,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #ajeb  ,,in ,,the ,,house ,,of  
,,representatives  ,february #g1        
#bjai,ms4 ,sewell of ,alabama 7for      
herself and ,mr4 ,smith of ,nebraska7   
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  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to provide for direct    
payment to physician assistants under   
the ,medicare program for certain       
services furnished by such physician    
assistants4  #a4 ,direct ,medicare      
payment for services furnished by       
physician assistants  7a7 ,in general   
,section #ahcb7;a77#b77;,b7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#aciek7a77#b77;,b77 is amended by adding

 at the end the following new clause3   
7v7 services of a physician assistant   
but only if no facility or other        
provider charges or is paid any amounts 
with respect to the furnishing of such  
services2  4  7b7 ,effective date ,the  
amendment made by subsection 7a7 shall  
apply with respect to services furnished
 on or after ,july #a1 #bjbj4