February 10, 2026 (Washington, DC) Today, the Medicare Advocacy and Recovery Coalition (MARC) announced that the Repair Abuses of MSP Payments Act (RAMP Act, S. 3816), was introduced in the United States Senate by Senator Tim Scott (R-SC) and Senator Maggie Hassan (D-NH). This follows its introduction in the U.S. House of Representatives (H.R. 4056) last summer by Representatives Gus Bilirakis (R-FL) and Brad Schneider (D-IL). The legislation advocates for an update to the Medicare Secondary Payer (MSP) system by modernizing the outdated MSP “private cause of action” provision.
“MARC appreciates the leadership of Senator Scott and Senator Hassan for introducing the RAMP Act in the United States Senate. This is an important step towards the passage of the legislation, which would address continued problems with the private cause of action provision,” said Marty Cassavoy, Senior Vice President of MSP Compliance and Business Development with ExamWorks Compliance Solutions and Chair of the MARC Coalition. “MARC looks forward to working with RAMP Act co-sponsors in the U.S. House and U.S. Senate to pass the RAMP Act, which will help Medicare beneficiaries, as well as businesses, trying to settle with Medicare beneficiaries throughout the country.”
MARC represents a unified voice for insurers, beneficiaries, attorneys and many others who strongly advocate for the RAMP Act because changes in the MSP laws over time have made the private cause of action unnecessary. The private cause of action provision prevents beneficiaries from resolving claims and can make Medicare the primary payer in cases it should not be the primary payer because of these changes.
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About MARC
The Medicare Advocacy Recovery Coalition (MARC) is a national Coalition advocating for the improvement of the Medicare Secondary Payer (MSP) programs. The Coalition advocates for reforms to improve the MSP system and the process for Medicare 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.