,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #fidh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #bg1        
#bjah,mr4 ,hold+ 7= himself & ,mr4      
,m\lton7 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 equitable paym5t =1 & pres]ve    
,m$ic>e b5efici>y access to1 diagno/ic  
radioph>maceuticals "u ! ,m$ic>e        
hospital outpati5t prospective paym5t   
sy/em4  #a4 ,%ort title ,?is ,act may be
 cit$ z ! ,m$ic>e ,diagno/ic            
,radioph>maceutical ,paym5t ,equity ,act
 ( #bjah4  #b4 ,sep>ate paym5t = c]ta9  
diagno/ic radioph>maceuticals ,section  
#ahcc7t77#af7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciel7t77#af77 is am5d$
 by add+ at ! end ! foll[+ new          

subp>agraph3  7,g7 ,sep>ate paym5t =    
c]ta9 diagno/ic radioph>maceuticals  7i7
 ,9 g5]al ,not)/&+ any o!r provision (  
?is subsection1 ) respect to s]vices    
furni%$ on or aft] ,janu>y #a1 #bjai1 ! 
,secret>y %all n package1 & %all make a 
sep>ate paym5t z specifi$ 9 clause 7ii7 
=1 a diagno/ic radioph>maceutical ) an  
e/imat$ mean p] day product co/ equal to
 or exce$+ ! ?re%old specifi$ 9 clause  
7iii74  7ii7 ,sep>ate paym5t ,= purposes
 ( clause 7i71 paym5t specifi$ 9 ?is    
clause = a diagno/ic radioph>maceutical 
describ$ 9 clause 7i7 %all be equal to--
  7,i7 ! av]age sales price = ! drug    
e/abli%$ "u section #ahdg;,a1 to ! ext5t
 ! av]age sales price is available1 z   
calculat$ & adju/$ by ! ,secret>y to !  
ext5t su* adju/m5t is adopt$ = o!r      
specifi$ cov]$ outpati5t drugs "u       
p>agraph 7#ad77;,a72 or  7,,ii7 if !    
data necess>y to calculate ! av]age     
price = ! drug 9 ! ye> "u ! sections    
specifi$ 9 subclause 7,i7 is n          
available1 ! av]age acquisition co/ = ! 

drug = t ye> 7:i*1 at ! option ( !      
,secret>y1 may v>y by hospital gr\p 7z  
def9$ by ! ,secret>y bas$ on volume (   
cov]$ ,,opd s]vices or o!r relevant     
*>act]i/ics771 z det]m9$ by ! ,secret>y 
tak+ into acc\nt ! hospital acquisition 
co/ survey data "u p>agraph 7#ad77;,d74 
7iii7 ,?re%old ,= purposes ( ?is        
subp>agraph1 ! ?re%old specifi$ 9 ?is   
clause-- 7,i7 = #bjai1 is #ejj2 &       
7,,ii7 = subsequ5t ye>s1 is ! am\nt     
specifi$ 9 ?is clause = ! prec$+ ye>    
increas$ by ! p]c5tage ( ! ,,opd fee    
s*$ule increase factor "u p>agraph      
7#c77;,c77iv7 = ! applicable ye>4  7iv7 
,budget neutrality ,! ,secret>y %all    
make su* adju/m5ts z are necess>y "u ?is
 subsection1 ) respect to a ye>1 to     
ensure t ! am\nt ( exp5ditures "u ?is   
subsection = su* ye> ) application ( ?is
 subp>agraph is equal to ! am\nt (      
exp5ditures t w\ld be made "u ?is       
subsection = su* ye> )\t application (  
?is subp>agraph4  7v7 ,def9ition ,=     
purposes ( ?is subp>agraph1 a diagno/ic 

radioph>maceutical is a drug or         
biological t is describ$ 9 section      
#cae4b7;a7 ( title #ba1 ,code ( ,f$]al  
,regulations1 or any successor          
regulation4  4