United States · Bill · HR
H.R. 4185 (114th)
PACT Act of 2015
Introduced
8 December 2015
Last action
11 December 2015 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Rep. Price, Tom [R-GA-6], Rep. McMorris Rodgers, Cathy [R-WA-5], Sen. Blackburn, Marsha [R-TN], Sen. Duckworth, Tammy [D-IL], Rep. Loebsack, David [D-IA-2], Rep. Ryan, Tim [D-OH-13], Rep. Roe, David P. [R-TN-1], Rep. Noem, Kristi L. [R-SD-At Large], Rep. King, Peter T. [R-NY-2], Rep. Zinke, Ryan K. [R-MT-1], Rep. Tipton, Scott R. [R-CO-3], Rep. Blum, Rod [R-IA-1], Sen. Cramer, Kevin [R-ND], Rep. McClintock, Tom [R-CA-5], Rep. Keating, William R. [D-MA-9], Rep. Duncan, John J., Jr. [R-TN-2], Rep. Ellmers, Renee L. [R-NC-2], Rep. Harper, Gregg [R-MS-3], Rep. Scott, Austin [R-GA-8], Rep. Smith, Jason [R-MO-8], Rep. Miller, Jeff [R-FL-1], Rep. Rogers, Mike D. [R-AL-3], Rep. Joyce, David P. [R-OH-14], Rep. Langevin, James R. [D-RI-2], Rep. Thompson, Glenn [R-PA-15], Rep. Westerman, Bruce [R-AR-4], Rep. Harris, Andy [R-MD-1], Rep. Gibbs, Bob [R-OH-7], Paul Cook, Rep. Byrne, Bradley [R-AL-1], Rep. Luetkemeyer, Blaine [R-MO-3], Rep. Aderholt, Robert B. [R-AL-4], Rep. Palmer, Gary J. [R-AL-6], Rep. Gohmert, Louie [R-TX-1], Rep. Lamborn, Doug [R-CO-5], Rep. Massie, Thomas [R-KY-4], Rep. Long, Billy [R-MO-7], Rep. Collins, Doug [R-GA-9], Rep. Bilirakis, Gus M. [R-FL-12], Rep. Bishop, Sanford D. [D-GA-2], Rep. Marchant, Kenny [R-TX-24], Sen. Welch, Peter [D-VT], Rep. Carter, Earl L. "Buddy" [R-GA-1], Rep. Johnson, Bill [R-OH-6], Rep. Barr, Andy [R-KY-6], Rep. Brooks, Mo [R-AL-5], David Scott, Rep. Rogers, Harold [R-KY-5]
Subjects
Healthcare
Source updated
12 August 2025
Summary
Protecting Access through Competitive-pricing Transition Act of 2015 or the PACT Act of 2015 This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify provisions relating to payment for durable medical equipment (DME) under the Medicare and Medicaid programs. (DME includes certain medically necessary equipment such as walkers, wheelchairs, and hospital beds.) With respect to DME furnished in areas that are not competitive acquisition areas, current regulations require the Centers for Medicare & Medicaid (CMS) to phase in, over a two-year period, Medicare payment adjustments using information from competitive acquisition programs. (Through such programs, payment amounts for each area are determined based on competitive bids submitted by suppliers, rather than according to an established fee schedule.) The bill codifies this requirement and specifies that CMS shall adjust fee schedule amounts to the lesser of: (1) a specified percentage of the regional amount; and (2) the amount that would otherwise be determined according to the fee schedule, with specified adjustments. In determining Medicare payment adjustments for areas that are not competitive acquisition areas, CMS shall solicit stakeholder input and take into account several specified factors. CMS may not accept a bid under the competitive acquisition program unless the bidder: (1) meets applicable state licensure requirements; and (2) has submitted a cash deposit as a bond, as specified by the bill. CMS must establish a six-year market pricing demonstration project, under which auctions are conducted in eligible areas for the furnishing of market-priced DME items and services. The bill establishes project requirements related to auction design, contract terms, transparency, and monitoring.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
8 December 2015
Referred
Referred to the Subcommittee on Health.
Source: Committee
8 December 2015
Introduced
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 consideration of such provisions as fall within the jurisdiction of the committee concerned.
Source: IntroReferral
8 December 2015
Introduced
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 consideration of such provisions as fall within the jurisdiction of the committee concerned.
