II 117th CONGRESS 1st Session S. 2641 IN THE SENATE OF THE UNITED STATES August 5, 2021 Mr. Boozman (for himself, Mr. Casey , and Mr. Daines ) 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 provide for payment for services of radiologist assistants under the Medicare program, and for other purposes.

1. Short title This Act may be cited as the Medicare Access to Radiology Care Act of 2021 . 2. Medicare payment for radiologist assistant services (a) In general Section 1834 of the Social Security Act ( 42 U.S.C. 1395m ) is amended by adding at the end the following new subsection: (z) Payment for certain radiologist assistant services (1) Payment (A) In general In the case of radiologist assistant services (as defined in subparagraph (B)) furnished on or after January 1, 2022, for which payment is made under the fee schedules established under section 1848, the amount of payment for such services shall equal 85 percent of the amount determined under section 1848 for such services when furnished by a radiologist. (B) Definitions In this subsection: (i) Radiologist assistant services The term radiologist assistant services means services furnished as an incident to a radiologists’ professional service— (I) performed by a radiologist assistant (as defined in clause (ii)) under the supervision of a radiologist as an employee of, a leased employee of, or an independent contractor of the supervising radiologist; and (II) which the radiologist assistant is legally authorized to perform under State law (or the State regulatory mechanism provided by State law). (ii) Radiologist assistant The term radiologist assistant means a radiographer who is certified by the American Registry of Radiologic Technologists as a registered radiologist assistant or by the Certification Board for Radiology Practitioner Assistants as a radiology practitioner assistant to perform radiologic procedures under the supervision of a radiologist. (2) Payment in facility settings (A) In general The Secretary shall provide for payment for radiologist assistant services in a facility setting furnished on or after January 1, 2022. Payment shall be made to the supervising radiologist. (B) Payment amount The amount of payment for radiologist assistant services furnished in a facility setting shall be the amount determined under paragraph (1). (C) Facility setting defined In this paragraph, the term facility setting means— (i) a hospital or critical access hospital; (ii) an ambulatory surgical center; and (iii) such other providers of services as the Secretary may specify. (3) Rules of construction Nothing in this subsection shall be construed as affecting— (A) coverage of and payment for the technical component (including the technical component of a global fee) with respect to imaging services under this title as in effect before the date of the enactment of this Act; (B) the amount of payment made for radiologists’ services under this title when furnished solely by a radiologist; or (C) the amount of payment made under this title for services furnished by a hospital, critical access hospital, ambulatory surgical center, or any other facility setting specified by the Secretary under paragraph (2)(C)(iii), as the case may be. . (b) Conforming amendment for payment to supervising radiologist The first sentence of section 1842(b)(6) of such Act ( 42 U.S.C. 1395u(b)(6) ) is amended— (1) by striking and before (J) ; and (2) by inserting before the period at the end the following: , and (K) in the case of radiologist assistant services (as defined in section 1834(z)(1)(B)(i)), payment shall be made to the supervising radiologist .