H.R. 3108 · 119th Congress

RPM Access Act

Introduced on Apr 30, 2025 by David Kustoff (R-TN-8). 9 cosponsors, 3 of them from another party. Latest action (Jul 15, 2026): Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 39 - 0.

Stage
Introduced
Introduced
Apr 30, 2025
Cosponsors
9
3 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

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

Subjects

  • Congressional oversight
  • Health care costs and insurance
  • Health care coverage and access
  • Health care quality
  • Health technology, devices, supplies
  • Medicare

Summary

By the Congressional Research Service (Introduced in House, Apr 30, 2025). Public domain.

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.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

David KustoffR-TN-8Sponsor

Democrats · 3

Republicans · 6

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Apr 30, 2025Introduced in House
  2. Apr 30, 2025Introduced in House
  3. Apr 30, 2025 · HouseReferred 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.
  4. Apr 30, 2025 · HouseReferred 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.
  5. Jul 15, 2026 · HouseCommittee Consideration and Mark-up Session Held
  6. Jul 15, 2026 · HouseOrdered to be Reported in the Nature of a Substitute by the Yeas and Nays: 39 - 0.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. Alliance for Connected Care5 reports
    $1M reported (all issues)
  2. American Medical Association5 reports
    $28.2M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  3. Remote Monitoring Leadership Council5 reports
    $175K reported (all issues)
  4. AMERICAN ASSOCIATION OF NURSE PRACTITIONERS4 reports
    $1.7M reported (all issues)
  5. National Association of Pediatric Nurse Practitioners2 reports
    $48K reported (all issues)
  6. FEDERATION OF AMERICAN HOSPITALS1 report
    $1.1M reported (all issues)
  7. Kindred Healthcare d/b/a ScionHealth (fka Kindred Healthcare Operating, Inc)1 report
    $39K reported (all issues)Federal contractor: KINDRED HEALTHCARE OPERATING INCAI match · 100%

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 6, 2026 · loaded Oct 6, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 6, 2026 · loaded Oct 6, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.