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The FAIC Act amends Medicare's hospital outpatient payment system to provide separate reimbursement for certain cancer treatments rather than bundling them into broader service payments. Beginning in 2026, cancer drugs and biologics approved by the FDA since 2008 with a mean per-day cost of $350 or more would receive individual payment based on average sales price or wholesale acquisition cost. The bill includes a budget-neutrality provision requiring the Secretary of Health and Human Services to adjust other payments to offset the cost of separate cancer treatment reimbursement.
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