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Patient advocacy groups urge Congress to encourage CMS to formalize a payment pathway for AI and ML in medical imaging. Despite the benefits of these technologies, CMS has only assigned payment for approximately ten medical AI applications, limiting access for those who can’t afford it. The letter calls on Congress to urge CMS to formalize a payment pathway for AI and ML in FDA-regulated medical devices in the agency’s 2025 Hospital Outpatient Prospective Payment Systems rule.