Source: IntroReferral
8 December 2015
Introduced
Introduced in House
Source: IntroReferral
8 December 2015
Introduced
Introduced in House
Source: IntroReferral
11 December 2015
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 8 December 2015 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 8 December 2015
Introduced in House (PDF)
Introduced in House · EN · 8 December 2015
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Introduced in House
summary · EN · 8 December 2015
Leesvertaling
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Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Sponsors
- Rep. Price, Tom [R-GA-6] · R · Sponsor
- Rep. McMorris Rodgers, Cathy [R-WA-5] · R · Sponsor
- Sen. Blackburn, Marsha [R-TN] · R · Sponsor
- Sen. Duckworth, Tammy [D-IL] · D · Sponsor
- Rep. Loebsack, David [D-IA-2] · D · Sponsor
- Rep. Ryan, Tim [D-OH-13] · D · Sponsor
- Rep. Roe, David P. [R-TN-1] · R · Sponsor
- Rep. Noem, Kristi L. [R-SD-At Large] · R · Sponsor
- Rep. King, Peter T. [R-NY-2] · R · Sponsor
- Rep. Zinke, Ryan K. [R-MT-1] · R · Sponsor
- Rep. Tipton, Scott R. [R-CO-3] · R · Sponsor
- Rep. Blum, Rod [R-IA-1] · R · Sponsor
- Sen. Cramer, Kevin [R-ND] · R · Sponsor
- Rep. McClintock, Tom [R-CA-5] · R · Sponsor
- Rep. Keating, William R. [D-MA-9] · D · Sponsor
- Rep. Duncan, John J., Jr. [R-TN-2] · R · Sponsor
- Rep. Ellmers, Renee L. [R-NC-2] · R · Sponsor
- Rep. Harper, Gregg [R-MS-3] · R · Sponsor
- Rep. Scott, Austin [R-GA-8] · R · Sponsor
- Rep. Smith, Jason [R-MO-8] · R · Cosponsor
- Rep. Miller, Jeff [R-FL-1] · R · Cosponsor
- Rep. Rogers, Mike D. [R-AL-3] · R · Cosponsor
- Rep. Joyce, David P. [R-OH-14] · R · Cosponsor
- Rep. Langevin, James R. [D-RI-2] · D · Cosponsor
- Rep. Thompson, Glenn [R-PA-15] · R · Cosponsor
- Rep. Westerman, Bruce [R-AR-4] · R · Cosponsor
- Rep. Harris, Andy [R-MD-1] · R · Cosponsor
- Rep. Gibbs, Bob [R-OH-7] · R · Cosponsor
- Paul Cook · R · Cosponsor
- Rep. Byrne, Bradley [R-AL-1] · R · Cosponsor
- Rep. Luetkemeyer, Blaine [R-MO-3] · R · Cosponsor
- Rep. Aderholt, Robert B. [R-AL-4] · R · Cosponsor
- Rep. Palmer, Gary J. [R-AL-6] · R · Cosponsor
- Rep. Gohmert, Louie [R-TX-1] · R · Cosponsor
- Rep. Lamborn, Doug [R-CO-5] · R · Cosponsor
- Rep. Massie, Thomas [R-KY-4] · R · Cosponsor
- Rep. Long, Billy [R-MO-7] · R · Cosponsor
- Rep. Collins, Doug [R-GA-9] · R · Cosponsor
- Rep. Bilirakis, Gus M. [R-FL-12] · R · Cosponsor
- Rep. Bishop, Sanford D. [D-GA-2] · D · Cosponsor
- Rep. Marchant, Kenny [R-TX-24] · R · Cosponsor
- Sen. Welch, Peter [D-VT] · D · Cosponsor
- Rep. Carter, Earl L. "Buddy" [R-GA-1] · R · Cosponsor
- Rep. Johnson, Bill [R-OH-6] · R · Cosponsor
- Rep. Barr, Andy [R-KY-6] · R · Cosponsor
- Rep. Brooks, Mo [R-AL-5] · R · Cosponsor
- David Scott · D · Cosponsor
- Rep. Rogers, Harold [R-KY-5] · R · Cosponsor
Showing 48 of 85 sponsors and actors.
Related records
- related to → DME Access and Stabilization Act of 2015
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/114th-congress/house-bill/4185
- Open data entity: https://api.congress.gov/v3/bill/114/hr/4185
- us · 114-hr-4185 · source updated 12 August 2025