Home Oxygen Users: Congress Moves to Fix a Broken System—Here’s How the SOAR Act Could Help You Breathe Easier

, August 1, 2025

For nearly 1.5 million Americans who rely on supplemental oxygen, gaps in Medicare’s current payment rules can turn everyday life into a scavenger hunt for working tanks and tubing. Now, bipartisan legislation in Washington aims to change that.

The Supplemental Oxygen Access Reform (SOAR) Act of 2025—S. 1406 in the Senate and H.R. 2902 in the House—was re‑introduced this spring by Senators Cassidy (R‑LA), Klobuchar (D‑MN) and Warner (D-VA) alongside Representatives Valadao (R‑CA) and Brownley (D‑CA).

“Low reimbursement rates due to the Competitive Bidding program have meant many Medicare beneficiaries don’t get properly matched with the oxygen system that will help them the most,” explains AARC President Dana Evans, MHA, RRT, FACHE, FAARC.  “The SOAR Act modernizes reimbursement and, for the first time, covers in-home visits by licensed respiratory therapists—so patients get equipment that truly fits their prescription.” 

What the Bill Would Do

  • End the “one size fits all” payment cap. Suppliers would be paid based on clinical need, encouraging them to offer portable and liquid oxygen systems when appropriate.
  • Fund therapist home visits. New service codes let RTs educate patients, troubleshoot devices, and spot safety hazards—services currently bundled at no extra pay not paid for.
  • Boost rural access. By carving oxygen out of competitive bidding, the bill improves supplier participation in hard-to-reach areas.

Three Immediate Benefits for Patients

  1. Fewer Emergency Runs. On‑site training cuts the “learning curve” that often lands new users in the ER within 30 days.
  2. Equipment That Matches Your Life. Portable units let you keep doctor appointments, attend grandkids’ games, or simply garden without trailing a 25‑foot hose.
  3. Smoother Repairs and Replacements. Updated payment rates help suppliers stock backup devices and parts.

 

How You Can Help Pass the SOAR Act

  1. Share your story with your legislators and tell them how the SOAR Act will make an impact  -  our easy action alert sends emails directly to both senators and your representatives.
  2. Tag #SOARAct on social media to spread the word.
  3. Schedule a district visit: If you use oxygen, invite your members of Congress to see your equipment in action.