SOS: Sustaining Outpatient Services Act

I 117TH CONGRESS 1ST SESSION H. R. 3348 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 serv- ices, and for other purposes. IN THE HOUSE OF REPRESENTATIVES MAY 19, 2021 Mr. MCGOVERN (for himself and Mr. SMITH of Nebraska) introduced the fol- lowing bill; which was referred to the Committee on Energy and Com- merce, and in addition to the Committee on Ways and Means, for a pe- riod to be subsequently determined by the Speaker, in each case for con- sideration of such provisions as fall within the jurisdiction of the com- mittee 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 depart- ments of a provider to be determined under the prospec- tive payment system for hospital outpatient department services, and for other purposes. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 VerDate Sep 11 2014 02:58 Jul 01, 2021 Jkt 019200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H3348.IH H3348 ctelli on DSK11ZRN23PROD with BILLS 2 •HR 3348 IH SECTION 1. SHORT TITLE. 1 This Act may be cited as the ‘‘SOS: Sustaining Out- 2 patient Services Act’’. 3 SEC. 2. ALLOWING MEDICARE PAYMENTS FOR CERTAIN 4 ITEMS AND SERVICES FURNISHED BY OFF- 5 CAMPUS OUTPATIENT DEPARTMENTS OF A 6 PROVIDER TO BE DETERMINED UNDER THE 7 PROSPECTIVE PAYMENT SYSTEM FOR HOS- 8 PITAL OUTPATIENT DEPARTMENT SERVICES. 9 Section 1833(t)(1)(B) of the Social Security Act (42 10 U.S.C. 1395l(t)(1)(B)) is amended— 11 (1) in clause (iv), by striking ‘‘and’’ at the end; 12 (2) in clause (v)— 13 (A) by inserting before ‘‘does not include’’ 14 the following: ‘‘subject to clause (vi),’’; and 15 (B) by striking the period at the end and 16 inserting ‘‘; and’’; and 17 (3) by adding at the end the following new 18 clause: 19 ‘‘(vi) includes, with respect to a year 20 (beginning with 2022), any item or serv- 21 ice— 22 ‘‘(I) that is furnished during 23 such year by an off-campus outpatient 24 department of a provider (as defined 25 VerDate Sep 11 2014 00:41 Jun 22, 2021 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H3348.IH H3348 ctelli on DSK11ZRN23PROD with BILLS 3 •HR 3348 IH in subparagraph (B) of paragraph 1 (21)); and 2 ‘‘(II) with respect to which the 3 greatest total amount paid with re- 4 spect to a physician speciality under 5 the physician fee schedule under sec- 6 tion 1848 for all such items or serv- 7 ices furnished by physicians in such 8 specialty during the previous year was 9 less than $2,000,000.’’. 10 Æ VerDate Sep 11 2014 00:41 Jun 22, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\H3348.IH H3348 ctelli on DSK11ZRN23PROD with BILLS