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CIVIC HERALD
HR 307 · 119th Congress · HouseOther

ARC Act of 2025

In plain language: This bill requires Medicare and Medicaid to fully cover screenings for peripheral artery disease (PAD)—a circulatory condition caused by blocked leg arteries—with no copays or deductibles for at-risk patients. It authorizes $6 million annually from 2026 through 2030 for public health campaigns and doctor education to help identify the disease early and prevent avoidable amputations. In addition, the legislation ties Medicare provider bonuses to quality standards that promote artery-clearing treatments over limb amputations and funds pilot programs for clinic-based prevention care.

Provisional: our plain-language summary, pending review.

Provisionalunreviewed: impact, issue tags, provisions, stakeholders, summary
People affectedThe operative provisions cover all Medicare and Medicaid enrollees aged 65 and older as well as younger enrollees with specified cardiovascular risk factors, but the text does not specify an exact count of eligible beneficiaries.
Fiscal magnitude$30.0Mprovisional · pending reviewSection 2(399V–8)(c) authorizes $6,000,000 annually for fiscal years 2026 through 2030 ($30,000,000 total) for the education program. The broader mandatory spending impact on Medicare and Medicaid coverage expansions is not determinable from the text.
Reach58provisional · pending reviewrigor: heuristic llm
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Issues

What this bill touches.

Government role in coverage+28

The sign shows the bill's direction on each issue (+ toward, − away); the number is its magnitude. Color never encodes good or bad, and never party.

Who it affects

Who it helps · who it burdens.

Who it helps

  • At-risk Medicare beneficiariesReceive 100 percent Medicare coverage without deductibles or coinsurance for peripheral artery disease (PAD) screening tests, including as part of the initial preventive physical exam (Sec. 3).provisional
  • At-risk Medicaid enrolleesReceive mandatory Medicaid coverage for peripheral artery disease (PAD) screening tests with no deductibles, copayments, or other cost-sharing (Sec. 4).provisional

Who it burdens

  • State Medicaid agenciesMust update state plans to cover peripheral artery disease screening tests for eligible at-risk enrollees and cannot impose any cost-sharing on those tests (Sec. 4).provisional
  • Medicare healthcare providers and suppliersMust comply with new Medicare quality measures related to lower-limb amputation prevention, diagnostic screening, and revascularization alternatives within quality reporting and incentive payment programs (Sec. 5).provisional

Who backs it

  • Federal taxpayersAuthorizes $6 million annually from fiscal years 2026 through 2030 to fund the peripheral artery disease public and professional education program (Sec. 2(399V–8)(c)).provisional

Dollar-level funding (FEC sector totals) is coming in a later phase.

What it does

The provisions, in plain language.

  1. Directs the Department of Health and Human Services to create a public and professional education program on peripheral artery disease and share clinical best practices to reduce preventable amputations.

    Sec. 2provisional
  2. Requires Medicare, starting January 1, 2026, to cover peripheral artery disease screening tests for at-risk patients, including during the initial preventive physical exam.

    Sec. 3(a)–(b), (f)provisional
  3. Eliminates Medicare deductibles and coinsurance for peripheral artery disease screening tests furnished to at-risk patients, paying 100 percent of covered costs.

    Sec. 3(c)provisional
  4. Requires state Medicaid programs to cover peripheral artery disease screening tests for at-risk enrollees according to federal frequency standards.

    Sec. 4(a)provisional
  5. Prohibits Medicaid programs from charging copayments, deductibles, or other cost-sharing for peripheral artery disease screenings provided to at-risk patients.

    Sec. 4(b)provisional
  6. Directs health officials to create Medicare quality measures within 18 months that encourage screening and revascularization alternatives to prevent nontraumatic lower-limb amputations.

    Sec. 5provisional
  7. Requires the Center for Medicare and Medicaid Innovation to test a model within 18 months to promote voluntary amputation-prevention programs across hospitals and outpatient centers.

    Sec. 6provisional

How your members of Congress line up

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Timeline

How it moved.

  1. Jan 14, 2025Sponsor introductory remarks on measure. (CR H122)
  2. Jan 9, 2025Introduced in House
  3. Jan 9, 2025Introduced in House

The original text

Read it for yourself.

Sources & provenance

Congress.govrefreshed 17 days ago

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