Medicare Access to Radiology Care Act of 2021

To amend title XVIII of the Social Security Act to provide for payment for services of radiologist assistants under the Medicare program, and for other purposes. 1. Short title This Act may be cited as the Medicare Access to Radiology Care Act of 2021 2. Medicare payment for radiologist assistant services (a) In general Section 1834 of the Social Security Act ( 42 U.S.C. 1395m (z) Payment for certain radiologist assistant services (1) Payment (A) In general In the case of radiologist assistant services (as defined in subparagraph (B)) furnished on or after January 1, 2021, for which payment is made under the fee schedules established under section 1848, the amount of payment for such services shall equal 85 percent of the amount determined under section 1848 for such services when furnished by a radiologist. (B) Definitions In this subsection: (i) Radiologist assistant services The term radiologist assistant services (I) performed by a radiologist assistant (as defined in clause (ii)) under the supervision of a radiologist as an employee of, a leased employee of, or an independent contractor of the supervising radiologist; and (II) which the radiologist assistant is legally authorized to perform under State law (or the State regulatory mechanism provided by State law). (ii) Radiologist assistant The term radiologist assistant (2) Payment in facility settings (A) In general The Secretary shall provide for payment for radiologist assistant services in a facility setting furnished on or after January 1, 2022. Payment shall be made to the supervising radiologist. (B) Payment amount The amount of payment for radiologist assistant services furnished in a facility setting shall be the amount determined under paragraph (1). (C) Facility setting defined In this paragraph, the term facility setting (i) a hospital or critical access hospital; (ii) an ambulatory surgical center; and (iii) such other providers of services as the Secretary may specify. (3) Rules of construction Nothing in this subsection shall be construed as affecting— (A) coverage of and payment for the technical component (including the technical component of a global fee) with respect to imaging services under this title as in effect before the date of the enactment of this Act; (B) the amount of payment made for radiologists’ services under this title when furnished solely by a radiologist; or (C) the amount of payment made under this title for services furnished by a hospital, critical access hospital, ambulatory surgical center or any other facility setting specified by the Secretary under paragraph (2)(C)(iii), as the case may be. . (b) Conforming amendment for payment to supervising radiologist The first sentence of section 1842(b)(6) of such Act ( 42 U.S.C. 1395u(b)(6) (1) by striking and (J) (2) by inserting before the period at the end the following: , and (K) in the case of radiologist assistant services (as defined in section 1834(z)(1)(B)(i)), payment shall be made to the supervising radiologist

Summary: Medicare Access to Radiology Care Act of 2021 This bill provides for Medicare coverage of services that are furnished by a certified radiologist assistant under the supervision of a radiologist. Payment must be made to the supervising radiologist.