I 
112TH CONGRESS 
1ST SESSION H. R. 3328 
To amend title XVIII of the Social Security Act to provide a six-month 
grace period for certain Medicare advanced diagnostic imaging services 
suppliers to receive accreditation. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 2, 2011 
Mr. RENACCI (for himself and Mr. ROSKAM) introduced 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 subse-
quently 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 
a six-month grace period for certain Medicare advanced 
diagnostic imaging services suppliers to receive accredita-
tion. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SIX-MONTH GRACE PERIOD FOR ACCREDITA-
TION OF MEDICARE ADVANCED DIAGNOSTIC 
IMAGING SERVICES SUPPLIERS. 
Section 1834(e) of the Social Security Act (42 U.S.C. 
1995m) is amended by adding at the end the following 
new paragraph: 
‘‘(6) GRACE PERIOD.— 
‘‘(A) IN GENERAL.—In the case of a sup-
plier who has not previously received payment 
for the technical component of advanced diag-
nostic imaging services under the fee schedule 
established under section 1848(b), subject to 
subparagraph (B), for purposes of this sub-
section the supplier shall be deemed to be ac-
credited by an organization designated by the 
Secretary under paragraph (2)(B)(i) for a grace 
period that— 
‘‘(i) begins on the date the supplier 
conducts the first image or set of images 
obtained from an advanced diagnostic im-
aging service that is submitted to such or-
ganization for purposes of the supplier’s 
application for accreditation under this 
subsection; and 
‘‘(ii) ends on the earliest of the fol-
lowing: 
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‘‘(I) The date on which the sup-
plier’s application for accreditation is 
approved. 
‘‘(II) The date on which the sup-
plier’s application for accreditation is 
denied. 
‘‘(III) The end of the 6-month 
period beginning on the date under 
clause (i). 
‘‘(B) AGREEMENT.—The Secretary may 
only deem a supplier as accredited under sub-
paragraph (A) if the supplier enters an agree-
ment with the Secretary that the supplier 
shall— 
‘‘(i) not accept any payment under the 
fee schedule established under section 
1848(b) for the technical component of ad-
vanced diagnostic imaging services fur-
nished for any period between the end of 
the grace period under subparagraph (A) 
and the final decision of the accreditation 
organization with respect to the supplier’s 
application for accreditation pursuant to 
this subsection; and 
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‘‘(ii) if the application for accredita-
tion is denied, repay all payments of Fed-
eral and State funds— 
‘‘(I) that were received by the 
supplier during such grace period 
under this title or as a result of the 
requirements 
of 
section 
1902(a)(10)(E); and 
‘‘(II) which would not have been 
made, except as a result of the oper-
ation of subparagraph (A).’’. 
Æ 
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