H.R.5269
The Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act aims to stabilize Medicare payments for clinical diagnostic laboratory tests. It proposes using a national private-claims database to set prices for common tests, implementing a permanent 5% annual cap on payment reductions starting in 2029, and introducing inflation-based rate adjustments when data is missing. The Department of Health and Human Services is required to establish rules by December 31, 2026, with new reporting and pricing mechanisms taking effect in 2027 and 2028, respectively.