,,ii  #aad? ,,congress  #a/ ,session    
,s4 #ajbj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #ba1 #bjae,mr4  
,vitt] 7= himself & ,mr4 ,c>d97         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
ensure ! cont9u$ access ( ,m$ic>e       
b5efici>ies to diagno/ic imag+ s]vices1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,diagno/ic ,imag+  
,s]vices ,access ,protection ,act (     
#bjae4  #b4 ,f9d+s ,congress f9ds !     
foll[+3  7#a7 ,significant reimbursem5t 
cuts to ! ,m$ic>e physician fee s*$ule  
%\ld be bas$ on detail$ empirical       
analysis data4  7#b7 ,on multiple       
occasions s9ce #bjaa1 ,congress has     
reque/$ ! ,c5t]s = ,m$ic>e  ,m$icaid    
,s]vices 7,,cms7 to provide ! data us$  
to e/abli% its #bjab multiple proc$ure  
paym5t r$uction to ! pr(essional        
compon5t ( imag+ s]vices4  7#c7 ,,cms   
nev] provid$ ! reque/$ data to          

,congress4  7#d7 ,enactm5t ( section    
#bbj7;i7 ( ,public ,law #aac-ic on      
,april #a1 #bjad1 m&ates ! disclosure ( 
,,cms data us$ to det]m9e its #bjab     
multiple proc$ure paym5t r$uction to !  
pr(essional compon5t ( imag+ s]vices4   
7#e7 ,,cms ackn[l$g$ its responsibility 
to disclose ?is data 9 ! ,cal5d> ,ye>   
#bjae ,m$ic>e ,physician ,fee ,s*$ule   
,notice ( ,propos$ ,rule ,mak+ 7,,nprm7 
releas$ on ,july #aa1 #bjad1 z well z 9 
a lett] f ! ,adm9i/rator on ,augu/ #ah1 
#bjad4  7#f7 ,to date1 ,,cms has n      
compli$ ) ! /atutory m&ate provid$ = 9  
section #bbj7;i7 ( ,public ,law #aac-ic4
  #c4 ,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    
,elim9ation ( application ( multiple    
proc$ure paym5t r$uction  7i7 ,9 g5]al  
,! ,secret>y %all n apply a multiple    
proc$ure paym5t r$uction policy to !    
pr(essional compon5t ( imag+ s]vices--  

7,i7 furni%$ on a date t is m ?an #fj   
days aft] ! date ( ! enactm5t ( ?is     
subp>agraph & 9 ! ye> 9 :i* ?is         
subp>agraph is enact$2 or  7,,ii7       
furni%$ 9 any subsequ5t ye> t is prior  
to a ye> 9 :i* ! ,secret>y conducts &   
publi%es1 z "p ( ! ,m$ic>e ,physician   
,fee ,s*$ule ,propos$ ,rule = a ye>1 !  
empirical analysis describ$ 9 clause    
7ii74  7ii7 ,empirical analysis describ$
 ,! empirical analysis describ$ 9 ?is   
clause is an analysis ( ! ,res\rce-,bas$
 ,relative ,value ,scale 7commonly kn[n 
z ! ,,rbrvs7 ,data ,manag] in=mation t  
is us$ to det]m9e :at1 if any1          
effici5cies exi/ )9 ! pr(essional       
compon5t ( imag+ s]vices :5 two or m    
/udies are p]=m$ on ! same pati5t on !  
same day4 ,su* empirical analysis %all  
include--  7,i7 "w %eets & o!r in=mation
 detail+ :i* physician "w activities    
p]=m$ giv5 ! typical vignettes 7 assign$
 r$uction p]c5tages ( #j1 #be1 #ej1 #ge 
& #ajj p]c5t2  7,,ii7 a discussion ( !  
cl9ical aspects t in=m$ ! assignm5t ( ! 

r$uction p]c5tages describ$ 9 subclause 
7,i72  7,,iii7 an explanation ( h[ !    
p]c5tage r$uctions = pre-1 intra- &     
po/-s]vice "w 7 det]m9$ & calculat$2 &  
7,,iv7 a demon/ration t ! ,c5t]s =      
,m$ic>e  ,m$icaid ,s]vices has consult$ 
) practic+ radiologi/s to ga9 k ( h[    
radiologi/s int]pret /udies ( multiple  
body p>ts on ! same individual on ! same
 day4  4