I 

110TH CONGRESS 

1ST SESSION H. R. 2484 

To amend title XVIII of the Social Security Act to establish new separate 

fee schedule areas for physicians’ services in States with multiple fee 

schedule areas to improve Medicare physician geographic payment accuracy, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 24, 2007 

Mr. FARR (for himself, Mr. ISSA, Ms. ESHOO, Mr. BILBRAY, Mrs. CAPPS, Ms. 

WOOLSEY, Mr. THOMPSON of California, and Mrs. DAVIS of California) 

introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and 

Means, for a period to be subsequently determined by the Speaker, in 

each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To amend title XVIII of the Social Security Act to establish 

new separate fee schedule areas for physicians’ services 

in States with multiple fee schedule areas to improve 

Medicare physician geographic payment accuracy, and 

for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. ESTABLISHMENT OF NEW SEPARATE MEDI2 CARE PHYSICIAN FEE SCHEDULE AREAS IN 

3 STATES WITH MULTIPLE FEE SCHEDULE 

4 AREAS TO IMPROVE MEDICARE PHYSICIAN 

5 GEOGRAPHIC PAYMENT ACCURACY. 

6 (a) IN GENERAL.—Section 1848(e) of the Social Se7 curity Act (42 U.S.C. 1395w–4(e)) is amended by adding 

8 at the end the following new paragraph: 

9 ‘‘(6) ESTABLISHMENT OF SEPARATE FEE

10 SCHEDULE AREAS IN STATES WITH MULTIPLE FEE

11 SCHEDULE AREAS TO IMPROVE PHYSICIAN GEO12 GRAPHIC PAYMENT ACCURACY.—For purposes of 

13 computing and applying the geographic adjustment 

14 factor under subsection (b)(1)(C) and this sub15 section in the case of a State that includes more 

16 than one fee schedule area— 

17 ‘‘(A) the Secretary shall establish as a sep18 arate fee schedule area each county or equiva19 lent fee schedule area the geographic adjust20 ment factor for which would (if such separate 

21 areas are established and before taking into ac22 count the adjustment under this subparagraph) 

23 be 5 percent or more above the geographic ad24 justment factor for such revised locality; and 

25 ‘‘(B) for such a locality from which a sepa26 rate fee schedule area is established under subVerDate Aug 31 2005 20:18 May 31, 2007 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H2484.IH H2484

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1 paragraph (A), the geographic adjustment fac2 tor indices shall in no case be less than the geo3 graphic adjustment factor otherwise computed 

4 if this paragraph did not apply. 

5 The Secretary shall first apply the previous sentence 

6 to services furnished during 2008 and shall again 

7 apply it each third year thereafter.’’. 

8 (b) OFFSETTING FUNDING THROUGH REQUIREMENT

9 FOR ANNUAL CERTIFICATION OF COMPLIANCE WITH

10 STATE LICENSURE REQUIREMENTS FOR INDEPENDENT

11 DIAGNOSTIC TESTING FACILITIES (IDTF).— 

12 (1) IN GENERAL.—Section 1862(a) of the So13 cial Security Act (42 U.S.C. 1395y(a)) is amend14 ed— 

15 (A) by striking ‘‘or’’ at the end of para16 graph (21); 

17 (B) by striking the period at the end of 

18 paragraph (22) and inserting ‘‘; or’’; and 

19 (C) by inserting after paragraph (22) the 

20 following new paragraph: 

21 ‘‘(23) where such expenses are for a diagnostic 

22 laboratory test under section 1861(s)(3) performed 

23 in an independent diagnostic testing facility in a 

24 State or locality described in section 1861(s)(16) un25 less within the previous 12 months the State or loVerDate Aug 31 2005 20:15 May 31, 2007 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H2484.IH H2484

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1 cality (whichever is or are applicable) has certified 

2 that the facility is in compliance with all applicable 

3 State (or local) licensure requirements.’’. 

4 (2) EFFECTIVE DATE.—The amendments made 

5 by paragraph (1) shall apply to tests performed on 

6 or after January 1, 2008. 

Æ 


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