S. 1996 (119th)Bill Overview

Medicare Audiology Access Improvement Act of 2025

Health|Health
Cosponsors
Support
Lean Democratic
Introduced
Jun 9, 2025
Discussions
Bill Text
Current stageCommittee

Read twice and referred to the Committee on Finance.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill amends Medicare (Title XVIII) to recognize and reimburse audiology services as a payable benefit. It allows qualified audiologists to furnish hearing and balance assessment services and, beginning January 1, 2027, certain treatment services without physician referral or supervision, subject to state authorization.

Why people may split

Liberal emphasizes access and FQHC/RHC inclusion benefits

Watch point

Relative to its intended legislative type, this bill is a focused substantive policy amendment to Medicare law that clearly identifies statutory changes required to expand and pay for audiology services and to recognize audiologists as eligible providers in certain contexts.

This bill amends Medicare (Title XVIII) to recognize and reimburse audiology services as a payable benefit.

It allows qualified audiologists to furnish hearing and balance assessment services and, beginning January 1, 2027, certain treatment services without physician referral or supervision, subject to state authorization.

The bill specifies Medicare payment rules (beneficiary coinsurance at 20% of the lesser of actual charge or fee schedule) and adds audiologists to eligible practitioner lists for Rural Health Clinics and Federally Qualified Health Centers.

Passage50/100

Targeted, low-controversy Medicare expansion with modest costs increases chances, but still needs committee approval and floor scheduling or package inclusion.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a focused substantive policy amendment to Medicare law that clearly identifies statutory changes required to expand and pay for audiology services and to recognize audiologists as eligible providers in certain contexts. It provides specific statutory edits and an effective date but omits fiscal analysis, detailed administrative implementation steps, and accountability/reporting provisions.

Contention50/100

Liberal emphasizes access and FQHC/RHC inclusion benefits

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedLikely burdened

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitIncreases beneficiary access to hearing and balance services without needing physician referrals.
  • Potential benefitGrants audiologists direct Medicare billing and assignment payment rights, improving practice revenue clarity.
  • Potential benefitLikely raises demand for audiology providers, potentially increasing audiologist jobs and clinic staffing needs.
Likely burdened
  • Potential burdenCould increase Medicare program spending due to higher utilization of audiology services.
  • Potential burdenBeneficiaries may face unchanged or increased out-of-pocket costs if the 20 percent coinsurance applies.
  • Potential burdenReducing physician supervision requirements may raise quality or coordination-of-care concerns for complex cases.
03 · Why people split

Why the argument around this bill splits.

Liberal emphasizes access and FQHC/RHC inclusion benefits
Progressive80%

Likely supportive as an access-expanding, incremental improvement for older adults and underserved communities.

Views this as a positive step toward reducing barriers created by physician-referral requirements and improving primary care integration at FQHCs/RHCs.

Leans supportive
Centrist70%

Generally favorable as a pragmatic, narrowly targeted improvement to access and clarity in Medicare.

Sees value in removing unnecessary referral requirements but wants fiscal and anti-fraud safeguards and evidence of cost-effectiveness.

Leans supportive
Conservative30%

Skeptical: views it as a modest expansion of federal Medicare payment responsibilities and potential cost driver.

Some conservatives may appreciate reduced physician gatekeeping, but many will worry about spending and federal role expansion.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood50/100

Targeted, low-controversy Medicare expansion with modest costs increases chances, but still needs committee approval and floor scheduling or package inclusion.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No public CBO cost estimate included in bill text
  • Potential opposition from groups protecting physician billing scope
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Liberal emphasizes access and FQHC/RHC inclusion benefits

Targeted, low-controversy Medicare expansion with modest costs increases chances, but still needs committee approval and floor scheduling o…

Unlocked analysis

Relative to its intended legislative type, this bill is a focused substantive policy amendment to Medicare law that clearly identifies statutory changes required to expand and pay for audiology services and to recognize…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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