I 
114TH CONGRESS 
1ST SESSION H. R. 2299 
To amend title XVIII of the Social Security Act to provide for site-of- 
service price transparency under the Medicare program. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 13, 2015 
Mr. BILIRAKIS introduced the following bill; which was referred to the Com-
mittee 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 site-of-service price transparency under the Medicare 
program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. MEDICARE SITE-OF-SERVICE PRICE TRANS-
PARENCY. 
Section 1834 of the Social Security Act (42 U.S.C. 
1395m) is amended by adding at the end the following 
new subsection: 
‘‘(r) SITE-OF-SERVICE PRICE TRANSPARENCY.— 
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‘‘(1) IN GENERAL.—In order to facilitate price 
transparency with respect to items and services for 
which payment may be made either to a hospital 
outpatient department or to an ambulatory surgery 
center under this title, the Secretary shall, for 2017 
and each year thereafter, make available to the pub-
lic via a searchable website, with respect to an ap-
propriate number of such items and services— 
‘‘(A) the estimated payment amount for 
such items and services under the outpatient 
department fee schedule under subsection (t) of 
section 1833 and the ambulatory surgical cen-
ter payment system under subsection (i) of such 
section; and 
‘‘(B) the estimated amount of beneficiary 
liability applicable to such an item or service. 
‘‘(2) CALCULATION
OF
ESTIMATED
BENE-
FICIARY LIABILITY.—For purposes of subsection (a), 
the estimated beneficiary liability, with respect to an 
item or service, is the amount for such item or serv-
ice for which an individual who does not have cov-
erage under a medicare supplemental policy certified 
under section 1882 or any other supplemental insur-
ance coverage is responsible. 
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‘‘(3) IMPLEMENTATION.—In carrying out this 
section, the Secretary— 
‘‘(A) shall include in the notice described 
in section 1804(a) a notification of the avail-
ability of the anticipated costs made available 
under subsection (a); and 
‘‘(B) may utilize existing mechanisms, such 
as the portion of the website of the Centers for 
Medicare & Medicaid Services on which infor-
mation comparing physician performance is 
posted (commonly referred to as the Physician 
Compare website), to make available such an-
ticipated costs under such subsection. 
‘‘(4) FUNDING.—For purposes of implementing 
this subsection, the Secretary shall provide for the 
transfer, from the Supplemental Medical Insurance 
Trust Fund under section 1841 to the Centers for 
Medicare & Medicaid Services Program Management 
Account, of $6,000,000 for fiscal year 2015, to re-
main available until expended.’’. 
Æ 
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