The reporting window for private payer rates moves by one month
Making continuing appropriations and extensions for fiscal year 2026, and for other purposes, section 6209, Sec. 6209.
Written by .
The reporting window for private payer rates moves by one month
The document says “is amended”Who acts: CongressHow: statuteSec. 6209 in the PDF
What the document says
“in clause (i), by striking "December 31, 2025" and inserting "January 31, 2026"; and (2) in clause (ii), by striking "January 1, 2026, and ending March 31, 2026" and inserting "February 1, 2026, and ending April 30, 2026"”
The section amends section 1834A(a)(1)(B) of the Social Security Act, moving both ends of the window in which labs report the rates private payers pay them.
What the document actually says
“in clause (i), by striking "December 31, 2025" and inserting "January 31, 2026"; and (2) in clause (ii), by striking "January 1, 2026, and ending March 31, 2026" and inserting "February 1, 2026, and ending April 30, 2026"”
That sentence, in plain words
One deadline moves by a month. So does the start and end of the window that follows it.
What this is about
Labs must tell Medicare what other payers pay them. That happens in a set window. The whole window slides a month later.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026, Public Law 119-37, sec. 6209, 139 Stat. 633 (2025). https://www.govinfo.gov/content/pkg/PLAW-119publ37/html/PLAW-119publ37.htm
This page
“The reporting window for private payer rates moves by one month,” Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026, section 6209, Sec. 6209. Read the Mandate, https://readthemandate.org/continuing-appropriations-agriculture-legislative/proposal/sec6209-reporting-window-moves/ (retrieved August 26, 2026).
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