I 
113TH CONGRESS 
1ST SESSION H. R. 2545 
To amend title XVIII of the Social Security Act to provide for an expert 
advisory panel regarding relative value scale process used under the 
Medicare physician fee schedule, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 27, 2013 
Mr. MCDERMOTT 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 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 an expert advisory panel regarding relative value 
scale process used under the Medicare physician fee 
schedule, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Accuracy in Medicare 
Physician Payment Act of 2013’’. 
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SEC. 2. EXPERT ADVISORY PANEL REGARDING RELATIVE 
VALUE SCALE PROCESS USED IN MEDICARE 
PHYSICIAN FEE SCHEDULE. 
Section 1848(c)(2) of the Social Security Act (42 
U.S.C. 1395m(c)(2)) is amended by adding at the end the 
following new subparagraph: 
‘‘(M) USE OF EXPERT ADVISORY PANEL 
REGARDING RELATIVE VALUE SCALE PROCESS 
USED.— 
‘‘(i) IN
GENERAL.—For purposes of 
providing oversight to the processes (in-
cluding the process described in subpara-
graph (K)) relating to valuation of physi-
cians’ services, not later than 90 days after 
the date of the enactment of this subpara-
graph, the Secretary shall establish and 
appoint an expert outside advisory panel 
(in this subparagraph referred to as the 
‘panel’). 
‘‘(ii) COMPOSITION
OF
PANEL.—The 
panel shall be composed of individuals with 
expertise in the valuation of physicians’ 
services, such as individuals who are med-
ical directors for carriers, experts in med-
ical economics and technology diffusion, 
and private payer plan representatives, and 
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shall include a mix of physicians in dif-
ferent specialty areas, particularly physi-
cians who are not directly affected by 
changes in the valuation of physicians’ 
services under this section (such as retired 
physicians and physicians who are em-
ployed by managed care organizations or 
academic medical centers), as well as rep-
resentatives of individuals enrolled under 
this part. 
‘‘(iii) DUTIES.— 
‘‘(I) IN
GENERAL.—The panel 
shall provide oversight to the proc-
esses of identifying, reviewing, and 
adjusting valuations for physicians’ 
services under this section, including 
activities described in the succeeding 
provisions of this clause. 
‘‘(II) 
ESTABLISHMENT
OF 
SCREENS.—The panel may establish 
screens (in addition to the screens 
identified under subparagraph (K)(ii)) 
and other means for identifying physi-
cians’ services for which there are po-
tentially misvalued codes for review, 
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such as services that have experienced 
substantial changes in length of stay, 
site of service, volume, practice ex-
pense, and other factors that may in-
dicate changes in physician work. 
‘‘(III) DATA
COLLECTION.—The 
panel may collect data and develop 
supporting evidence relating to the 
valuation of physicians’ services. 
‘‘(IV) SURVEYS.—The panel may 
conduct surveys of suppliers of physi-
cians’ services and may conduct time 
and motion studies relating to such 
valuations. 
‘‘(V) TRANSMITTING CODES FOR 
REVIEW
AND
RECOMMENDATIONS.— 
The panel may transmit with sup-
porting evidence codes for review and 
recommendations through the means 
described 
in 
subparagraphs 
(I) 
through 
(III) 
of 
subparagraph 
(K)(iii). 
‘‘(VI) 
EVALUATION
OF
REC-
OMMENDATIONS
SUBMITTED.—The 
panel shall evaluate any recommenda-
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