Medicare Access to Rural Anesthesiology Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to provide payment under Medicare part A (Hospital Insurance) on a reasonable cost basis for anesthesia services furnished by a physician who is an anesthesiologist in certain rural hospitals in the same manner as payment is made for anesthesia services furnished by a certified registered nurse anesthetist in such hospitals.
[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4781 Introduced in House (IH)]
113th CONGRESS
2d Session
H. R. 4781
To amend title XVIII of the Social Security Act to provide payment
under part A of the Medicare Program on a reasonable cost basis for
anesthesia services furnished by an anesthesiologist in certain rural
hospitals in the same manner as payments are provided for anesthesia
services furnished by anesthesiologist assistants and certified
registered nurse anesthetists in such hospitals.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 30, 2014
Ms. Jenkins (for herself and Mr. Cleaver) introduced the following
bill; which was referred to the Committee on Ways and Means
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to provide payment
under part A of the Medicare Program on a reasonable cost basis for
anesthesia services furnished by an anesthesiologist in certain rural
hospitals in the same manner as payments are provided for anesthesia
services furnished by anesthesiologist assistants and certified
registered nurse anesthetists in such hospitals.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Medicare Access to Rural
Anesthesiology Act of 2014''.
SEC. 2. MEDICARE PART A PAYMENT FOR ANESTHESIOLOGIST SERVICES IN
CERTAIN RURAL HOSPITALS BASED ON CRNA PASS-THROUGH RULES.
(a) In General.--Section 1814 of the Social Security Act (42 U.S.C.
1395f) is amended by adding at the end the following new subsection:
``Anesthesiologist Services Provided in Certain Rural Hospitals
``(m)(1) Notwithstanding any other provision of this title,
coverage and payment shall be provided under this part for physicians'
services that are anesthesia services furnished by a physician who is
an anesthesiologist in a rural hospital described in paragraph (3) in
the same manner as payment is made under the exception provided in
section 9320(k) of the Omnibus Budget Reconciliation Act of 1986, as
amended by section 6132 of the Omnibus Budget Reconciliation Act of
1989 (42 U.S.C. 1395k note) (relating to payment on a reasonable cost,
pass-through basis), for certified registered nurse anesthetist
services furnished by a certified registered nurse anesthetist in a
hospital described in such section.
``(2) No payment shall be made under any other provision of this
title for physicians' services for which payment is made under this
subsection.
``(3) A rural hospital described in this paragraph is a hospital
described in section 9320(k) of the Omnibus Budget Reconciliation Act
of 1986, as so amended (42 U.S.C. 1395k note), except that--
``(A) any reference in such section to a `certified
registered nurse anesthetist' or `anesthetist' is deemed a
reference to a `physician who is an anesthesiologist' or
`anesthesiologist', respectively; and
``(B) any reference to `January 1, 1988' or `1987' is
deemed a reference to such date and year as the Secretary shall
specify.''.
(b) Effective Date.--The amendment made by subsection (a) shall
apply to services furnished during cost reporting periods beginning on
or after the date of the enactment of this Act.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Ways and Means.
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