H.R. 5269: RESULTS Act · WHAT THE LAW DOIN

What it does

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Reforming and Enhancing Sustainable Updates to Laboratory Testing Services Act of 2025 or the RESULTS Act

This bill requires the use of particular data from the private sector to inform Medicare payment rates for certain widely available laboratory tests.

Specifically, the Centers for Medicare & Medicaid Services (CMS) must contract with an entity that maintains a database of claims data for clinical diagnostic laboratory tests that (1) are not advanced diagnostic tests, and (2) were furnished by more than 100 providers and suppliers of such services over a specified six-month period (i.e., widely available tests).

The database must meet specified requirements, such as having data that is representative of the entire country and from more than 50 private payors and claims administrators. The contracted entity must be a nonprofit entity that is not affiliated with any government agency, any insurance issuer or provider, or any other organization in the health care sector.

Beginning January 1, 2028, the CMS must use the information obtained from the database to inform Medicare payment rates for these widely available laboratory tests.

The bill additionally specifies processes for determining payment rates for laboratory tests that are not advanced diagnostic tests, are not widely available, and lack adequate claims data. The CMS must use certain existing processes to set appropriate rates.

The bill also delays scheduled payment reductions for laboratory tests until 2028 and allows for judicial and administrative review of payment rates.

Official summary by the Congressional Research Service (Introduced in House, Sep 10, 2025).

Our plain-language breakdown, with what it means for you and the case for and against, is written once a bill starts to move.

What has happened

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2025-09-10Introduced in HouseLibrary of Congress

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Cosponsors

Rep. Rick W. Allen R-GA-12
Rep. Jake Auchincloss D-MA-4
Rep. Brian Babin R-TX-36
Rep. Don Bacon R-NE-2
Rep. Troy Balderson R-OH-12
Rep. Nanette Diaz Barragán D-CA-44
Rep. Aaron Bean R-FL-4
Rep. Joyce Beatty D-OH-3
Rep. Cliff Bentz R-OR-2
Rep. Ami Bera D-CA-6
Rep. Gus M. Bilirakis R-FL-12
Rep. Brendan F. Boyle D-PA-2
Rep. Robert P. Bresnahan R-PA-8
Rep. Julia Brownley D-CA-26
Rep. Janelle S. Bynum D-OR-5
Rep. Kat Cammack R-FL-3
Rep. Salud O. Carbajal D-CA-24
Rep. Mike Carey R-OH-15
Rep. André Carson D-IN-7
Rep. Earl L. "Buddy" Carter R-GA-1
Rep. Kathy Castor D-FL-14
Rep. Juan Ciscomani R-AZ-6
Rep. Steve Cohen D-TN-9
Rep. Herbert C. Conaway D-NJ-3
Rep. Jim Costa D-CA-21
Rep. Angie Craig D-MN-2
Rep. Dan Crenshaw R-TX-2
Rep. Jason Crow D-CO-6
Rep. Sharice Davids D-KS-3
Rep. Donald G. Davis D-NC-1
Rep. Danny K. Davis D-IL-7
Rep. Madeleine Dean D-PA-4
Rep. Suzan K. DelBene D-WA-1
Rep. Debbie Dingell D-MI-6
Rep. Neal P. Dunn R-FL-2
Rep. Chuck Edwards R-NC-11
Rep. Gabe Evans R-CO-8
Rep. Julie Fedorchak R-ND-At Large
Rep. Brad Finstad R-MN-1
Rep. Brian K. Fitzpatrick R-PA-1
Rep. Lizzie Fletcher D-TX-7
Rep. Mike Flood R-NE-1
Rep. Craig A. Goldman R-TX-12
Rep. Josh Gottheimer D-NJ-5
Rep. Pat Harrigan R-NC-10
Rescom. Hernández, Pablo Jose D-PR
Rep. Steven Horsford D-NV-4
Rep. Erin Houchin R-IN-9
Rep. Bill Huizenga R-MI-4
Rep. Ronny Jackson R-TX-13
Rep. Pramila Jayapal D-WA-7
Rep. John Joyce R-PA-13
Rep. Thomas H. Kean R-NJ-7
Rep. Mike Kelly R-PA-16
Rep. Timothy M. Kennedy D-NY-26
Rep. Mike Kennedy R-UT-3
Rep. Young Kim R-CA-40
Rep. Brad Knott R-NC-13
Rep. Raja Krishnamoorthi D-IL-8
Rep. Darin LaHood R-IL-16
Rep. Nick LaLota R-NY-1
Rep. Greg Landsman D-OH-1
Rep. Nicholas A. Langworthy R-NY-23
Rep. Michael Lawler R-NY-17
Rep. Laurel M. Lee R-FL-15
Rep. Mike Levin D-CA-49
Rep. Zoe Lofgren D-CA-18
Rep. Ryan Mackenzie R-PA-7
Rep. Nicole Malliotakis R-NY-11
Rep. Sarah McBride D-DE-At Large
Rep. Jennifer L. McClellan D-VA-4
Rep. Richard McCormick R-GA-7
Rep. Addison P. McDowell R-NC-6
Rep. Analilia Mejia D-NJ-11
Rep. Carol D. Miller R-WV-1
Rep. Mariannette Miller-Meeks R-IA-1
Rep. Tim Moore R-NC-14
Rep. Blake D. Moore R-UT-1
Rep. Nathaniel Moran R-TX-1
Rep. Kevin Mullin D-CA-15
Rep. Gregory F. Murphy R-NC-3
Rep. Joe Neguse D-CO-2
Rep. Donald Norcross D-NJ-1
Del. Eleanor Holmes Norton D-DC-At Large
Rep. Burgess Owens R-UT-4
Rep. Jimmy Panetta D-CA-20
Rep. Scott H. Peters D-CA-50
Rep. Brittany Pettersen D-CO-7
Rep. August Pfluger R-TX-11
Rep. Chellie Pingree D-ME-1
Rep. Mark Pocan D-WI-2
Rep. Nellie Pou D-NJ-9
Rep. Deborah K. Ross D-NC-2
Rep. David Rouzer R-NC-7
Rep. Michael A. Rulli R-OH-6
Rep. John H. Rutherford R-FL-5
Rep. Maria Elvira Salazar R-FL-27
Rep. Linda T. Sánchez D-CA-38
Rep. Bradley Scott Schneider D-IL-10
Rep. Terri A. Sewell D-AL-7
Rep. Jefferson Shreve R-IN-6
Rep. Darren Soto D-FL-9
Rep. Bryan Steil R-WI-1
Rep. W. Gregory Steube R-FL-17
Rep. Haley M. Stevens D-MI-11
Rep. Marilyn Strickland D-WA-10
Rep. Thomas R. Suozzi D-NY-3
Rep. Claudia Tenney R-NY-24
Rep. Shri Thanedar D-MI-13
Rep. Glenn Thompson R-PA-15
Rep. Mike Thompson D-CA-4
Rep. Dina Titus D-NV-1
Rep. Paul Tonko D-NY-20
Rep. Lori Trahan D-MA-3
Rep. David G. Valadao R-CA-22
Rep. Beth Van Duyne R-TX-24
Rep. Marc A. Veasey D-TX-33
Rep. Eugene Simon Vindman D-VA-7
Rep. James R. Walkinshaw D-VA-11
Rep. Debbie Wasserman Schultz D-FL-25
Rep. Bonnie Watson Coleman D-NJ-12
Rep. Randy K. Sr. Weber R-TX-14
Rep. Joe Wilson R-SC-2
Rep. Robert J. Wittman R-VA-1
Rep. Rudy Yakym R-IN-2