(C) Costs of all pharmaceutical products 
administered by health care clinicians at the in-
stitutional provider’s facilities or through serv-
ices provided in accordance with State licensing 
laws or regulations under which the institu-
tional provider operates. 
(D) Costs for infectious disease response 
preparedness, including maintenance of a 1- 
year or 365-day stockpile of personal protective 
equipment, occupational testing and surveil-
lance, medical services for occupational infec-
tious disease exposure, and contact tracing. 
(E) Purchasing and maintenance of med-
ical devices, supplies, and other health care 
technologies, including diagnostic testing equip-
ment. 
(F) Costs of all incidental services nec-
essary for safe patient care and handling. 
(G) Costs of patient care, education, and 
prevention programs, including occupational 
health and safety programs, public health pro-
grams, and necessary staff to implement such 
programs, for the continued education and 
health and safety of clinicians and other indi-
viduals employed by the institutional provider. 
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(2) Administrative costs for the institutional 
provider. 
SEC. 612. PAYMENT TO INDIVIDUAL PROVIDERS THROUGH 
FEE-FOR-SERVICE. 
(a) IN GENERAL.—In the case of a provider not de-
scribed in section 611(a) (including those in group prac-
tices who are not receiving payment on a salaried basis 
described in section 611(a)(3) and providers of home and 
community-based services), payment for items and serv-
ices furnished under this Act for which payment is not 
otherwise made under section 611 shall be made by the 
Secretary in amounts determined under the fee schedule 
established pursuant to subsection (b). Such payment 
shall be considered to be payment in full for such items 
and services, and a provider receiving such payment may 
not charge the individual receiving such item or service 
in any amount. 
(b) FEE SCHEDULE.— 
(1) ESTABLISHMENT.—Not later than 1 year 
after the date of the enactment of this Act, and in 
consultation with providers and regional office direc-
tors, the Secretary shall establish a national fee 
schedule for items and services payable under this 
Act. The Secretary shall evaluate the effectiveness of 
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the fee-for-service structure and update such fee 
schedule annually. 
(2) 
AMOUNTS.—In 
establishing 
payment 
amounts for items and services under the fee sched-
ule established under paragraph (1), the Secretary 
shall take into account— 
(A) the amounts payable for such items 
and services under title XVIII of the Social Se-
curity Act; and 
(B) the expertise of providers and value of 
items and services furnished by such providers. 
(c) ELECTRONIC BILLING.—The Secretary shall es-
tablish a uniform national system for electronic billing for 
purposes of making payments under this subsection. 
(d) PHYSICIAN PRACTICE REVIEW BOARD.—Each di-
rector of a regional office, in consultation with representa-
tives of physicians practicing in that region, shall establish 
and appoint a physician practice review board to assure 
quality, cost effectiveness, and fair reimbursements for 
physician-delivered items and services. The use of mecha-
nisms that discriminate against people with disabilities is 
prohibited for use in any value or cost-effectiveness assess-
ments. 
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SEC. 613. ENSURING ACCURATE VALUATION OF SERVICES 
UNDER 
THE 
MEDICARE 
PHYSICIAN 
FEE 
SCHEDULE. 
(a) STANDARDIZED
AND
DOCUMENTED
REVIEW 
PROCESS.—Section 1848(c)(2) of the Social Security Act 
(42 U.S.C. 1395w–4(c)(2)) is amended by adding at the 
end the following new subparagraph: 
‘‘(P) STANDARDIZED
AND
DOCUMENTED 
REVIEW PROCESS.— 
‘‘(i) IN GENERAL.—Not later than one 
year after the date of enactment of this 
subparagraph, the Secretary shall estab-
lish, document, and make publicly avail-
able, in consultation with the Office of Pri-
mary Health Care, a standardized process 
for reviewing the relative values of physi-
cians’ services under this paragraph. 
‘‘(ii) MINIMUM REQUIREMENTS.—The 
standardized process shall include, at a 
minimum, methods and criteria for identi-
fying services for review, prioritizing the 
review of services, reviewing stakeholder 
recommendations, and identifying addi-
tional resources to be considered during 
the review process.’’. 
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(b) PLANNED AND DOCUMENTED USE OF FUNDS.— 
Section 1848(c)(2)(M) of the Social Security Act (42 
U.S.C. 1395w–4(c)(2)(M)) is amended by adding at the 
end the following new clause: 
‘‘(x) PLANNED
AND
DOCUMENTED 
USE OF FUNDS.—For each fiscal year (be-
ginning with the first fiscal year beginning 
on or after the date of enactment of this 
clause), the Secretary shall provide to Con-
gress a written plan for using the funds 
provided under clause (ix) to collect and 
use information on physicians’ services in 
the determination of relative values under 
this subparagraph.’’. 
(c) INTERNAL TRACKING OF REVIEWS.— 
(1) IN GENERAL.—Not later than 1 year after 
the date of enactment of this Act, the Secretary 
shall submit to Congress a proposed plan for system-
atically and internally tracking the Secretary’s re-
view of the relative values of physicians’ services, 
such as by establishing an internal database, under 
section 1848(c)(2) of the Social Security Act (42 
U.S.C. 1395w–4(c)(2)), as amended by this section. 
(2) MINIMUM
REQUIREMENTS.—The proposal 
shall include, at a minimum, plans and a timeline 
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