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Skin Substitute Access and Payment Reform Act

In committee: it can still change before the session ends.

US HR 5768 · House Bill · 119th Congress

Draft a letter
Stage
In committee
Started in
House
Sponsors
8
Latest action
Oct 17, 2025

What it does

The Skin Substitute Access and Payment Reform Act would amend Medicare to establish coverage and payment rules for skin substitute products, defining them as certain cellular, tissue, biological, or synthetic wound care materials and excluding temporary dressings and liquid-based products. It would set initial payment amounts based on 2023 volume-weighted averages, adjust payments annually for inflation starting in 2027, create a new billing code by January 1, 2026, and implement program integrity measures including outlier provider identification, prepayment claim reviews, prior authorization requirements, and potential enrollment actions for noncompliant providers. The bill affects…

No official summary is available here. This one was written by AI from the bill’s text.

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Where it stands

  1. Introduced (Done)

    Oct 17, 2025

  2. Committee (Current step)

    In committee · Oct 17, 2025

  3. Floor (Not started)

  4. Law (Not started)

What moved

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Who is involved

Sponsors

The lawmakers who put their names on it, lead sponsors first.

In the news

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Where it goes next

While a bill can still move, the questions are about people and money.

Work with this bill

Skin Substitute Access and Payment Reform Act | 52