,,ib  ,union ,cal5d> ,no4 #ehe  #aae?   
,,congress  #b;d ,session  ,h4 ,r4 #ehjd
  ,report ,no4 #aae-geb1 ,"p ,i  ,,9 ,,!
 ,,h\se ,,( ,,repres5tatives  ,may #ae1 
#bjah ,mr4 ,%imkus 7= himself1 ,mr4     
,kri%namoor?i1 & ,mr4 ,roskam7 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$    
,june #ac1 #bjah;,additional sponsor3   
,mr4 ,wald5  ,june #ac1 #bjah ,report$ f
 ! ,committee on ,en]gy & ,comm]ce      
,june #ac1 #bjah;,committee on ,ways &  
,means dis*>g$2 committ$ to ! ,committee
 ( ! ,:ole ,h\se on ! ,/ate ( ! ,union &
 ord]$ to be pr9t$  ,a ,,bill  ,to am5d 
title ,,xviii ( ! ,social ,security ,act
 to provide = modifications 9 paym5t =  
c]ta9 outpati5t surgical s]vices4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,po/-,surgical ,injections z an ,opioid 

,alt]native ,act4  #b4 ,modification (  
paym5t = c]ta9 outpati5t surgical       
s]vices  7a7 ,freeze ( paym5t = c]ta9   
s]vices furni%$ 9 ambulatory surgical   
c5t]s ,section #ahcc7;i77#b7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciel7i77#b77 is am5d$ by add+ at ! end
 ! foll[+ new subp>agraph3  7,f7  7i7 ,)
 respect to a t>get$ proc$ure 7z def9$ 9
 clause 7ii77 furni%$ dur+ #bjbj or a   
subsequ5t ye> 7be=e #bjbe7 to an        
individual 9 an ambulatory surgical     
c5t]1 ! paym5t am\nt = su* proc$ure t   
w\ld o!rwise be det]m9$ "u ! revis$     
paym5t sy/em "u subp>agraph 7,d71 )\t   
application ( ?is subp>agraph1 %all be  
equal to ! paym5t am\nt = su* proc$ure  
furni%$ 9 #bjaf4  7ii7 ,= purposes (    
clause 7i71 ! t]m t>get$ proc$ure means 
a proc$ure to :i* ,heal?c>e ,common     
,proc$ure ,cod+ ,sy/em #fbcaj 7or1 =    
ye>s beg9n+ aft] #bjaf1 #fbcba71 #fbcaa 
7or1 = ye>s beg9n+ aft] #bjaf1 #fbcbc71 
#fbbfd1 #fddij1 #fddic1 or ,g#jbfj 7or  
any successor code7 applies4  7iii7 ,?is

 subp>agraph %all n be appli$ 9 a       
budget-neutral mann]4  4  7b7 ,data     
collection  7#a7 ,9 g5]al ,! ,comptroll]
 ,g5]al %all collect data relat+ to !   
co/ diff]5tial betwe5 t>get$ proc$ures  
7z def9$ 9 section                      
#ahcc7;i77#b77;,f77ii7 ( ! ,social      
,security ,act1 z add$ by subsection    
7a77 t are p]=m$ 9 a hospital op]at+    
room & su* proc$ures t are p]=m$ 9 an   
(fice sett+ )9 a hospital 9 ord] to     
det]m9e :e!r su* proc$ures are be+      
prop]ly cod$ = claims1 bas$ on sett+1 = 
paym5t "u section #ahcc7;i77#b77;,d7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciel7i77#b77;,d77 & to det]m9e if     
fur!r *anges are ne$$ 9 ! classification
 sy/em = cov]$ outpati5t dep>tm5t       
s]vices 7z describ$ 9 section           
#ahcc7t77#b77;,a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciel7t77#b77;,a774
  7#b7 ,report ,n lat] ?an #d ye>s aft] 
! date ( ! enactm5t ( ?is ,act1 !       
,comptroll] ,g5]al %all submit a report 
to ! ,committee on ,en]gy & ,comm]ce & !

 ,committee on ,ways & ,means ( ! ,h\se 
( ,repres5tatives & ! ,committee on     
,f9ance ( ! ,s5ate conta9+--  7,a7 a    
det]m9ation ( :e!r proc$ures describ$ 9 
p>agraph 7#a7 are be+ prop]ly cod$ =    
claims1 bas$ on sett+1 = paym5t "u      
section #ahcc7;i77#b77;,d7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#aciel7i77#b77;,d772 &  7,b7            
recomm5dations on any *anges !          
,comptroll] ,g5]al det]m9es are ne$$ 9 !
 classification sy/em = cov]$ outpati5t 
dep>tm5t s]vices 7z describ$ 9 section  
#ahcc7t77#b77;,a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciel7t77#b77;,a774
  7c7 ,/udy ,n lat] ?an #c ye>s aft] !  
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,heal? & ,human ,s]vices    
%all conduct a /udy & submit to         
,congress a report on ! ext5t to :i*    
proc$ures describ$ 9 section            
#ahcc7;i77#b77;,f77ii7 ( ! ,social      
,security ,act1 z add$ by subsection    
7a71 are effective at prev5t+ ! ne$ =   
opioids = individuals furni%$ su*       

proc$ures4  ,june #ac1 #bjah ,report$ f 
! ,committee on ,en]gy & ,commerce,june 
#ac1 #bjah;,committee on ,ways & ,means 
dis*>g$2 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union &     
ord]$ to be pr9t$