I 

114TH CONGRESS 

1ST SESSION H. R. 2299 

To amend title XVIII of the Social Security Act to provide for site-ofservice price transparency under the Medicare program. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 13, 2015 

Mr. BILIRAKIS 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 provide 

for site-of-service price transparency under the Medicare 

program. 

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

3 SECTION 1. MEDICARE SITE-OF-SERVICE PRICE TRANS4 PARENCY. 

5 Section 1834 of the Social Security Act (42 U.S.C. 

6 1395m) is amended by adding at the end the following 

7 new subsection: 

8 ‘‘(r) SITE-OF-SERVICE PRICE TRANSPARENCY.— 


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•HR 2299 IH

1 ‘‘(1) IN GENERAL.—In order to facilitate price 

2 transparency with respect to items and services for 

3 which payment may be made either to a hospital 

4 outpatient department or to an ambulatory surgery 

5 center under this title, the Secretary shall, for 2017 

6 and each year thereafter, make available to the pub7 lic via a searchable website, with respect to an ap8 propriate number of such items and services— 

9 ‘‘(A) the estimated payment amount for 

10 such items and services under the outpatient 

11 department fee schedule under subsection (t) of 

12 section 1833 and the ambulatory surgical cen13 ter payment system under subsection (i) of such 

14 section; and 

15 ‘‘(B) the estimated amount of beneficiary 

16 liability applicable to such an item or service. 

17 ‘‘(2) CALCULATION OF ESTIMATED BENE18 FICIARY LIABILITY.—For purposes of subsection (a), 

19 the estimated beneficiary liability, with respect to an 

20 item or service, is the amount for such item or serv21 ice for which an individual who does not have cov22 erage under a medicare supplemental policy certified 

23 under section 1882 or any other supplemental insur24 ance coverage is responsible. 


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•HR 2299 IH

1 ‘‘(3) IMPLEMENTATION.—In carrying out this 

2 section, the Secretary— 

3 ‘‘(A) shall include in the notice described 

4 in section 1804(a) a notification of the avail5 ability of the anticipated costs made available 

6 under subsection (a); and 

7 ‘‘(B) may utilize existing mechanisms, such 

8 as the portion of the website of the Centers for 

9 Medicare & Medicaid Services on which infor10 mation comparing physician performance is 

11 posted (commonly referred to as the Physician 

12 Compare website), to make available such an13 ticipated costs under such subsection. 

14 ‘‘(4) FUNDING.—For purposes of implementing 

15 this subsection, the Secretary shall provide for the 

16 transfer, from the Supplemental Medical Insurance 

17 Trust Fund under section 1841 to the Centers for 

18 Medicare & Medicaid Services Program Management 

19 Account, of $6,000,000 for fiscal year 2015, to re20 main available until expended.’’. 

Æ 


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