PLACE Act of 2019

I 116TH CONGRESS 1ST SESSION H. R. 2552 To direct the Secretary of Health and Human Services to prevent certain payment reductions for clinic visit services furnished at excepted off- campus outpatient departments of a provider under the Medicare pro- gram. IN THE HOUSE OF REPRESENTATIVES MAY 7, 2019 Mr. KILMER (for himself and Ms. STEFANIK) 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 subse- quently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To direct the Secretary of Health and Human Services to prevent certain payment reductions for clinic visit serv- ices furnished at excepted off-campus outpatient depart- ments of a provider under the Medicare program. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Protecting Local Ac- 4 cess to Care for Everyone Act of 2019’’ or the ‘‘PLACE 5 Act of 2019’’. 6 VerDate Sep 11 2014 03:58 May 14, 2019 Jkt 089200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 \\ALPHA3\E\BILLS\H2552.IH H2552 kjohnson on DSK79L0C42 with BILLS 2 •HR 2552 IH SEC. 2. PREVENTING CERTAIN PAYMENT REDUCTIONS FOR 1 CLINIC VISIT SERVICES FURNISHED AT EX- 2 CEPTED OFF-CAMPUS OUTPATIENT DEPART- 3 MENTS OF A PROVIDER UNDER THE MEDI- 4 CARE PROGRAM. 5 (a) IN GENERAL.—The Secretary of Health and 6 Human Services shall, for purposes of payment under part 7 B of title XVIII of the Social Security Act (42 U.S.C. 8 1395j et seq.) for clinic visit services (as defined in sub- 9 section (c)) furnished during the period beginning on Jan- 10 uary 1, 2019, and ending on December 31, 2020, by an 11 applicable provider (as defined in such subsection), treat 12 such services as if such services had been furnished by 13 a department of a provider located on the campus (as de- 14 fined in section 413.65(a)(2) of title 42, Code of Federal 15 Regulations (or any successor regulation)) of such pro- 16 vider. 17 (b) REIMBURSEMENT.—In the case of such clinic 18 visit services furnished during the period described in sub- 19 section (a) by such an applicable provider for which pay- 20 ment has already been made under such part B as of the 21 date of the enactment of this Act, the Secretary of Health 22 and Human Services shall promptly reimburse such pro- 23 vider in an amount equal to the difference between the 24 payment for such services under subsection (a) and the 25 amount actually paid for such services. 26 VerDate Sep 11 2014 03:58 May 14, 2019 Jkt 089200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 \\ALPHA3\E\BILLS\H2552.IH H2552 kjohnson on DSK79L0C42 with BILLS 3 •HR 2552 IH (c) DEFINITIONS.—In this section: 1 (1) APPLICABLE PROVIDER.—The term ‘‘appli- 2 cable provider’’ means a department of a provider 3 that would be an off-campus outpatient department 4 of a provider (as defined in section 1833(t)(21)(B) 5 of the Social Security Act (42 U.S.C. 6 1395l(t)(21)(B)) but for the application of clause 7 (ii) or (iv) of such section. 8 (2) CLINIC VISIT SERVICES.—The term ‘‘clinic 9 visit services’’ means those services identified by 10 Healthcare Common Procedure Coding System code 11 G0463 (or a successor code). 12 (3) DEPARTMENT OF A PROVIDER.—The term 13 ‘‘department of a provider’’ has the meaning given 14 such term in section 413.65(a)(2) of title 42, Code 15 of Federal Regulations, as in effect as of the date 16 of the enactment of this Act. 17 Æ VerDate Sep 11 2014 03:58 May 14, 2019 Jkt 089200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 \\ALPHA3\E\BILLS\H2552.IH H2552 kjohnson on DSK79L0C42 with BILLS