Pass-Through Technical Corrections Act

I 116TH CONGRESS 1ST SESSION H. R. 5057 To clarify the treatment of pass-through status under the Medicare outpatient payment system for certain drugs. IN THE HOUSE OF REPRESENTATIVES NOVEMBER 12, 2019 Mr. TONKO (for himself and Mr. MCKINLEY) 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 clarify the treatment of pass-through status under the Medicare outpatient payment system for certain drugs. 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 ‘‘Pass-Through Tech- 4 nical Corrections Act’’. 5 SEC. 2. CLARIFICATION OF PASS-THROUGH STATUS UNDER 6 MEDICARE OPPS FOR CERTAIN DRUGS. 7 Notwithstanding section 1301 of the Consolidated 8 Appropriations Act of 2018 (Public Law 115–141), in the 9 VerDate Sep 11 2014 04:36 Nov 21, 2019 Jkt 099200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H5057.IH H5057 kjohnson on DSK79L0C42 with BILLS 2 •HR 5057 IH case of a radiopharmaceutical drug for which pass-through 1 status was provided pursuant to section 1833(t)(6) of the 2 Social Security Act (42 U.S.C. 1395l(t)(6)) and whose pe- 3 riod of pass-through status initially expired on either De- 4 cember 31, 2017, or December 31, 2018, if such radio- 5 pharmaceutical drug is indicated for positron emission to- 6 mography beta amyloid imaging covered under a coverage 7 evidence development determination under section 8 1862(a)(1)(E) of the Social Security Act (42 U.S.C. 9 1395y(a)(1)(E)), then such pass-through status shall be 10 extended until such date that the coverage with evidence 11 development review is determined by the Centers for Medi- 12 care & Medicaid Services to be completed. 13 Æ VerDate Sep 11 2014 04:36 Nov 21, 2019 Jkt 099200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6301 E:\BILLS\H5057.IH H5057 kjohnson on DSK79L0C42 with BILLS