MARC Announces Introduction of the RAMP Act in 119th Congress

Washington, DC (June 20, 2025)  Today, the Medicare Advocacy and Recovery Coalition (MARC) celebrated the introduction of the Repair Abuses of MSP Payments Act (RAMP Act, H.R. 4056), introduced in the U.S. House of Representatives by Representative Gus Bilirakis (R-FL) and Representative Brad Schneider (D-IL). The legislation advocates for modernizing the broken and outdated MSP “private cause of action” provision, which would be an update to the Medicare Secondary Payer (MSP) system.

“The Coalition is grateful to Representative Bilirakis and Representative Brad Schneider (D-IL) for their leadership and for introducing this important legislation to the U.S. House of Representatives. The RAMP Act would address a growing problem that far too many Americans face due to the private cause of action provision. The provision itself harms Medicare beneficiaries as well as businesses trying to settle with Medicare beneficiaries, so addressing this issue would be a win-win.” said Marty Cassavoy, Senior Vice President of MSP Compliance and Business Development with ExamWorks Compliance Solutions and Chair of the MARC Coalition. 

MARC advocates for the RAMP Act because the private cause of action is no longer necessary, due to changes in the MSP laws over time. Thanks to these changes, the private cause of action prevents beneficiaries from resolving claims and can make Medicare the primary payer in cases it should not be the primary payer.

“MARC members are represented by beneficiaries, insurers, attorneys, and many others,” Cassavoy added. “As a unified voice, we are confident that the RAMP Act is necessary and will help the MSP program work more effectively.”

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About MARC

The Medicare Advocacy Recovery Coalition (MARC) is a national Coalition advocating for the improvement of the Medicare and Medicaid Secondary Payer (MSP) programs. The Coalition advocates for reforms to improve the MSP system and the process for Medicare and Medicaid beneficiaries and affected companies. MARC’s goal is to ensure that all stakeholders are provided timely resolution of disputes and the fair reimbursement of claims involving secondary payer issues.

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