H.R. 3092: Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act of 2025

This bill, officially named the Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act of 2025, aims to enhance the standards for electrodiagnostic services provided under the Medicare program. Below are the key points of the bill:

Scope of Electrodiagnostic Services

The bill specifically addresses two types of electrodiagnostic services:

• Nerve conduction studies
• Needle electromyography tests

Payment Conditions

Under this bill, Medicare will not reimburse for these electrodiagnostic services unless they are performed at a facility that meets new accreditation standards. The implementation of this payment condition is designed to happen within three to four years following the enactment of the legislation.

Qualified Facility Requirements

The bill defines a "qualified facility" as one that has been accredited by organizations specified by the Secretary of Health and Human Services. The accreditation must ensure the following:

• A quality assurance and control program to maintain service reliability, safety, and accuracy.
• Use of appropriate devices for both nerve conduction studies and needle electromyography tests.
• That qualified personnel carry out needle electromyography tests after a minimum of three months of relevant training.
• Results of tests must be interpreted on-site, ensuring immediate feedback for patients.

Accreditation Process

The Secretary of Health and Human Services is tasked with identifying the accrediting organizations within two years of the bill's enactment. These organizations will help ensure that facilities meet the new standards set forth in the bill. The Secretary will also establish regulations to define:

• The accreditation process
• The duration and frequency of accreditation reviews
• Withdrawal processes for organizations that fail to meet the requirements

Advisory Committee

The bill mandates the creation of a National Electrodiagnostic Services Advisory Committee within two years of its enactment. This committee will provide recommendations to the Secretary regarding:

• New or modified requirements for accredited facilities
• Policy regulations related to accreditation
• Identification of suitable accrediting organizations

The committee will be made up of up to 11 individuals, including healthcare professionals and representatives from affected communities, and will meet at least twice a year.

Goals of the Legislation

The primary aims of the bill include:

• Reducing unnecessary treatments and surgeries
• Minimizing the need for retesting
• Enhancing diagnostic reliability and health outcomes
• Addressing issues of waste, fraud, and abuse in the electrodiagnostic field

Regulatory Timeline

The bill outlines specific timelines for the implementation of regulations and the establishment of accreditations to ensure that they are in place in a timely manner.

Relevant Companies

None found