H.R. 5269 · 119th Congress

RESULTS Act

Introduced on Sep 10, 2025 by Richard Hudson (R-NC-9). 121 cosponsors, 59 of them from another party. Latest action (Sep 10, 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.

Stage
Introduced
Introduced
Sep 10, 2025
Cosponsors
121
59 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 to provide long-term stability for Medicare beneficiary access to clinical diagnostic laboratory tests by improving the accuracy of, and feasibility of data collection for, the private payor-based fee schedule payment rates applied under the Medicare program for such tests, and for other purposes.

Summary

By the Congressional Research Service (Introduced in House, Sep 10, 2025). Public domain.

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.

Sponsor and cosponsors

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

Richard HudsonR-NC-9Sponsor

Democrats · 59

Republicans · 62

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. Sep 10, 2025Introduced in House
  2. Sep 10, 2025Introduced in House
  3. Sep 10, 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. Sep 10, 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.

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. QUEST DIAGNOSTICS INCORPORATED11 reports
    $1.8M reported (all issues)Federal contractor: QUEST DIAGNOSTICS INCORPORATED$67.1M in contracts, FY2026AI match · 100%
  2. DH DIAGNOSTICS LLC8 reports
    $966K reported (all issues)
  3. Laboratory Corporation of America Holdings8 reports
    $1.7M reported (all issues)Federal contractor: LABORATORY CORPORATION OF AMERICA$7M in contracts, FY2026AI match · 100%
  4. ROCHE DIAGNOSTICS CORPORATION6 reports
    $210K reported (all issues)Federal contractor: ROCHE DIAGNOSTICS CORPORATION$89.1M in contracts, FY2026AI match · 100%
  5. ADVANCED MEDICAL TECHNOLOGY ASSN4 reports
    $3.9M reported (all issues)
  6. AMERICAN ASSOCIATION OF BIOANALYSTS4 reports
    $280K reported (all issues)
  7. ARUP Laboratories, Inc.4 reports
    $120K reported (all issues)Federal contractor: ARUP LABORATORIES INC$10.9M in contracts, FY2026AI match · 100%
  8. American Academy of Family Physicians4 reports
    $3.2M reported (all issues)Federal contractor: AMERICAN ACADEMY OF FAMILY PHYSICIANSAI match · 99%
  9. American Society for Histocompatibility and Immunogenetics4 reports
    $80K reported (all issues)
  10. COLLEGE OF AMERICAN PATHOLOGISTS4 reports
    $765.2K reported (all issues)Federal contractor: COLLEGE OF AMERICAN PATHOLOGISTS$18M in contracts, FY2026AI match · 99%
  11. F. Hoffmann-La Roche Ltd4 reports
    $430K reported (all issues)
  12. SIEMENS MEDICAL SOLUTIONS USA INC.4 reports
    $2.8M reported (all issues)Federal contractor: SIEMENS MEDICAL SOLUTIONS USA, INC.AI match · 100%
  13. Thermo Fisher Scientific Inc.4 reports
    $1.9M reported (all issues)Federal contractor: THERMO FISHER SCIENTIFIC (ASHEVILLE) LLC$2.2M in contracts, FY2026AI match · 100%
  14. AMERICAN HOSPITAL ASSOCIATION3 reports
    $17.1M reported (all issues)Federal contractor: AMERICAN HOSPITAL ASSOCIATION$1.2M in contracts, FY2026AI match · 99%
  15. American Cancer Society Cancer Action Network, Inc.3 reports
    $5.9M reported (all issues)
  16. American Clinical Laboratory Assn3 reports
    $2.5M reported (all issues)
  17. Association for Diagnostics & Laboratory Medicine (formerly AACC)3 reports
    $200K reported (all issues)
  18. Association of American Medical Colleges3 reports
    $2.1M reported (all issues)Federal contractor: ASSOCIATION OF AMERICAN MEDICAL COLLEGESAI match · 100%
  19. CHRONIC CARE POLICY ALLIANCE3 reports
    $40K reported (all issues)
  20. HealthCare Institute of New Jersey3 reports
    $137.4K reported (all issues)
  21. Hologic, Inc.3 reports
    $910K reported (all issues)Federal contractor: HOLOGIC, INC.$3.5M in contracts, FY2026AI match · 99%
  22. Mayo Collaborative Services, Inc.3 reports
    $180K reported (all issues)Federal contractor: MAYO COLLABORATIVE SERVICES, INC.$5.2M in contracts, FY2026AI match · 100%
  23. Personalized Medicine Coalition3 reports
    $127K reported (all issues)
  24. SIEMENS HEALTHINEERS3 reports
    $180K reported (all issues)Federal contractor: SIEMENS HEALTHINEERS LTD.$524.1K in contracts, FY2026AI match · 99%
  25. Sutter Health3 reports
    $240K reported (all issues)
  26. ADVION (formerly National Association for the Support of Long Term Care)2 reports
    $162.2K reported (all issues)
  27. AEGIS SCIENCES CORPORATION2 reports
    $60K reported (all issues)Federal contractor: AEGIS SCIENCES CORPORATIONAI match · 98%
  28. AMERICAN SOCIETY FOR MICROBIOLOGY2 reports
    $100K reported (all issues)Federal contractor: AMERICAN SOCIETY FOR MICROBIOLOGY$138.4K in contracts, FY2026AI match · 100%
  29. Alzheimer's Association2 reports
    $2.3M reported (all issues)
  30. Caris Science Inc2 reports
    $80K reported (all issues)
  31. Healthcare Leadership Council2 reports
    $380K reported (all issues)
  32. MEDICAL GROUP MANAGEMENT ASSN2 reports
    $600K reported (all issues)
  33. Vanderbilt University Medical Center2 reports
    $180K reported (all issues)Federal contractor: VANDERBILT UNIVERSITY MEDICAL CENTER$36M in contracts, FY2026AI match · 100%
  34. ABBOTT LABORATORIES1 report
    $1.4M reported (all issues)Federal contractor: ABBOTT LABORATORIES INC.$90M in contracts, FY2026AI match · 100%
  35. American Medical Association1 report
    $5.5M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  36. Association for Molecular Pathology1 report
    $70.5K reported (all issues)
  37. BIOMERIEUX1 report
    Federal contractor: BIOMERIEUX INC$49.4M in contracts, FY2026AI match · 100%
  38. GeneDx, LLC1 report
    $80K reported (all issues)Federal contractor: GENEDX, LLCAI match · 98%
  39. NATERA, INC.1 report
    Federal contractor: NATERA INC$967.2K in contracts, FY2026AI 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.