Contact Congress about S. 1692: Radiology Outpatient Ordering Transmission (ROOT) Act

Doctors who order many Medicare outpatient scans would have to use approved decision tools. Starting January 1, 2026, those tools would report data to Medicare. Some orders, including small-practice, rural, trial, and screening orders, would not count against a doctor's compliance rate.

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Radiology Outpatient Ordering Transmission (ROOT) Act is a Senate bill in committee. The latest recorded action: Read twice and referred to the Committee on Finance.

Latest action on S. 1692: Read twice and referred to the Committee on Finance.

Who this affects: This bill mainly affects doctors who order advanced imaging for Medicare patients and providers who perform those scans. It also affects the companies or systems that run approved clinical decision tools, because they would have to keep and send data to Medicare. Small practices, rural shortage-area practices, clinical trials, and some screening services would get special treatment in compliance calculations.

Why this matters: This bill could change the paperwork and data trail behind many Medicare scan orders. It may make Medicare's tracking system clearer by using data from approved decision tools. It could also shape future policy, because Congress would receive regular reports on compliance and imaging use. The bill does not say exactly how access to care, scan use, or Medicare costs would change.

Key provisions in S. 1692

• The bill updates the part of the Social Security Act that sets Medicare rules for appropriate use criteria. These are medical guidelines for certain imaging services.
• Starting January 1, 2026, approved clinical decision support tools must send required imaging data to the Secretary of Health and Human Services.
• Doctors who order covered imaging services must follow rules from the Secretary on using an approved decision tool.
• Imaging providers must list the ordering doctor's national provider identifier on Medicare claims when they are not the ordering doctor.
• Some imaging orders would not count when Medicare measures compliance. These include clinical trial orders, orders from practices with 15 or fewer ordering professionals, orders from rural shortage areas, and certain screening tests such as mammograms, CT lung cancer screening, and CT colonography.

How Modern Action helps you take action on S. 1692

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about S. 1692

What is S. 1692?

Doctors who order many Medicare outpatient scans would have to use approved decision tools. Starting January 1, 2026, those tools would report data to Medicare. Some orders, including small-practice, rural, trial, and screening orders, would not count against a doctor's compliance rate.

How do I support or oppose S. 1692?

Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.

Who should I contact about S. 1692?

Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.

Can Modern Action explain S. 1692 before I act?

Yes. Modern Action gives you a plain-English summary, current status, and action context before you send anything.