H.R. 3108 119th Congress House

RPM Access Act

Official title: To amend title XVIII of the Social Security Act with respect to payment for remote patient monitoring under the Medicare program.

Introduced: February 2, 2026 Introduced by: David Kustoff Republican · Tennessee See on congress.gov

Health Congressional oversightHealth care costs and insuranceHealth care coverage and accessHealth care quality

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Health technology, devices, suppliesMedicare

Everywhere this bill has been 4 steps

Introduced

In committee

Reported out

Passed House

Passed Senate

To President

Became law

Jul 15, 2026

Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 39 - 0.

Jul 15, 2026

Committee Consideration and Mark-up Session Held

Apr 30, 2025

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.

Apr 30, 2025

Introduced in House

Votes taken on this bill 2

Date	Chamber	What was voted on	Result	Yes–No
Apr 8, 2004	Senate · vote #68	On the Conference Report H.R. 3108	Agreed To	78–19	See who voted →
Jan 28, 2004	Senate · vote #5	On Passage of the Bill H.R. 3108	Passed	86–9	See who voted →

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What's happening now July 15, 2026

Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 39 - 0.

Plain-English summary Congressional Research Service

Rural Patient Monitoring Access Act or the RPM Access Act

This bill conditions Medicare payment for remote patient monitoring services on certain requirements.

Specifically, the bill conditions payment on (1) the ability of certain health care practitioners to be available in real time to respond to any detected anomalies; (2) the use of a system that can transmit relevant data in a format that is compatible with electronic health records, as needed; and (3) the reporting of such data, as required by the Centers for Medicare & Medicaid Services (CMS), to evaluate any cost savings as a result of such services.

The bill also establishes a floor for certain payment calculations with respect to such services.

The CMS must report on cost savings realized and expenses incurred from the use of such services over a four-year period.

Bill text 1 version

Introduced in House Formatted Text PDF Formatted XML

Source documents hosted by congress.gov.

Committees of jurisdiction 2

Energy and Commerce Committee
House of Representatives
Ways and Means Committee
House of Representatives

Lobbying activity 40

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

MASON CONSULTING, LLC
for NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS · New Jersey · 3rd Quarter 2026 (July 1 - Sep 30)
FEDERATION OF AMERICAN HOSPITALS
for FEDERATION OF AMERICAN HOSPITALS · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
AMERICAN HOSPITAL ASSOCIATION
for AMERICAN HOSPITAL ASSOCIATION · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
SIRONA STRATEGIES LLC
for REMOTE MONITORING LEADERSHIP COUNCIL · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
SIRONA STRATEGIES LLC
for CADENCE · New York · 3rd Quarter 2026 (July 1 - Sep 30)
SIRONA STRATEGIES LLC
for ALLIANCE FOR CONNECTED CARE · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)

Bodies those filers lobbied

HOUSE OF REPRESENTATIVES
39 filings
SENATE
39 filings
Centers For Medicare and Medicaid Services (CMS)
35 filings
Health & Human Services, Dept of (HHS)
24 filings
Education, Dept of
14 filings
Veterans Affairs, Dept of (VA)
13 filings
Drug Enforcement Administration (DEA)
11 filings
Homeland Security, Dept of (DHS)
10 filings

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

See all 40 filings →

Cosponsors 9