,,ib  ,union ,calendar ,no4 #ehe  #aaeth
 ,,congress  #b;d ,session  ,h4 ,r4     
#ehjd  ,report ,no4 #aae-geb1 ,part ,i  
,,in ,,the ,,house ,,of                 
,,representatives  ,may #ae1 #bjah ,mr4 
,shimkus 7for himself1 ,mr4             
,krishnamoorthi1 and ,mr4 ,roskam7      
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce1 and in addition to the   
,committee on ,ways and ,means1 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  ,june #ac1         
#bjah;,additional sponsor3 ,mr4 ,walden 
,june #ac1 #bjah ,reported from the     
,committee on ,energy and ,commerce     
,june #ac1 #bjah;,committee on ,ways and
 ,means discharged2 committed to the    
,committee of the ,whole ,house on the  
,state of the ,union and ordered to be  
printed  ,a ,,bill  ,to amend title     
,,xviii of the ,social ,security ,act to

 provide for modifications in payment   
for certain outpatient surgical         
services4  #a4 ,short title ,this ,act  
may be cited as the ,post-,surgical     
,injections as an ,opioid ,alternative  
,act4  #b4 ,modification of payment for 
certain outpatient surgical services    
7a7 ,freeze of payment for certain      
services furnished in ambulatory        
surgical centers ,section #ahcc7;i77#b7 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #aciel7i77#b77 is amended by  
adding at the end the following new     
subparagraph3  7,f7  7i7 ,with respect  
to a targeted procedure 7as defined in  
clause 7ii77 furnished during #bjbj or a
 subsequent year 7before #bjbe7 to an   
individual in an ambulatory surgical    
center1 the payment amount for such     
procedure that would otherwise be       
determined under the revised payment    
system under subparagraph 7,d71 without 
application of this subparagraph1 shall 
be equal to the payment amount for such 
procedure furnished in #bjaf4  7ii7 ,for

 purposes of clause 7i71 the term       
targeted procedure means a procedure to 
which ,healthcare ,common ,procedure    
,coding ,system #fbcaj 7or1 for years   
beginning after #bjaf1 #fbcba71 #fbcaa  
7or1 for years beginning after #bjaf1   
#fbcbc71 #fbbfd1 #fddij1 #fddic1 or     
,g#jbfj 7or any successor code7 applies4
  7iii7 ,this subparagraph shall not be 
applied in a budget-neutral manner4  4  
7b7 ,data collection  7#a7 ,in general  
,the ,comptroller ,general shall collect
 data relating to the cost differential 
between targeted procedures 7as defined 
in section #ahcc7;i77#b77;,f77ii7 of the
 ,social ,security ,act1 as added by    
subsection 7a77 that are performed in a 
hospital operating room and such        
procedures that are performed in an     
office setting within a hospital in     
order to determine whether such         
procedures are being properly coded for 
claims1 based on setting1 for payment   
under section #ahcc7;i77#b77;,d7 of the 
,social ,security ,act 7#db ,u4,s4,c4   

#aciel7i77#b77;,d77 and to determine if 
further changes are needed in the       
classification system for covered       
outpatient department services 7as      
described in section #ahcc7t77#b77;,a7  
of the ,social ,security ,act 7#db      
,u4,s4,c4 #aciel7t77#b77;,a774  7#b7    
,report ,not later than #d years after  
the date of the enactment of this ,act1 
the ,comptroller ,general shall submit a
 report to the ,committee on ,energy and
 ,commerce and the ,committee on ,ways  
and ,means of the ,house of             
,representatives and the ,committee on  
,finance of the ,senate containing--    
7,a7 a determination of whether         
procedures described in paragraph 7#a7  
are being properly coded for claims1    
based on setting1 for payment under     
section #ahcc7;i77#b77;,d7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#aciel7i77#b77;,d772 and  7,b7          
recommendations on any changes the      
,comptroller ,general determines are    
needed in the classification system for 

covered outpatient department services  
7as described in section                
#ahcc7t77#b77;,a7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciel7t77#b77;,a774  7c7 ,study ,not   
later than #c years after the date of   
the enactment of this ,act1 the         
,secretary of ,health and ,human        
,services shall conduct a study and     
submit to ,congress a report on the     
extent to which procedures described in 
section #ahcc7;i77#b77;,f77ii7 of the   
,social ,security ,act1 as added by     
subsection 7a71 are effective at        
preventing the need for opioids for     
individuals furnished such procedures4  
,june #ac1 #bjah ,reported from the     
,committee on ,energy and ,commerce,june
 #ac1 #bjah;,committee on ,ways and     
,means discharged2 committed to the     
,committee of the ,whole ,house on the  
,state of the ,union and ordered to be  
printed