- Potential benefitMay increase beneficiary access to oxygen equipment and portable options through supplier obligations and payment chang…
- Potential benefitHigher liquid-oxygen payment floor and high-flow add-on could improve supplier financial viability and service availabi…
- Potential benefitNew Medicare reimbursement for respiratory therapists could expand clinical oversight and home-based oxygen monitoring.
SOAR Act of 2025
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for c…
The SOAR Act of 2025 revises Medicare rules for supplemental oxygen and related equipment. It removes oxygen from the competitive acquisition program, establishes new payment formulas (including special rules for liquid oxygen and add‑ons), defines supplier responsibilities and beneficiary rights, creates electronic templates for medical necessity documentation, and authorizes reimbursement and a payment add‑on for respiratory therapist services.
Liberals emphasize access, patient protections, and RT reimbursement.
Relative to its intended legislative type, this bill is a clearly drafted substantive statutory reform that makes detailed, specific amendments to Medicare law governing supplemental oxygen and related services.
The SOAR Act of 2025 revises Medicare rules for supplemental oxygen and related equipment.
It removes oxygen from the competitive acquisition program, establishes new payment formulas (including special rules for liquid oxygen and add‑ons), defines supplier responsibilities and beneficiary rights, creates electronic templates for medical necessity documentation, and authorizes reimbursement and a payment add‑on for respiratory therapist services.
Several notice, grievance, and program‑integrity requirements are added, with phased effective dates beginning in 2026.
Technically focused and beneficiary‑oriented but contains clear spending increases and regulatory changes; plausible in broader Medicare package but faces fiscal scrutiny.
Relative to its intended legislative type, this bill is a clearly drafted substantive statutory reform that makes detailed, specific amendments to Medicare law governing supplemental oxygen and related services. Its strengths are concrete payment formulas, enumerated supplier responsibilities, beneficiary protections, and the adoption of electronic templates for medical-necessity documentation. Implementation responsibilities and effective dates are mostly specified.
Liberals emphasize access, patient protections, and RT reimbursement.
Who stands to gain, and who may push back.
These are examples from the analysis, not a ranked list of the most-affected groups.
- Potential burdenHigher payment floors and add-ons are likely to increase Medicare program spending.
- Potential burdenRemoving competitive bidding could reduce price competition and lead to higher supplier prices.
- Potential burdenNew service responsibilities and documentation requirements will impose additional administrative and compliance costs…
Why the argument around this bill splits.
Liberals emphasize access, patient protections, and RT reimbursement.
Likely supportive because the bill prioritizes beneficiary access, stronger patient protections, and reimbursement for respiratory therapists.
It increases payments for liquid oxygen and requires suppliers to provide portable equipment, education, and 24‑hour coverage, aligning with health equity and access goals.
Generally favorable toward improving access and clarifying responsibilities, but cautious about cost, administrative complexity, and unintended market effects.
Would prefer clearer cost‑control mechanisms and phased or evaluated implementation.
Likely opposed because the bill eliminates competitive bidding for oxygen, increases payment floors, and expands federal mandates on suppliers.
Views this as government intrusion that will raise Medicare costs and regulatory burden.
The path through Congress.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Technically focused and beneficiary‑oriented but contains clear spending increases and regulatory changes; plausible in broader Medicare package but faces fiscal scrutiny.
- No CBO cost estimate included in text
- Whether budget offsets will be required or provided
Recent votes on the bill.
No vote history yet
The bill has not accumulated any surfaced votes yet.
Go deeper than the headline read.
Liberals emphasize access, patient protections, and RT reimbursement.
Technically focused and beneficiary‑oriented but contains clear spending increases and regulatory changes; plausible in broader Medicare pa…
Relative to its intended legislative type, this bill is a clearly drafted substantive statutory reform that makes detailed, specific amendments to Medicare law governing supplemental oxygen and related services. Its str…
Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.