I 
117TH CONGRESS 
1ST SESSION H. R. 3657 
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. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 1, 2021 
Mr. MICHAEL F. DOYLE of Pennsylvania (for himself and Mr. CURTIS) intro-
duced 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 provide 
for payment for services of radiologist assistants under 
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 ‘‘Medicare Access to 
Radiology Care Act of 2021’’. 
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SEC. 2. MEDICARE PAYMENT FOR RADIOLOGIST ASSISTANT 
SERVICES. 
(a) IN GENERAL.—Section 1834 of the Social Secu-
rity Act (42 U.S.C. 1395m) is amended by adding at the 
end the following new subsection: 
‘‘(z) PAYMENT FOR CERTAIN RADIOLOGIST ASSIST-
ANT SERVICES.— 
‘‘(1) PAYMENT.— 
‘‘(A) IN GENERAL.—In the case of radiolo-
gist assistant services (as defined in subpara-
graph (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
SERV-
ICES.—The 
term 
‘radiologist 
assistant 
services’ means services furnished as an in-
cident to a radiologists’ professional serv-
ice— 
‘‘(I) performed by a radiologist 
assistant (as defined in clause (ii)) 
under the supervision of a radiologist 
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as an employee of, a leased employee 
of, or an independent contractor of 
the supervising radiologist; and 
‘‘(II) which the radiologist assist-
ant is legally authorized to perform 
under State law (or the State regu-
latory mechanism provided by State 
law). 
‘‘(ii) RADIOLOGIST
ASSISTANT.—The 
term 
‘radiologist 
assistant’ 
means 
a 
radiographer who is certified by the Amer-
ican Registry of Radiologic Technologists 
as a registered radiologist assistant or by 
the Certification Board for Radiology 
Practitioner Assistants as a radiology prac-
titioner assistant to perform radiologic pro-
cedures under the supervision of a radiolo-
gist. 
‘‘(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. 
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‘‘(B) PAYMENT AMOUNT.—The amount of 
payment for radiologist assistant services fur-
nished in a facility setting shall be the amount 
determined under paragraph (1). 
‘‘(C) FACILITY
SETTING
DEFINED.—In 
this paragraph, the term ‘facility setting’ 
means— 
‘‘(i) a hospital or critical access hos-
pital; 
‘‘(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 tech-
nical component (including the technical compo-
nent 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 ra-
diologists’ services under this title when fur-
nished solely by a radiologist; or 
‘‘(C) the amount of payment made under 
this title for services furnished by a hospital, 
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critical access hospital, ambulatory surgical cen-
ter 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 sec-
tion 1842(b)(6) of such Act (42 U.S.C. 1395u(b)(6)) is 
amended— 
(1) by striking ‘‘and’’ before ‘‘(J)’’; and 
(2) by inserting before the period at the end the 
following: ‘‘, and (K) in the case of radiologist as-
sistant 
services 
(as 
defined 
in 
section 
1834(z)(1)(B)(i)), payment shall be made to the su-
pervising radiologist’’. 
Æ 
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