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This bill amends Medicare payment rules to provide hospitals with an additional $40 per treatment for sterile intravenous drug preparations made using closed-system automation device technology, effective October 1, 2025 through September 30, 2031. The bill defines closed-system automation devices as FDA-cleared equipment that compounds sterile preparations without direct human manipulation, maintains strict environmental controls, and incorporates barcode verification and dose accuracy measures. Total aggregate payments under this provision are capped at $40 million per fiscal year, with the Secretary required to adjust other Medicare payments to ensure no net increase in overall expenditures.
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