I 
110TH CONGRESS 
1ST SESSION H. R. 1293 
To amend title XVIII of the Social Security Act to provide for a 2-year 
moratorium on certain Medicare physician payment reductions for ad-
vanced diagnostic imaging services. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 1, 2007 
Mrs. MCCARTHY of New York (for herself, Mr. PITTS, Mr. GENE GREEN of 
Texas, Mr. BRADY of Pennsylvania, Mrs. CAPPS, Mr. CLAY, Mr. DAVIS 
of Kentucky, Mr. ENGLISH of Pennsylvania, Ms. ESHOO, Mr. AL GREEN 
of Texas, Mr. BRADY of Texas, Mr. GORDON of Tennessee, Mr. HALL 
of Texas, Mr. HAYES, Mr. HINCHEY, Ms. JACKSON-LEE of Texas, Mr. 
SAM JOHNSON of Texas, Mr. LOBIONDO, Mr. MCNULTY, Mrs. MALONEY 
of New York, Mr. MARSHALL, Mr. MICHAUD, Mr. MORAN of Virginia, 
Mr. TIM
MURPHY
of Pennsylvania, Mr. ORTIZ, Mr. PAUL, Mrs. 
BLACKBURN, Mr. PRICE of Georgia, Mr. RAMSTAD, Mr. REYES, Mr. 
REYNOLDS, Mr. SESSIONS, Mr. SHAYS, Mr. SHIMKUS, Mr. SOUDER, Mr. 
YARMUTH, Mr. KIRK, Mr. ROTHMAN, and Mr. BECERRA) introduced the 
following 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 a 2-year moratorium on certain Medicare physician 
payment reductions for advanced diagnostic imaging 
services. 
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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 ‘‘Access to Medicare 
Imaging Act of 2007’’. 
SEC. 2. REDUCTION IN PHYSICIAN FEE SCHEDULE TO OPD 
PAYMENT AMOUNT LIMITED TO ADVANCED 
DIAGNOSTIC IMAGING SERVICES. 
(a) IN GENERAL.—Section 1848(b)(4) of the Social 
Security Act (42 U.S.C. 1395w–4(b)(4)) is amended— 
(1) in the heading, by striking ‘‘IMAGING SERV-
ICES,’’ and inserting ‘‘ADVANCED DIAGNOSTIC IMAG-
ING SERVICES’’. 
(2) in subparagraph (A), by striking ‘‘imaging 
services’’ and inserting ‘‘advanced diagnostic imag-
ing services’’; and 
(3) by amending subparagraph (B) to read as 
follows: 
‘‘(B) ADVANCED
DIAGNOSTIC
IMAGING 
SERVICES DEFINED.—For purposes of subpara-
graph (A), advanced diagnostic imaging services 
described in this subparagraph shall be defined 
by the Secretary and shall include only diag-
nostic magnetic resonance imaging (MRI), com-
puted tomography (CT), positron emission to-
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mography (PET), and nuclear cardiology proce-
dures.’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to payment for items and serv-
ices furnished on or after the date of the enactment of 
this Act. 
SEC. 3. 2-YEAR MORATORIUM ON CERTAIN MEDICARE PHY-
SICIAN 
PAYMENT 
REDUCTIONS 
FOR 
AD-
VANCED DIAGNOSTIC IMAGING SERVICES. 
(a) MORATORIUM.—No payment adjustment shall be 
made under subsections (b)(4)(A) or (c)(2)(B)(v)(II) of 
section 1848 of the Social Security Act (42 U.S.C. 
1395w–4) during the 2-year period beginning on the date 
of the enactment of this Act. 
(b) GAO STUDY ON PATIENT ACCESS TO ADVANCED 
DIAGNOSTIC IMAGING SERVICES.— 
(1) IN GENERAL.—The Comptroller General of 
the United States shall conduct a comprehensive 
study on patient access and service issues relating to 
the availability and quality of advanced diagnostic 
imaging services in physician offices and free-
standing clinics that would have resulted (but for 
subsection (a)) from payment changes made by the 
amendments made by section 5102(b) of the Deficit 
Reduction Act of 2005. 
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(2) DETAILS.—Such study also shall examine— 
(A) review application to multiple proce-
dure reductions and additional reductions asso-
ciated with changes in physician practice ex-
pense, with particular attention to rural and 
medically underserved areas; and 
(B) the appropriateness of using the hos-
pital outpatient department prospective pay-
ment system methodology to set reimbursement 
under the Medicare program for all advanced 
diagnostic imaging services, regardless of site of 
service. 
(3) REPORT.—Not later than July 31, 2009, 
the Comptroller General shall submit to each House 
of Congress and the Secretary of Health and 
Human Services a report on the study under this 
subsection and shall include in the report such rec-
ommendations regarding extending the moratorium 
imposed under subsection (a) or such other changes 
in Medicare reimbursement for advanced diagnostic 
imaging services as the Comptroller General deems 
appropriate. 
Æ 
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