State Legislative Bills Report
As most state legislatures end their 2025 sessions and look to 2026, ACR staff is looking at how some radiology-specific bills they tracked fared this year.
Read moreThe American College of Radiology® (ACR®) prepared a detailed summary of the 2024 Hospital Outpatient Prospective Payment System (HOPPS) proposed rule released by the Centers for Medicare and Medicaid Services (CMS) July 13.
The summary outlines issues that impact radiology, including updates to imaging ambulatory payment classifications and requirements for the Hospital Outpatient Quality Reporting program.
CMS proposes to update OPPS payment rates for hospitals that meet quality reporting requirements by 2.8%, increasing the conversion factor to $87.488. CMS is requesting feedback about how the current packaging policy for diagnostic radiopharmaceuticals has impacted beneficiary access, as well as comments regarding potential approaches to modify this policy.
If finalized, the rule changes will be effective Jan 1.
The ACR will submit comments to CMS by the Sept. 11 deadline. If you have questions, contact Kimberly Greck, ACR Senior Economic Policy Analyst.
State Legislative Bills Report
As most state legislatures end their 2025 sessions and look to 2026, ACR staff is looking at how some radiology-specific bills they tracked fared this year.
Read moreMedicare Payment Increase in Final Budget Reconciliation Bill
The bill includes a 2.5% increase to the Medicare Physician Fee Schedule for calendar year 2026.
Read moreCMS Announces Prior Authorization Test Model
WiSer is a six-year program that will begin in six states on January 1, 2026. It will introduce prior authorization using AI technology for a select number of services, including some IR procedures.
Read more