Ensuring Equal Access to Treatments Act of 2014

Ensuring Equal Access to Treatments Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act, with respect to the prospective payment system for hospital outpatient department (OPD) services, to direct the Secretary of Health and Human Services (HHS) to create certain additional groups of covered OPD services that classify separately, from those that do not utilize such a drug, procedures that utilize a drug (other than contrast agents and diagnostic radiopharmaceuticals) that both has a cost above the drug packaging threshold and functions as a supply when used in a diagnostic test or procedure.

[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4857 Introduced in House (IH)]

113th CONGRESS
  2d Session
                                H. R. 4857

To amend title XVIII of the Social Security Act to modify payment under 
the Medicare program for outpatient department procedures that utilize 
               drugs as supplies, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 12, 2014

    Mr. Reed (for himself, Mr. Roskam, Mr. Rogers of Michigan, Mr. 
  McDermott, Mr. Schneider, and Mrs. Capps) 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 modify payment under 
the Medicare program for outpatient department procedures that utilize 
               drugs as supplies, and for other purposes.

    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 ``Ensuring Equal Access to Treatments 
Act of 2014''.

SEC. 2. PAYMENT UNDER THE MEDICARE PROGRAM FOR OUTPATIENT DEPARTMENT 
              PROCEDURES THAT UTILIZE DRUGS AS SUPPLIES.

    Section 1833(t)(2)(G) of the Social Security Act (42 U.S.C. 
1395l(t)(2)(G)) is amended by striking ``shall'' and all that follows 
and inserting the following: ``shall--
                            ``(i) create additional groups of covered 
                        OPD services that classify separately those 
                        procedures that utilize contrast agents from 
                        those that do not;
                            ``(ii) create and implement, for services 
                        furnished not later than the date of the 
                        enactment of this clause and in a budget 
                        neutral manner, additional groups of covered 
                        OPD services that classify separately those 
                        procedures that utilize a drug (other than 
                        contrast agents and diagnostic 
                        radiopharmaceuticals) that both--
                                    ``(I) has a cost above the drug 
                                packaging threshold; and
                                    ``(II) functions as a supply when 
                                used in a diagnostic test or procedure;
                        from those that do not; and''.
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