,,ii  #aacth ,,congress  #ast ,session  
,s4 #fbc  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,march #bj1 #bjac   
,mr4 ,cardin 7for himself and ,mr4      
,vitter7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,finance  ,a ,,bill  ,to 
amend title ,,xviii of the ,social      
,security ,act to ensure the continued  
access of ,medicare beneficiaries to    
diagnostic imaging services4  #a4 ,short
 title ,this ,act may be cited as the   
,diagnostic ,imaging ,services ,access  
,protection ,act of #bjac4  #b4         
,medicare payment for imaging services  
,section #ahdh7;b77#d7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#aciew-#d7;b77#d77 is amended by adding 
at the end the following new            
subparagraph3  7,e7 ,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 #cj days after the date of  
the enactment of this subparagraph1     
until the ,secretary publishes in the   
,federal ,register the following3  7i7  
,an analysis of the information used in 
the final rule to implement the         
physician fee schedule under this       
section in #bjac to determine what1 if  
any1 efficiencies exist within the      
professional component of imaging       
services when #b or more studies are    
performed on the same patient on the    
same day4  7ii7 ,detailed information   
on--  7,i7 which activities in the      
vignettes in such rule were assigned    
reduction percentages of #j1 #be1 #ej1  
#ge1 and #ajj percent2  7,,ii7 how such 
percentage reductions for the pre-1     
intra-1 and post-service work were      
determined and calculated2 and  7,,iii7 
the clinical aspects that went into     
those decisions4  4