SOS: Sustaining Outpatient Services Act

Bill: 116-hr-4838
Sponsor: full_name: Rep. McGovern, James P. [D-MA-2]
Introduced: 2019-10-23
Policy area: Health
Subjects: Health care costs and insurance

Health programs administration and funding

Home and outpatient care

Hospital care

Medicare
Latest action: action_date: 2019-10-26
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2019-10-23
action_desc: Introduced in House
text: <p><b>SOS: Sustaining Outpatient Services Act</b></p> <p>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.</p>

tv_txt: I 116th CONGRESS 1st Session H. R. 4838 IN THE HOUSE OF REPRESENTATIVES October 23, 2019 Mr. McGovern (for himself and Mr. Smith of Nebraska ) 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 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.

1. Short title This Act may be cited as the SOS: Sustaining Outpatient Services Act . 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 2020), 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. .