I 
110TH CONGRESS 
1ST SESSION H. R. 1774 
To amend title XVIII of the Social Security Act to establish a separate 
definition of outpatient speech-language pathology services under the 
Medicare Program in order that direct payment to speech-language pa-
thologists may be made under the Medicare Program. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 29, 2007 
Mr. BUTTERFIELD (for himself, Mr. INSLEE, Mrs. CAPPS, Mr. FERGUSON, 
and Ms. SCHWARTZ) introduced the following bill; which was referred to 
the Committee on Energy and Commerce, and in addition to the Com-
mittee 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 establish 
a separate definition of outpatient speech-language pa-
thology services under the Medicare Program in order 
that direct payment to speech-language pathologists may 
be made under the Medicare Program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
VerDate Aug 31 2005 
05:07 Apr 03, 2007
Jkt 059196
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H1774.IH
H1774
mstockstill on PROD1PC66 with BILLS
SECTION 1. MEDICARE SEPARATE DEFINITION OF OUT-
PATIENT 
SPEECH-LANGUAGE 
PATHOLOGY 
SERVICES. 
(a) IN GENERAL.—Section 1861(ll) of the Social Se-
curity Act (42 U.S.C. 1395x(ll)) is amended— 
(1) by redesignating paragraphs (2) and (3) as 
paragraphs (3) and (4), respectively; and 
(2) by inserting after paragraph (1) the fol-
lowing new paragraph: 
‘‘(2) The term ‘outpatient speech-language pa-
thology services’ has the meaning given the term 
‘outpatient physical therapy services’ in subsection 
(p), except that in applying such subsection— 
‘‘(A) ‘speech-language pathology’ shall be 
substituted for ‘physical therapy’ each place it 
appears; and 
‘‘(B) ‘speech-language pathologist’ shall be 
substituted for ‘physical therapist’ each place it 
appears.’’. 
(b) CONFORMING AMENDMENTS.— 
(1) Section 1832(a)(2)(C) of the Social Security 
Act (42 U.S.C. 1395k(a)(2)(C)) is amended— 
(A) by striking ‘‘and outpatient’’ and in-
serting ‘‘, outpatient’’; and 
(B) by inserting before the period at the 
end the following: ‘‘, and outpatient speech-lan-
VerDate Aug 31 2005 
05:07 Apr 03, 2007
Jkt 059196
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H1774.IH
H1774
mstockstill on PROD1PC66 with BILLS
guage pathology services (other than services to 
which the second sentence of section 1861(p) 
applies through the application of section 
1861(ll)(2))’’. 
(2) Subparagraphs (A) and (B) of section 
1833(a)(8) of such Act (42 U.S.C. 1395l(a)(8)) are 
each amended by striking ‘‘(which includes out-
patient speech-language pathology services)’’ and in-
serting ‘‘, outpatient speech-language pathology 
services,’’. 
(3) Section 1833(g)(1) of such Act (42 U.S.C. 
1395l(g)(1)) is amended— 
(A) by inserting ‘‘and speech-language pa-
thology services of the type described in such 
section through the application of section 
1861(ll)(2)’’ after ‘‘1861(p)’’; and 
(B) by inserting ‘‘and speech-language pa-
thology services’’ after ‘‘and physical therapy 
services’’. 
(4) The second sentence of section 1835(a) of 
such Act (42 U.S.C. 1395n(a)) is amended— 
(A) by striking ‘‘section 1861(g)’’ and in-
serting ‘‘subsection (g) or (ll)(2) of section 
1861’’ each place it appears; and 
VerDate Aug 31 2005 
05:07 Apr 03, 2007
Jkt 059196
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H1774.IH
H1774
mstockstill on PROD1PC66 with BILLS