Title: SOS: Sustaining Outpatient Services Act
Policy area: Health

Summary:
SOS: Sustaining Outpatient Services Act
This bill allows for payment under the Medicare prospective payment system for hospital outpatient department services of certain items and services that are furnished at off-campus outpatient departments. Specifically, the bill allows for payment of items and services for which payments to physician specialists (under the Medicare physician fee schedule) did not exceed $2 million during the previous year.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 4151 Introduced in Senate (IS)]

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116th CONGRESS
  2d Session
                                S. 4151

To amend title XVIII of the Social Security Act to allow payments under 
 the Medicare program for certain items and services furnished by off-
campus outpatient departments of a provider to be determined under the 
prospective payment system for hospital outpatient department services, 
                        and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              July 2, 2020

 Mr. Hoeven (for himself and Mr. Jones) introduced the following bill; 
     which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to allow payments under 
 the Medicare program for certain items and services furnished by off-
campus outpatient departments of a provider to be determined under the 
prospective payment system for hospital outpatient department services, 
                        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 ``SOS: Sustaining Outpatient Services 
Act''.

SEC. 2. ALLOWING MEDICARE PAYMENTS FOR CERTAIN ITEMS AND SERVICES 
              FURNISHED BY OFF-CAMPUS OUTPATIENT DEPARTMENTS OF A 
              PROVIDER TO BE DETERMINED UNDER THE PROSPECTIVE PAYMENT 
              SYSTEM FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES.

    Section 1833(t)(1)(B) of the Social Security Act (42 U.S.C. 
1395l(t)(1)(B)) is amended--
            (1) in clause (iv), by striking ``and'' at the end;
            (2) in clause (v)--
                    (A) by inserting before ``does not include'' the 
                following: ``subject to clause (vi),''; and
                    (B) by striking the period at the end and inserting 
                ``; and''; and
            (3) by adding at the end the following new clause:
                            ``(vi) includes, with respect to a year 
                        (beginning with 2021), any item or service--
                                    ``(I) that is furnished during such 
                                year by an off-campus outpatient 
                                department of a provider (as defined in 
                                subparagraph (B) of paragraph (21)); 
                                and
                                    ``(II) with respect to which the 
                                greatest total amount paid with respect 
                                to a physician speciality under the 
                                physician fee schedule under section 
                                1848 for all such items or services 
                                furnished by physicians in such 
                                specialty during the previous year was 
                                less than $2,000,000.''.
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