I 
116TH CONGRESS 
1ST SESSION H. R. 3433 
To amend title XVIII of the Social Security Act to provide for ambulatory 
surgical center representation during the review of hospital outpatient 
payment rates under part B of the Medicare program, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 24, 2019 
Mr. LARSON of Connecticut (for himself and Mr. NUNES) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To amend title XVIII of the Social Security Act to provide 
for ambulatory surgical center representation during the 
review of hospital outpatient payment rates under part 
B of the Medicare program, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Ambulatory Surgical 
Center Payment Transparency Act of 2019’’ or the ‘‘ASC 
Payment Transparency Act of 2019’’. 
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SEC. 2. ADVISORY PANEL ON HOSPITAL OUTPATIENT PAY-
MENT REPRESENTATION. 
(a) ASC REPRESENTATIVE.—The second sentence of 
section 1833(t)(9)(A) of the Social Security Act (42 
U.S.C. 1395l(t)(9)(A)) is amended by inserting ‘‘and at 
least one ambulatory surgical center representative’’ after 
‘‘an appropriate selection of representatives of providers’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply with respect to advisory panels 
consulted on or after the date that is 1 year after the date 
of the enactment of this Act. 
SEC. 3. REASONS FOR EXCLUDING ADDITIONAL PROCE-
DURES FROM ASC APPROVED LIST. 
Section 1833(i)(1) of the Social Security Act (42 
U.S.C. 1395l(i)(1)) is amended by adding at the end the 
following: ‘‘In updating such lists for application in years 
beginning with the second year beginning after the date 
of the enactment of this sentence, for each procedure that 
was not proposed to be included in such lists in the pro-
posed rule with respect to such lists and that was subse-
quently requested to be included in such lists during the 
public comment period with respect to such proposed rule 
and that is not included in the final rule updating such 
lists, the Secretary shall cite in such final rule the specific 
criteria in paragraph (b) or (c) of section 416.166 of title 
42, Code of Federal Regulations (or any successor regula-
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tion), based on which the procedure was excluded. If para-
graph (b) of such section is cited for exclusion of a proce-
dure, the Secretary shall identify the peer-reviewed re-
search, if any, or the evidence upon which such determina-
tion is based.’’. 
Æ 
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