nishing of immune globulins, in an amount that the 
Secretary determines to be appropriate. 
‘‘(C) In the case of immune globulins furnished 
on or after January 1, 2007, the Secretary shall 
continue the preadministration-related services pay-
ment established under the Final Physician Fee 
Schedule Rule issued by the Centers for Medicare & 
Medicaid Services on November 1, 2006 (CMS– 
1321–FC), until such time as the Secretary deter-
mines that payment for immune globulins is ade-
quate or until a new payment methodology is imple-
mented.’’. 
(b) AS PART
OF HOSPITAL OUTPATIENT SERV-
ICES.—Section 1833(t)(14) of such Act (42 U.S.C. 
1395l(t)(14)) is amended— 
(1) in subparagraph (A)(iii), by striking ‘‘sub-
paragraph (E)’’ and inserting ‘‘subparagraphs (E) 
and (I)’’; and 
(2) by adding at the end the following new sub-
paragraph: 
‘‘(I) ADDITIONAL PAYMENT FOR IMMUNE 
GLOBULINS.— 
‘‘(i) DATA
COLLECTION
AND
RE-
VIEW.—Not later than 6 months after the 
date of the enactment of the Medicare 
VerDate Aug 31 2005 
02:46 Jun 30, 2007
Jkt 059200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H2914.IH
H2914
cnoel on PRODPC60 with BILLS
IVIG Access Act of 2007, the Secretary 
shall— 
‘‘(I) review available data, includ-
ing survey data presented by members 
of the IVIG community, on the access 
of individuals eligible for services 
under this part to immune globulins; 
and 
‘‘(II) collect data on the dif-
ferences, if any, between payments for 
immune globulins under subparagraph 
(A)(iii) and costs incurred for fur-
nishing these products. 
‘‘(ii) ADDITIONAL PAYMENT AUTHOR-
ITY.—Upon completion of the review and 
collection of data under clause (i), and not 
later than 7 months after the date of the 
enactment of this subparagraph, the Sec-
retary shall provide, if appropriate, to hos-
pitals furnishing immune globulins as part 
of a covered OPD service, a payment, in 
addition to the payment provided for under 
subparagraph (A)(iii), for all items related 
to the furnishing of immune globulins, in 
VerDate Aug 31 2005 
02:46 Jun 30, 2007
Jkt 059200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H2914.IH
H2914
cnoel on PRODPC60 with BILLS
an amount that the Secretary determines 
to be appropriate. 
‘‘(iii) CONTINUATION
OF
SPECIAL 
PAYMENT RULE.—In the case of immune 
globulins furnished on or after January 1, 
2007, the Secretary shall continue the 
preadministration-related services payment 
established under the Final Hospital Out-
patient Rule issued by the Centers for 
Medicare & Medicaid Services November 1, 
2006 (CMS–1506–FC), until such time as 
the Secretary determines that payment for 
immune globulins is adequate or until a 
new 
payment 
methodology 
is 
imple-
mented.’’. 
SEC. 4. COVERAGE AND PAYMENT OF INTRAVENOUS IM-
MUNE GLOBULIN IN THE HOME. 
(a) INCLUDING COVERAGE OF ADMINISTRATION.— 
(1) IN GENERAL.—Section 1861 of the Social 
Security Act (42 U.S.C. 1395x) is amended— 
(A) in subsection (s)(2)(Z), by inserting 
before the semicolon at the end the following: ‘‘, 
regardless of whether the individual receiving 
the globulin is eligible to receive home health 
services under this title’’; and 
VerDate Aug 31 2005 
02:46 Jun 30, 2007
Jkt 059200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H2914.IH
H2914
cnoel on PRODPC60 with BILLS
(B) in subsection (zz), by striking ‘‘but not 
including items or services related to the admin-
istration of the derivative’’. 
(2) CONFORMING
HOME
HEALTH
AMEND-
MENT.—Section 1814(a) of such Act (42 U.S.C. 
1395f(a)) is amended by adding at the end the fol-
lowing: ‘‘An individual eligible for intravenous im-
mune globulin under section 1861(s)(2)(Z) shall not 
be considered eligible for home health services under 
paragraph (2)(C) or section 1835(a)(2)(A) solely on 
the basis of meeting the requirements of such sub-
section or section 1861(zz).’’. 
(b) PAYMENT FOR INTRAVENOUS IMMUNE GLOBULIN 
ADMINISTRATION IN THE HOME.—Section 1834 of such 
Act (42 U.S.C. 1395m) is amended by adding at the end 
the following new subsection: 
‘‘(n) PAYMENT FOR INTRAVENOUS IMMUNE GLOB-
ULIN IN THE HOME.—The Secretary shall review available 
published and unpublished data and information, includ-
ing the Study of Intravenous Immune Globulin Adminis-
tration Options: Safety, Access, and Cost Issues (CMS 
Contract #500–95–0059), on confirming the appropriate-
ness of administration of intravenous immune globulin in 
the home setting, and (as appropriate) calculate the 
amount, in addition to that made under section 
VerDate Aug 31 2005 
02:46 Jun 30, 2007
Jkt 059200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H2914.IH
H2914
cnoel on PRODPC60 with BILLS