By: Quiver LegislationRadar
Posted: 1 month, 3 weeks ago / Nov. 27, 2025 3:42 p.m. UTC
We have received text from H.R. 6197: Health Tech Investment Act. This bill was received on 2025-11-20, and currently has 5 cosponsors.
Here is a short summary of the bill:
This bill, known as the Health Tech Investment Act, aims to make changes to how certain healthcare services that utilize algorithms are reimbursed under the Medicare program. Here are its main points:
Revisions to Medicare Payment Structures
The bill proposes amendments to Section 1833(t) of the Social Security Act, specifically focusing on the payment for algorithm-based healthcare services under the Medicare program. The following changes are included:
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New Technology Ambulatory Payment Classification:
The bill adds provisions to include specific algorithm-based healthcare services in a new payment classification. This classification aims to ensure that these services have appropriate reimbursement based on their costs. -
Manufacturer Cost Reporting:
For algorithm-based services offered after January 1, 2026, manufacturers will need to submit detailed cost information to determine the payment classification. This includes various associated costs, such as invoice prices and overhead. -
Payment Security:
Once a service is assigned a new payment classification, it cannot be removed until there is sufficient claims data, ensuring payments are stable for at least five years.
Eligibility Criteria Adjustments
The bill adjusts the criteria to expand the types of algorithm-based services eligible for reimbursement. This aims to recognize:
- Services that are distinctive and independently performed alongside other procedures.
- Algorithm-based services that are necessary due to additional resources needed during treatment or diagnosis.
Definition of Algorithm-Based Healthcare Service
The bill defines an algorithm-based healthcare service as one delivered through FDA-approved devices that utilize artificial intelligence or machine learning. These services are designed to assist healthcare providers in diagnosing or treating conditions.
Software as a Service Reimbursement
The legislation also includes a provision to codify the payment policies for software as a service under Medicare. This applies retroactively to services provided on or after January 1, 2023, ensuring that such services are appropriately reimbursed under the existing payment system.
Summary of Implications
In summary, the Health Tech Investment Act seeks to enhance the reimbursement processes for advanced technology in healthcare, particularly focusing on algorithm-based services. It aims to facilitate the integration of technological advancements in health services while providing manufacturers with a clear structure for reimbursement based on actual costs.
Relevant Companies
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Apple Inc. (AAPL)
– As a company involved in health technology through its health-related products and services, Apple may be impacted by changes in reimbursement policies for algorithm-based healthcare services.
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Moderna, Inc. (MRNA)
– As a biotechnology company utilizing advanced technologies for healthcare solutions, changes to the reimbursement landscape could affect its service offerings.
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Intuitive Surgical, Inc. (ISRG)
– As a leader in robotic-assisted surgical technology, it could see an impact on the reimbursement of algorithm-based surgical services.
Representative John Joyce Bill Proposals
Here are some bills which have recently been proposed by Representative John Joyce:
You can track bills proposed by Representative John Joyce on Quiver Quantitative’s politician page for Joyce.
Representative John Joyce Net Worth
Quiver Quantitative estimates that Representative John Joyce is worth $17.1M, as of November 27th, 2025. This is the 76th highest net worth in Congress, per our live estimates.
Joyce has approximately $0 invested in publicly traded assets which Quiver is able to track live.
You can track Representative John Joyce’s net worth on Quiver Quantitative’s politician page for Joyce.
This article is not financial advice. See Quiver Quantitative’s disclaimers for more information.
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