,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #hdf  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #bg1 #bjac   
,mr4 ,olson 7= himself1 ,ms4 ,mc,collum1
 ,mr4 ,roskam1 ,mr4 ,b>r[ ( ,georgia1   
,mr4 ,gu?rie1 ,mr4 ,palazzo1 ,mr4 ,roe (
 ,t5nessee1 ,mrs4 ,black1 ,mr4 ,coble1  
,mr4 ,ribble1 ,mr4 ,h>p]1 ,mr4          
,mc,kinley1 ,mrs4 ,blackburn1 ,mr4      
,pascrell1 ,mr4 ,r5acci1 ,mrs4 ,capito1 
,mr4 ,nunes1 ,mr4 ,tib]i1 ,mr4          
,bilirakis1 ,mr4 ,loebsack1 ,mr4        
,mulvaney1 ,mr4 ,cr5%aw1 ,mr4 ,buc%on1  
,mr4 ,price ( ,georgia1 ,ms4 ,j5k9s1    
,mr4 ,ow5s1 ,mr4 ,re$1 ,mr4 ,amodei1    
,mr4 ,k9z+] ( ,ill9ois1 ,mr4 ,s*ock1    
,mr4 ,braley ( ,i[a1 ,mr4 ,burgess1 ,mr4
 ,h>ris1 ,mr4 ,rog]s ( ,mi*igan1 ,mr4   
,heck ( ,nevada1 ,mrs4 ,capps1 ,mr4     
,%imkus1 ,mr4 ,griff9 ( ,arkansas1 ,mr4 
,latta1 ,mr4 ,wald51 ,mr4 ,b\/any1 ,mr4 
,ma!son1 & ,mr4 ,t]ry7 introduc$ !      
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 ensure !      
cont9u$ access ( ,m$ic>e b5efici>ies to 
diagno/ic imag+ s]vices4  #a4 ,%ort     
title ,?is ,act may be cit$ z !         
,diagno/ic ,imag+ ,s]vices ,access      
,protection ,act ( #bjac4  #b4 ,m$ic>e  
paym5t = imag+ s]vices ,section         
#ahdh7;b77#d7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#d7;b77#d77 is   
am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,e7 ,limitation on       
application ( multiple proc$ure paym5t  
r$uction ,! ,secret>y may n apply a     
multiple proc$ure paym5t r$uction policy
 to ! pr(essional compon5t ( imag+      
s]vices furni%$ on or aft] #cj days aft]
 ! date ( ! enactm5t ( ?is subp>agraph1 
until ! ,secret>y publi%es 9 ! ,f$]al   
,regi/] ! foll[+3  7i7 ,an analysis ( ! 
in=mation us$ 9 ! f9al rule to implem5t 

! physician fee s*$ule "u ?is section 9 
#bjac to det]m9e :at1 if any1           
effici5cies exi/ )9 ! pr(essional       
compon5t ( imag+ s]vices :5 #b or m     
/udies are p]=m$ on ! same pati5t on !  
same day4  7ii7 ,detail$ in=mation on-- 
7,i7 :i* activities 9 ! vignettes 9 su* 
rule 7 assign$ r$uction p]c5tages ( #j1 
#be1 #ej1 #ge1 & #ajj p]c5t2  7,,ii7 h[ 
su* p]c5tage r$uctions = ! pre-1 intra-1
 & po/-s]vice "w 7 det]m9$ & calculat$2 
&  7,,iii7 ! cl9ical aspects t w5t into 
^? decisions4  4