,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bede  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #bg1 #bjac ,mr4 
,mc,dermott introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = an exp]t advisory panel reg>d+
 relative value scale process us$ "u !  
,m$ic>e physician fee s*$ule1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,accuracy 9 ,m$ic>e        
,physician ,paym5t ,act ( #bjac4  #b4   
,exp]t advisory panel reg>d+ relative   
value scale process us$ 9 ,m$ic>e       
physician fee s*$ule ,section           
#ahdh7;c77#b7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciem7c77#b77 is am5d$ 
by add+ at ! end ! foll[+ new           
subp>agraph3  7,m7 ,use ( exp]t advisory

 panel reg>d+ relative value scale      
process us$  7i7 ,9 g5]al ,= purposes ( 
provid+ ov]sight to ! processes 7includ+
 ! process describ$ 9 subp>agraph 7,k77 
relat+ to valuation ( physicians'       
s]vices1 n lat] ?an #ij days aft] ! date
 ( ! enactm5t ( ?is subp>agraph1 !      
,secret>y %all e/abli% & appo9t an exp]t
 outside advisory panel 79 ?is          
subp>agraph ref]r$ to z ! panel74  7ii7 
,composition ( panel ,! panel %all be   
compos$ ( individuals ) exp]tise 9 !    
valuation ( physicians' s]vices1 su* z  
individuals :o are m$ical directors =   
c>ri]s1 exp]ts 9 m$ical economics &     
te*nology diffusion1 & private pay] plan
 repres5tatives1 & %all include a mix ( 
physicians 9 diff]5t specialty areas1   
p>ticul>ly physicians :o are n directly 
affect$ by *anges 9 ! valuation (       
physicians' s]vices "u ?is section 7su* 
z retir$ physicians & physicians :o are 
employ$ by manag$ c>e organizations or  
academic m$ical c5t]s71 z well z        
repres5tatives ( individuals enroll$ "u 

?is "p4  7iii7 ,duties  7,i7 ,9 g5]al ,!
 panel %all provide ov]sight to !       
processes ( id5tify+1 review+1 & adju/+ 
valuations = physicians' s]vices "u ?is 
section1 includ+ activities describ$ 9 !
 succe$+ provisions ( ?is clause4       
7,,ii7 ,e/abli%m5t ( scre5s ,! panel may
 e/abli% scre5s 79 addition to ! scre5s 
id5tifi$ "u subp>agraph 7,k77ii77 & o!r 
means = id5tify+ physicians' s]vices =  
:i* !re are pot5tially misvalu$ codes = 
review1 su* z s]vices t h exp]i5c$      
sub/antial *anges 9 l5g? ( /ay1 site (  
s]vice1 volume1 practice exp5se1 & o!r  
factors t may indicate *anges 9         
physician "w4  7,,iii7 ,data collection 
,! panel may collect data & develop     
support+ evid5ce relat+ to ! valuation (
 physicians' s]vices4  7,,iv7 ,surveys  
,! panel may conduct surveys ( suppli]s 
( physicians' s]vices & may conduct "t &
 motion /udies relat+ to su* valuations4
  7,v7 ,transmitt+ codes = review &     
recomm5dations ,! panel may transmit )  
support+ evid5ce codes = review &       

recomm5dations ?r\gh ! means describ$ 9 
subp>agraphs 7,i7 ?r\gh 7,,iii7 (       
subp>agraph 7,k77iii74  7,,vi7          
,evaluation ( recomm5dations submitt$ ,!
 panel %all evaluate any recomm5dations 
submitt$ ?r\gh su* means 7:e!r pursuant 
to ! solicitation "u subclause 7,v7 or  
o!rwise7 & report to ! ,secret>y on su* 
evaluation4  ,! panel's activities "u   
subclauses 7,,iii7 & 7,,iv7 may be      
conduct$ directly or ?r\gh contracts )  
appropriate1 qualifi$ entities4  7iv7   
,application ( ,,faca ,! ,f$]al         
,advisory ,committee ,act 7#e ,u4,s4,c4 
,app47 %all apply to ! panel1 except t  
section #ad ( su* ,act %all n apply4    
7v7 ,fund+ ,! ,secret>y %all provide = !
 transf] ( n to exce$ #aj1jjj1jjj = ea* 
fiscal ye> 7beg9n+ ) fiscal ye> #bjad7 f
 ! ,f$]al ,m$ical ,supplem5t>y ,m$ical  
,insurance ,tru/ ,fund e/abli%$ 9       
section #ahda to ! ,c5t] = ,m$ic>e      
,m$icaid ,s]vices ,program ,managem5t   
,acc\nt to c>ry out ?is subp>agraph1    
includ+ = ! managem5t & /aff+ ( ! panel 

& ! conduct ( activities describ$ 9     
clause 7iii74  4