Title: ASC Payment Transparency Act of 2019
Policy area: Health

Summary:
Ambulatory Surgical Center Payment Transparency Act of 2019 or ASC Payment Transparency Act of 2019
This bill requires the Centers for Medicare & Medicaid Services to specify the criteria used to exclude certain procedures from the list of covered surgical procedures that may be performed in an ambulatory surgical center under Medicare.
The bill also requires the expert outside advisory panel that reviews the Medicare prospective payment system for hospital outpatient department services to include at least one ambulatory surgical center representative.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3433 Introduced in House (IH)]

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116th CONGRESS
  1st Session
                                H. R. 3433

    To amend title XVIII of the Social Security Act to provide for 
ambulatory surgical center representation during the review of hospital 
outpatient payment rates under part B of the Medicare program, and for 
                            other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 24, 2019

 Mr. Larson of Connecticut (for himself and Mr. Nunes) 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 
ambulatory surgical center representation during the review of hospital 
outpatient payment rates under part B of the Medicare program, and for 
                            other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Ambulatory Surgical Center Payment 
Transparency Act of 2019'' or the ``ASC Payment Transparency Act of 
2019''.

SEC. 2. ADVISORY PANEL ON HOSPITAL OUTPATIENT PAYMENT REPRESENTATION.

    (a) ASC Representative.--The second sentence of section 
1833(t)(9)(A) of the Social Security Act (42 U.S.C. 1395l(t)(9)(A)) is 
amended by inserting ``and at least one ambulatory surgical center 
representative'' after ``an appropriate selection of representatives of 
providers''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply with respect to advisory panels consulted on or after the date 
that is 1 year after the date of the enactment of this Act.

SEC. 3. REASONS FOR EXCLUDING ADDITIONAL PROCEDURES FROM ASC APPROVED 
              LIST.

    Section 1833(i)(1) of the Social Security Act (42 U.S.C. 
1395l(i)(1)) is amended by adding at the end the following: ``In 
updating such lists for application in years beginning with the second 
year beginning after the date of the enactment of this sentence, for 
each procedure that was not proposed to be included in such lists in 
the proposed rule with respect to such lists and that was subsequently 
requested to be included in such lists during the public comment period 
with respect to such proposed rule and that is not included in the 
final rule updating such lists, the Secretary shall cite in such final 
rule the specific criteria in paragraph (b) or (c) of section 416.166 
of title 42, Code of Federal Regulations (or any successor regulation), 
based on which the procedure was excluded. If paragraph (b) of such 
section is cited for exclusion of a procedure, the Secretary shall 
identify the peer-reviewed research, if any, or the evidence upon which 
such determination is based.''.
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