,i #aacth ,,congress #ast ,session ,h4 ,r4 #adhd ,,in ,,the ,,house ,,of ,,representatives ,april #aa1 #bjac ,mr4 ,huizenga of ,michigan introduced the following bill2 which was referred to the ,committee on ,ways and ,means1 and in addition to the ,committee on ,energy and ,commerce1 for a period to be subsequently determined by the ,speaker1 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 make publicly available on the official ,medicare ,internet site ,medicare payment rates for frequently reimbursed hospital inpatient procedures1 hospital outpatient procedures1 and physicians' services4 #a4 ,short title ,this ,act may be cited as the ,medicare ,payment ,rate ,disclosure ,act of #bjac4 #b4 ,public ,internet availability of ,medicare payment rates for frequently reimbursed procedures and services ,title ,,xviii of the ,social ,security ,act is amended by adding at the end the following new section3 #ahii;,b4 ,public ,internet availability of ,medicare payment rates for frequently reimbursed procedures and services 7a7 ,in general 7#a7 ,initial posting ,during the initial period beginning on a date not later than #abj days after the date of the enactment of this section and ending on the date that is #bdj days after such starting date1 the ,secretary shall make publicly available on the official ,medicare ,internet site the following3 7,a7 ,payment rates for hospital inpatient procedures ,for each procedure selected under subsection 7b77#a77;,a77i7 and for each ,metropolitan ,statistical ,area or other payment area used for purposes of section #ahhf7;d71 the average rate of payment under such section for the procedure1 determined without regard to the application of any deduction or coinsurance amount or any adjustment under subparagraph 7,b71 7,d71 7,f71 or 7,g7 of paragraph 7#e7 of such section4 7,b7 ,payment rates for hospital outpatient procedures ,for each procedure selected under subsection 7b77#a77;,a77ii7 and for each county or other payment area used for purposes of section #ahcc7t71 the average rate of payment under such section for the procedure1 determined without regard to the application of any deductible or coinsurance4 7,c7 ,physician payment rates for physicians' services ,for each physicians' service selected under subsection 7b77#a77;,a77iii7 and for each fee schedule area under section #ahdh1 the average payment amount determined under the fee schedule under such section for the service1 determined without regard to the application of any deductible or coinsurance4 7,d7 ,period for which payment rates are applicable ,a description of the period for which each payment rate or amount under subparagraph 7,a71 7,b71 or 7,c7 is applicable4 7,e7 ,services included in procedures ,a description of the items and services included in each procedure selected under clauses 7i7 and 7ii7 of subsection 7b77#a77;,a74 7,f7 ,notice ,a statement that the average payment rates and average payment amounts described in subparagraphs 7,a7 through 7,c7 are only applicable to the ,medicare program under this title and may not be available for an individual who is not purchasing such a procedure or service under such program4 7#b7 ,posting of expanded selection ,during the period beginning on the date that is one day after the last day of the initial period described in paragraph 7#a71 the ,secretary shall make publicly available on the official ,medicare ,internet site the following3 7,a7 ,payment rates for hospital inpatient procedures ,for each procedure selected under subsection 7b77#a77;,b77i7 and for each ,metropolitan ,statistical ,area or other payment area used for purposes of section #ahhf7;d71 the average rate of payment described in paragraph 7#a77;,a7 for the procedure4 7,b7 ,payment rates for hospital outpatient procedures ,for each procedure selected under subsection 7b77#a77;,b77ii7 and for each county or other payment area used for purposes of section #ahcc7t71 the average rate of payment described in paragraph 7#a77;,b7 for the procedure4 7,c7 ,physician payment rates for physicians' services ,for each physicians' service selected under subsection 7b77#a77;,b77iii7 and for each fee schedule area under section #ahdh1 the average payment amount described in paragraph 7#a77;,c7 for the physicians' service4 7,d7 ,period for which payment rates are applicable ,a description of the period for which each payment rate or amount under subparagraph 7,a71 7,b71 or 7,c7 is applicable4 7,e7 ,services included in procedures ,a description of the items and services included in each procedure selected under clauses 7i7 and 7ii7 of subsection 7b77#a77;,b74 7,f7 ,notice ,a statement that the average payment rates and average payment amounts described in subparagraphs 7,a7 through 7,c7 are only applicable to the ,medicare program under this title and may not be available for an individual who is not purchasing such a procedure or service under such program4 7b7 ,selection of procedures and services 7#a7 ,in general 7,a7 ,initial selection ,for purposes of subsection 7a77#a7 and based on the most recent national data available1 the ,secretary shall select the following3 7i7 ,at least the #cj hospital inpatient procedures for which payment is most frequently provided under section #ahhf7;d74 7ii7 ,at least the #cj hospital outpatient procedures for which payment is most frequently provided under section #ahcc7t74 7iii7 ,at least the #cj physicians' services 7as defined in section #ahfa7q77 for which payment is most frequently provided under section #ahdh4 7,b7 ,expanded selection ,for purposes of subsection 7a77#b7 and based on the most recent national data available1 the ,secretary shall select the following3 7i7 ,at least the #ajj hospital inpatient procedures for which payment is most frequently provided under section #ahhf7;d74 7ii7 ,at least the #ajj hospital outpatient procedures for which payment is most frequently provided under section #ahcc7t74 7iii7 ,at least the #ajj physicians' services 7as defined in section #ahfa7q77 for which payment is most frequently provided under section #ahdh4 7#b7 ,updating expanded selection ,the ,secretary shall periodically update the procedures and services selected under paragraph 7#a77;,b74 7#c7 ,further expansion of selection ,the ,secretary shall expand the number of procedures and services selected under paragraph 7#a77;,b7 to include as many procedures and services as may be useful for an individual not entitled to benefits under part ,a or enrolled under part ,b in the purchase of such procedures and services4 7c7 ,authority ,to post additional information ,the ,secretary may make publicly available on the official ,medicare ,internet site such information on the payment rate or payment amount under this title for a procedure1 item1 or service not selected under subsection 7b7 as may be useful for an individual not entitled to benefits under part ,a or enrolled under part ,b in the purchase of the procedure1 item1 or service4 ,to the extent practicable1 such information shall be provided for each payment area involved4 7d7 ,administrative provisions 7#a7 ,use of most recent national data ,the information described in paragraph 7#a7 of subsection 7b7 and subsection 7c7 shall be based on the most recent national data available4 7#b7 ,accessibility by zip code ,such information for an applicable payment area shall be accessible by any zip code included in such area4 4