Diagnostic Imaging Services Access Protection Act of 2013

Diagnostic Imaging Services Access Protection Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act, with respect to payments for physician services, to prohibit the Secretary of Health and Human Services (HHS) from applying a multiple procedure payment reduction policy to the professional component of imaging services until the Secretary publishes in the Federal Register: (1) an analysis of the information used in the final rule to implement the physician fee schedule in 2013 to determine what, if any, efficiences exist within the professional component of imaging services when two or more studies are performed on the same patient on the same day; and (2) detailed information on which activities in the vignettes in such rule were assigned specified reduction percentages, how such percentage reductions for the pre-, intra-, and post-service work were determined and calculated, and the clinical aspects that went into those decisions.

[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 846 Introduced in House (IH)]

113th CONGRESS
  1st Session
                                H. R. 846

To amend title XVIII of the Social Security Act to ensure the continued 
    access of Medicare beneficiaries to diagnostic imaging services.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           February 27, 2013

    Mr. Olson (for himself, Ms. McCollum, Mr. Roskam, Mr. Barrow of 
 Georgia, Mr. Guthrie, Mr. Palazzo, Mr. Roe of Tennessee, Mrs. Black, 
 Mr. Coble, Mr. Ribble, Mr. Harper, Mr. McKinley, Mrs. Blackburn, Mr. 
    Pascrell, Mr. Renacci, Mrs. Capito, Mr. Nunes, Mr. Tiberi, Mr. 
 Bilirakis, Mr. Loebsack, Mr. Mulvaney, Mr. Crenshaw, Mr. Bucshon, Mr. 
  Price of Georgia, Ms. Jenkins, Mr. Owens, Mr. Reed, Mr. Amodei, Mr. 
Kinzinger of Illinois, Mr. Schock, Mr. Braley of Iowa, Mr. Burgess, Mr. 
  Harris, Mr. Rogers of Michigan, Mr. Heck of Nevada, Mrs. Capps, Mr. 
Shimkus, Mr. Griffin of Arkansas, Mr. Latta, Mr. Walden, Mr. Boustany, 
 Mr. Matheson, and Mr. Terry) 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 ensure the continued 
    access of Medicare beneficiaries to diagnostic imaging services.

    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 ``Diagnostic Imaging Services Access 
Protection Act of 2013''.

SEC. 2. MEDICARE PAYMENT FOR IMAGING SERVICES.

    Section 1848(b)(4) of the Social Security Act (42 U.S.C. 1395w-
4(b)(4)) is amended by adding at the end the following new 
subparagraph:
                    ``(E) Limitation on application of multiple 
                procedure payment reduction.--The Secretary may not 
                apply a multiple procedure payment reduction policy to 
                the professional component of imaging services 
                furnished on or after 30 days after the date of the 
                enactment of this subparagraph, until the Secretary 
                publishes in the Federal Register the following:
                            ``(i) An analysis of the information used 
                        in the final rule to implement the physician 
                        fee schedule under this section in 2013 to 
                        determine what, if any, efficiencies exist 
                        within the professional component of imaging 
                        services when 2 or more studies are performed 
                        on the same patient on the same day.
                            ``(ii) Detailed information on--
                                    ``(I) which activities in the 
                                vignettes in such rule were assigned 
                                reduction percentages of 0, 25, 50, 75, 
                                and 100 percent;
                                    ``(II) how such percentage 
                                reductions for the pre-, intra-, and 
                                post-service work were determined and 
                                calculated; and
                                    ``(III) the clinical aspects that 
                                went into those decisions.''.
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