Access to Pediatric Technologies Act of 2025

The Access to Pediatric Technologies Act of 2025 would amend Medicare’s payment rules to make it easier for new pediatric-focused medical technologies to be paid for under the physician fee schedule. Starting in 2026, if a manufacturer submits a request, the Secretary of Health and Human Services would establish national relative value units (RVUs) for qualifying pediatric technologies (QPTs) that lack existing RVUs. The new RVUs would be set using the standard payment methodology and available data (pricing, claims, time-and-motion studies, etc.) and would be determined through the annual physician fee schedule rulemaking. Importantly, the bill does not require coverage of these technologies; it only governs how they are reimbursed if covered, and it preserves existing coverage rules. Qualifying pediatric technologies are defined as devices covered by Medicare, cleared or approved by the FD&C Act, described by a temporary Level I HCPCS code for emerging tech, and used predominantly in pediatric procedures or designed specifically for pediatric use. The process requires manufacturer-supplied information to verify qualification and to aid RVU establishment, with a timeline that hinges on when the manufacturer submits the request (requests before May 1 are acted on in the same year’s rulemaking; later requests are acted on the following year). The bill also states that nothing in this provision should be read to require coverage or to alter existing coverage requirements.