R–IL-12 · Co-sponsor
Joined Jul 15, 2025

Rep. · R–KS-1 · Co-sponsor
Joined Jul 22, 2025

Rep. · D–NC-2 · Co-sponsor
Joined Aug 12, 2025

Rep. · D–NJ-5 · Co-sponsor
Joined Aug 26, 2025

Rep. · D–CA-36 · Co-sponsor
Joined Sep 16, 2025

Rep. · R–PA-13 · Co-sponsor
Joined Sep 26, 2025
Committees
H.R. 3006 went before 2 committees: Ways and Means and Energy and Commerce.
Actions
H.R. 3006 has taken 2 actions since Apr 24, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Apr 24, 2025 | House | Introduced in House | ||
Apr 24, 2025 | House | 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.Energy and Commerce Committee |
Votes
H.R. 3006 has not gone to a roll call.
Related bills
1 bill is related to H.R. 3006.
Titles
H.R. 3006 goes by 2 titles.
- To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center. — Display Title
- To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center. — Official Title as Introduced
Lobbying
8 clients hired 7 firms and 32 registered lobbyists who named H.R. 3006 in 26 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Health Issues, Medicare/Medicaid, Taxation/Internal Revenue Code, Budget/Appropriations, Pharmacy, Education, Labor Issues/Antitrust/Workplace, Medical/Disease Research/Clinical Labs.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMBULATORY SURGERY CENTER ASSOCIATION | Coalition advancing ambulatory surgery centers | Virginia | 2 | 10 | $300K |
| ZIMMER BIOMET | A global leader in musculoskeletal healthcare. | Indiana | 1 | 5 | $250K |
| AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | — | Virginia | 1 | 5 | — |
| JOHNSON & JOHNSON SERVICES INC | — | New Jersey | 1 | 2 | — |
| MEDICAL DEVICE MANUFACTURERS ASSOCIATION | Trade association for medical device manufacturers | District of Columbia | 1 | 1 | $30K |
| AMERICAN SOCIETY OF CATARACT & REFRACTIVE SURGERY | — | Virginia | 1 | 1 | — |
| NATIONAL ASSOCIATION OF SOCIAL WORKERS | — | District of Columbia | 1 | 1 | — |
| ZIMMER BIOMET, INC. | — | District of Columbia | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 32.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ALEX WHALEN | 1 | 3 | 11 |
| JOHN MCMANUS | 1 | 3 | 11 |
| BRAD GRUEHN | 1 | 1 | 5 |
| DAVID OPONG-WADEE | 1 | 1 | 5 |
| HARRY DECABO | 1 | 1 | 5 |
| KARA NEWBURY | 1 | 1 | 5 |
| LAWREN GEER | 1 | 3 | 5 |
| STEPHEN ABRESCH | 1 | 1 | 5 |
| ABIGAIL SMITH | 1 | 2 | 3 |
| ABIGAIL PINKELE | 1 | 1 | 2 |
| AMY PELLEGRINO | 1 | 1 | 2 |
| COLLEEN VIVALDI | 1 | 1 | 2 |
| DAVID KAVANAUGH | 1 | 1 | 2 |
| FOLASHADE WILSON | 1 | 1 | 2 |
| JANE ADAMS | 1 | 1 | 2 |
| JEFFREY LAST | 1 | 1 | 2 |
| JULIA KALUSNIAK | 1 | 1 | 2 |
| KELLY WATERS | 1 | 1 | 2 |
| LARRY CAMM | 1 | 1 | 2 |
| LEIF BRIERLEY | 1 | 1 | 2 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| JOHNSON & JOHNSON SERVICES INC | JOHNSON & JOHNSON SERVICES, INC. | 2026 first_quarter | $3.5M | 1st Quarter - Report |
| JOHNSON & JOHNSON SERVICES INC | JOHNSON & JOHNSON SERVICES, INC. | 2026 second_quarter | $1.4M | 2nd Quarter - Report |
| AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2025 third_quarter | $319.2K | 3rd Quarter - Report |
| AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2026 first_quarter | $319.2K | 1st Quarter - Report |
| AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2026 second_quarter | $286.3K | 2nd Quarter - Report |
| AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2025 fourth_quarter | $260K | 4th Quarter - Report |
| AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 2025 second_quarter | $216.7K | 2nd Quarter - Report |
| ZIMMER BIOMET, INC. | ZIMMER BIOMET, INC. | 2026 second_quarter | $190K | 2nd Quarter - Report |
| AMERICAN SOCIETY OF CATARACT & REFRACTIVE SURGERY | AMERICAN SOCIETY OF CATARACT & REFRACTIVE SURGERY | 2025 second_quarter | $132.9K | 2nd Quarter - Report |
| AMBULATORY SURGERY CENTER ASSOCIATION | THE MCMANUS GROUP | 2026 second_quarter | $60K | 2nd Quarter - Report |
| AMBULATORY SURGERY CENTER ASSOCIATION | AMBULATORY SURGERY CENTER ASSOCIATION | 2026 second_quarter | $60K | 2nd Quarter - Report |
| AMBULATORY SURGERY CENTER ASSOCIATION | THE MCMANUS GROUP | 2026 first_quarter | $60K | 1st Quarter - Report |
| AMBULATORY SURGERY CENTER ASSOCIATION | AMBULATORY SURGERY CENTER ASSOCIATION | 2026 first_quarter | $60K | 1st Quarter - Report |
| AMBULATORY SURGERY CENTER ASSOCIATION | THE MCMANUS GROUP | 2025 fourth_quarter | $60K | 4th Quarter - Report |
| AMBULATORY SURGERY CENTER ASSOCIATION | AMBULATORY SURGERY CENTER ASSOCIATION | 2025 fourth_quarter | $60K | 4th Quarter - Report |
| AMBULATORY SURGERY CENTER ASSOCIATION | THE MCMANUS GROUP | 2025 third_quarter | $60K | 3rd Quarter - Report |
| AMBULATORY SURGERY CENTER ASSOCIATION | AMBULATORY SURGERY CENTER ASSOCIATION | 2025 third_quarter | $60K | 3rd Quarter - Report |
| AMBULATORY SURGERY CENTER ASSOCIATION | THE MCMANUS GROUP | 2025 second_quarter | $60K | 2nd Quarter - Report |
| AMBULATORY SURGERY CENTER ASSOCIATION | AMBULATORY SURGERY CENTER ASSOCIATION | 2025 second_quarter | $60K | 2nd Quarter - Report |
| ZIMMER BIOMET | THE MCMANUS GROUP | 2026 second_quarter | $50K | 2nd Quarter - Report |
Classification
The Congressional Research Service files H.R. 3006 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 3006’s is Health.
hr3006/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 3006, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 69 (Thursday, April 24, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. KELLY of Pennsylvania:H.R. 3006.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8The single subject of this legislation is:By establishing a Medicare coinsurance cap for AmbulatorySurgery Centers (ASCs) to align with that of HospitalOutpatient Departments (HOPDs), is a necessary and propermeans to regulate and ensure the fair and equitable provisionof surgical services within the interstate Medicare system,promoting the utilization of cost-effective ASCs and reducingpotential financial burdens on beneficiaries accessing careacross state lines.[Page H1625]
Source: congress.gov · legiscan.com
