253 
‘‘(ii) TREATMENT
OF
OTHER
BID-
DERS.—In the case of a bidding entity for 
any product category for a competitive ac-
quisition area, if the entity does not meet 
the bid forfeiture conditions in subclauses 
(I) and (II) of clause (i) for any product 
category for such area, the bid bond sub-
mitted by such entity for such area shall 
be returned within 90 days of the public 
announcement of the contract suppliers for 
such area.’’. 
(b) STATE LICENSURE.— 
(1) IN GENERAL.—Section 1847(b)(2)(A) of the 
Social Security Act (42 U.S.C. 1395w–3(b)(2)(A)) is 
amended by adding at the end the following new 
clause: 
‘‘(v) The entity meets applicable State 
licensure requirements.’’. 
(2) CONSTRUCTION.—Nothing in the amend-
ment made by paragraph (1) shall be construed as 
affecting the authority of the Secretary of Health 
and Human Services to require State licensure of an 
entity under the Medicare competitive acquisition 
program under section 1847 of the Social Security 
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Act (42 U.S.C. 1395w–3) before the date of the en-
actment of this Act. 
(c) GAO REPORT ON BID BOND IMPACT ON SMALL 
SUPPLIERS.— 
(1) STUDY.—The Comptroller General of the 
United States shall conduct a study that evaluates 
the effect of the bid surety bond requirement under 
the amendment made by subsection (a) on the par-
ticipation of small suppliers in the Medicare 
DMEPOS competitive acquisition program under 
section 1847 of the Social Security Act (42 U.S.C. 
1395w–3). 
(2) REPORT.—Not later than 6 months after 
the date contracts are first awarded subject to such 
bid surety bond requirement, the Comptroller Gen-
eral shall submit to Congress a report on the study 
conducted under paragraph (1). Such report shall 
include recommendations for changes in such re-
quirement in order to ensure robust participation by 
legitimate small suppliers in the Medicare DMEPOS 
competition acquisition program. 
SEC. 523. PAYMENT FOR GLOBAL SURGICAL PACKAGES. 
(a) IN GENERAL.—Section 1848(c) of the Social Se-
curity Act (42 U.S.C. 1395w–4(c)) is amended by adding 
at the end the following new paragraph: 
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‘‘(8) GLOBAL SURGICAL PACKAGES.— 
‘‘(A) PROHIBITION
OF
IMPLEMENTATION 
OF RULE REGARDING GLOBAL SURGICAL PACK-
AGES.— 
‘‘(i) IN
GENERAL.—The Secretary 
shall not implement the policy established 
in the final rule published on November 
13, 2014 (79 Fed. Reg. 67548 et seq.), 
that requires the transition of all 10-day 
and 90-day global surgery packages to 0- 
day global periods. 
‘‘(ii) 
CONSTRUCTION.—Nothing 
in 
clause (i) shall be construed to prevent the 
Secretary from revaluing misvalued codes 
for specific surgical services or assigning 
values to new or revised codes for surgical 
services. 
‘‘(B) COLLECTION OF DATA ON SERVICES 
INCLUDED IN GLOBAL SURGICAL PACKAGES.— 
‘‘(i) IN GENERAL.—Subject to clause 
(ii), the Secretary shall through rule-
making develop and implement a process 
to gather, from a representative sample of 
physicians, beginning not later than Janu-
ary 1, 2017, information needed to value 
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surgical services. Such information shall 
include the number and level of medical 
visits furnished during the global period 
and other items and services related to the 
surgery and furnished during the global 
period, as appropriate. Such information 
shall be reported on claims at the end of 
the global period or in another manner 
specified by the Secretary. For purposes of 
carrying out this paragraph (other than 
clause (iii)), the Secretary shall transfer 
from the Federal Supplemental Medical In-
surance Trust Fund under section 1841 
$2,000,000 to the Center for Medicare & 
Medicaid Services Program Management 
Account for fiscal year 2015. Amounts 
transferred under the previous sentence 
shall remain available until expended. 
‘‘(ii) REASSESSMENT AND POTENTIAL 
SUNSET.—Every 4 years, the Secretary 
shall reassess the value of the information 
collected pursuant to clause (i). Based on 
such a reassessment and by regulation, the 
Secretary may discontinue the requirement 
for collection of information under such 
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clause if the Secretary determines that the 
Secretary has adequate information from 
other sources, such as qualified clinical 
data registries, surgical logs, billing sys-
tems or other practice or facility records, 
and electronic health records, in order to 
accurately value global surgical services 
under this section. 
‘‘(iii) INSPECTOR GENERAL AUDIT.— 
The Inspector General of the Department 
of Health and Human Services shall audit 
a sample of the information reported under 
clause (i) to verify the accuracy of the in-
formation so reported. 
‘‘(C) IMPROVING
ACCURACY
OF
PRICING 
FOR SURGICAL SERVICES.—For years beginning 
with 2019, the Secretary shall use the informa-
tion reported under subparagraph (B)(i) as ap-
propriate and other available data for the pur-
pose of improving the accuracy of valuation of 
surgical services under the physician fee sched-
ule under this section.’’. 
(b) INCENTIVE FOR REPORTING INFORMATION ON 
GLOBAL SURGICAL SERVICES.—Section 1848(a) of the 
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