HR 500119th CongressIn Committee

Medicare Hearing Aid Coverage Act of 2025

Introduced: Jan 16, 2025

Sponsor: Rep. Dingell, Debbie [D-MI-6] (D-Michigan)

Standard Summary

Comprehensive overview in 1-2 paragraphs

The Medicare Hearing Aid Coverage Act of 2025 would end the current Medicare exclusion that prevents coverage for hearing aids and the exams related to obtaining them. Starting January 1, 2026, Medicare would begin to cover hearing aids and associated examinations, expanding access for beneficiaries who need hearing assistance. In addition, the bill requires a GAO study to examine existing federal programs and health coverage for hearing aids, the number of people in need, and the effectiveness of these programs, with a final report and recommendations due to Congress within 18 months after the 2026 effective date.

Key Points

1Removes the Medicare exclusion of hearing aids and examinations therefor from coverage under the Social Security Act.
2Coverage would apply to items and services furnished on or after January 1, 2026.
3Requires the Comptroller General (GAO) to study federal programs and health insurance coverage that assist with hearing aids and related exams, including need, current coverage, and effectiveness.
4GAO study may address programs intended to reduce or mitigate hearing loss, and must include recommendations for changes or new programs to meet needs.
5GAO must report to Congress within 18 months after January 1, 2026 with findings and proposed changes.

Impact Areas

Primary group/area affected: Medicare beneficiaries with hearing loss, including individuals who need hearing aids and related exams; potential for reduced out-of-pocket costs and improved access to hearing care.Secondary group/area affected: Hearing care professionals (audiologists, hearing aid providers) and providers who perform exams and fittings; potential changes in demand and reimbursement processes under Medicare.Additional impacts: Potential increase in Medicare program costs and budgetary considerations; potential shifts in the hearing aid market and care pathways; improved overall quality of life and communication for beneficiaries with hearing loss; policy and regulatory work needed to implement coverage starting in 2026.

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