HR8091 is an early-stage bill with no market impact yet. It would improve Medicare ASC payment rates starting in 2027 by removing budget neutrality caps and tying updates to hospital outpatient rates. Pure-play ASC operators SGRY and SEM are the direct beneficiaries if the bill advances, but it remains in committee with a single sponsor and no appropriation mechanism.
→ CMS must calculate ASC payment updates using the OPD fee schedule increase factor starting in 2027 and cannot apply a budget neutrality adjustment solely to ASC services; this is expected to produce higher annual payment rate increases for ASCs compared to current law, and eliminate a regulatory mechanism that previously capped aggregate ASC expenditure growth relative to a baseline