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HR 1667119th CongressIn Committee

Acupuncture for Our Seniors Act of 2025

Introduced: Feb 27, 2025
Standard Summary
Comprehensive overview in 1-2 paragraphs

The Acupuncture for Our Seniors Act of 2025 would add coverage for acupuncturist services under Medicare by amending Title XVIII of the Social Security Act. It creates a new category of “qualified acupuncturist services” that can be furnished by a “qualified acupuncturist” (licensed by a state or meeting a nationally recognized certification standard, or a physician legally authorized to perform acupuncture by the state). The bill allows these services to be billed consistently with existing Medicare payment rules (including the physician fee schedule and separate payments for institutional providers) and requires separate inpatient billing for qualified acupuncturist services. The changes take effect for services furnished on or after 270 days after enactment, expanding access to acupuncture for Medicare beneficiaries. In short, the bill formalizes Medicare coverage for acupuncture, sets minimum qualification standards for who can provide it, and integrates payment procedures into current Medicare structures, with a phase-in period after enactment.

Key Points

  • 1Coverage expansion: Adds qualified acupuncturist services to Medicare Part B, treating these services as covered under the Medicare program when provided by a qualified acupuncturist and in accordance with state law.
  • 2Qualified acupuncturist definition: A qualified acupuncturist is either a state-licensed acupuncturist (or someone in a state without licensure who meets an equivalent certification standard) or a physician who is legally authorized to perform acupuncture in the state where they practice. The Secretary may reference certification standards from recognized certifying bodies.
  • 3Incidence to and scope: Services and supplies furnished as an incident to the qualified acupuncturist’s services are covered, as allowed under state law. This aligns acupuncture with existing “incidental to” rules used for other services, under the supervision and permission of the applicable licensing framework.
  • 4Payment structure changes: Updates to Medicare payment rules include new references to qualified acupuncturist services in the physician fee schedule, and provisions for separate payment for qualified acupuncturist services in institutional settings. It also adds the qualified acupuncturist as a recognized practitioner in payment policy and allows separate inpatient billing for these services.
  • 5Effective date: The amendments apply to services furnished on or after 270 days after enactment, allowing a transition period before coverage begins.

Impact Areas

Primary group/area affected:- Medicare beneficiaries (primarily seniors) who may receive acupuncture as part of their medical care, including coverage for visits and related supplies.- Licensed acupuncturists and physicians who perform acupuncture, who may gain a new source of Medicare reimbursement.Secondary group/area affected:- Hospitals, clinics, and other institutional providers that bill for acupuncturist services in inpatient or outpatient settings, due to the new separate billing provisions.Additional impacts:- State licensure and credentialing: State boards and national certifying bodies may see a need to align requirements with the bill’s definitions of “qualified acupuncturist.”- Payment and administration: CMS systems and the Medicare Physician Fee Schedule would incorporate new payment rules for qualified acupuncturist services, potentially affecting budgeting and provider reimbursement patterns.- Access and costs: Beneficiaries could have expanded access to non-pharmacologic pain management and other acupuncture-based therapies; these changes may affect overall Medicare costs and utilization.- Implementation period: A 270-day lead time gives time for providers to meet qualification standards and for CMS to issue any necessary regulations or guidance.
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