I 

116TH CONGRESS 

1ST SESSION H. R. 2552 

To direct the Secretary of Health and Human Services to prevent certain 

payment reductions for clinic visit services furnished at excepted offcampus outpatient departments of a provider under the Medicare program. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 7, 2019 

Mr. KILMER (for himself and Ms. STEFANIK) 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 direct the Secretary of Health and Human Services to 

prevent certain payment reductions for clinic visit services furnished at excepted off-campus outpatient departments of a provider 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. SHORT TITLE. 

4 This Act may be cited as the ‘‘Protecting Local Ac5 cess to Care for Everyone Act of 2019’’ or the ‘‘PLACE 

6 Act of 2019’’. 


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•HR 2552 IH

1 SEC. 2. PREVENTING CERTAIN PAYMENT REDUCTIONS FOR 

2 CLINIC VISIT SERVICES FURNISHED AT EX3 CEPTED OFF-CAMPUS OUTPATIENT DEPART4 MENTS OF A PROVIDER UNDER THE MEDI5 CARE PROGRAM. 

6 (a) IN GENERAL.—The Secretary of Health and 

7 Human Services shall, for purposes of payment under part 

8 B of title XVIII of the Social Security Act (42 U.S.C. 

9 1395j et seq.) for clinic visit services (as defined in sub10 section (c)) furnished during the period beginning on Jan11 uary 1, 2019, and ending on December 31, 2020, by an 

12 applicable provider (as defined in such subsection), treat 

13 such services as if such services had been furnished by 

14 a department of a provider located on the campus (as de15 fined in section 413.65(a)(2) of title 42, Code of Federal 

16 Regulations (or any successor regulation)) of such pro17 vider. 

18 (b) REIMBURSEMENT.—In the case of such clinic 

19 visit services furnished during the period described in sub20 section (a) by such an applicable provider for which pay21 ment has already been made under such part B as of the 

22 date of the enactment of this Act, the Secretary of Health 

23 and Human Services shall promptly reimburse such pro24 vider in an amount equal to the difference between the 

25 payment for such services under subsection (a) and the 

26 amount actually paid for such services. 


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•HR 2552 IH

1 (c) DEFINITIONS.—In this section: 

2 (1) APPLICABLE PROVIDER.—The term ‘‘appli3 cable provider’’ means a department of a provider 

4 that would be an off-campus outpatient department 

5 of a provider (as defined in section 1833(t)(21)(B) 

6 of the Social Security Act (42 U.S.C. 

7 1395l(t)(21)(B)) but for the application of clause 

8 (ii) or (iv) of such section. 

9 (2) CLINIC VISIT SERVICES.—The term ‘‘clinic 

10 visit services’’ means those services identified by 

11 Healthcare Common Procedure Coding System code 

12 G0463 (or a successor code). 

13 (3) DEPARTMENT OF A PROVIDER.—The term 

14 ‘‘department of a provider’’ has the meaning given 

15 such term in section 413.65(a)(2) of title 42, Code 

16 of Federal Regulations, as in effect as of the date 

17 of the enactment of this Act. 

Æ 


kjohnson on DSK79L0C42 with BILLS