SOS: Sustaining Outpatient Services Act

Subjects: Health

Summary:  <p><b>SOS: Sustaining Outpatient Services Act</b></p> <p>This bill allows for payment under the Medicare prospective payment system for hospital outpatient department services of certain items and services that are furnished at off-campus outpatient departments. Specifically, the bill allows for payment of items and services for which payments to physician specialists (under the Medicare physician fee schedule) did not exceed $2 million during the previous year.</p>

<html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 955 Introduced in House (IH)]

&lt;DOC&gt;






118th CONGRESS
  1st Session
                                H. R. 955

To amend title XVIII of the Social Security Act to allow payments under 
 the Medicare program for certain items and services furnished by off-
campus outpatient departments of a provider to be determined under the 
prospective payment system for hospital outpatient department services, 
                        and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            February 9, 2023

  Mr. Smith of Nebraska (for himself and Mr. McGovern) 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 allow payments under 
 the Medicare program for certain items and services furnished by off-
campus outpatient departments of a provider to be determined under the 
prospective payment system for hospital outpatient department services, 
                        and for other purposes.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``SOS: Sustaining Outpatient Services 
Act''.

SEC. 2. ALLOWING MEDICARE PAYMENTS FOR CERTAIN ITEMS AND SERVICES 
              FURNISHED BY OFF-CAMPUS OUTPATIENT DEPARTMENTS OF A 
              PROVIDER TO BE DETERMINED UNDER THE PROSPECTIVE PAYMENT 
              SYSTEM FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES.

    Section 1833(t)(1)(B) of the Social Security Act (42 U.S.C. 
1395l(t)(1)(B)) is amended--
            (1) in clause (iv), by striking ``and'' at the end;
            (2) in clause (v)--
                    (A) by inserting before ``does not include'' the 
                following: ``subject to clause (vi),''; and
                    (B) by striking the period at the end and inserting 
                ``; and''; and
            (3) by adding at the end the following new clause:
                            ``(vi) includes, with respect to a year 
                        (beginning with 2024), any item or service--
                                    ``(I) that is furnished during such 
                                year by an off-campus outpatient 
                                department of a provider (as defined in 
                                subparagraph (B) of paragraph (21)); 
                                and
                                    ``(II) with respect to which the 
                                greatest total amount paid with respect 
                                to a physician speciality under the 
                                physician fee schedule under section 
                                1848 for all such items or services 
                                furnished by physicians in such 
                                specialty during the previous year was 
                                less than $2,000,000.''.
                                 &lt;all&gt;
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