,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #beeb  ,,in ,,the ,,house ,,of  
,,representatives  ,may #g1 #bjai,mr4   
,kilmer 7for himself and ,ms4 ,stefanik7
 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     
direct the ,secretary of ,health and    
,human ,services to prevent certain     
payment reductions for clinic visit     
services furnished at excepted          
off-campus outpatient departments of a  
provider under the ,medicare program4   
#a4 ,short title ,this ,act may be cited
 as the ,protecting ,local ,access to   
,care for ,everyone ,act of #bjai or the
 ,,place ,act of #bjai4  #b4 ,preventing
 certain payment reductions for clinic  
visit services furnished at excepted    

off-campus outpatient departments of a  
provider under the ,medicare program    
7a7 ,in general ,the ,secretary of      
,health and ,human ,services shall1 for 
purposes of payment under part ,b of    
title ,,xviii of the ,social ,security  
,act 7#db ,u4,s4,c4 #acie;j et seq47 for
 clinic visit services 7as defined in   
subsection 7c77 furnished during the    
period beginning on ,january #a1 #bjai1 
and ending on ,december #ca1 #bjbj1 by  
an applicable provider 7as defined in   
such subsection71 treat such services as
 if such services had been furnished by 
a department of a provider located on   
the campus 7as defined in section       
#dac4fe7;a77#b7 of title #db1 ,code of  
,federal ,regulations 7or any successor 
regulation77 of such provider4  7b7     
,reimbursement ,in the case of such     
clinic visit services furnished during  
the period described in subsection 7a7  
by such an applicable provider for which
 payment has already been made under    
such part ,b as of the date of the      

enactment of this ,act1 the ,secretary  
of ,health and ,human ,services shall   
promptly reimburse such provider in an  
amount equal to the difference between  
the payment for such services under     
subsection 7a7 and the amount actually  
paid for such services4  7c7            
,definitions ,in this section3 7#a7     
,applicable provider ,the term          
applicable provider means a department  
of a provider that would be an          
off-campus outpatient department of a   
provider 7as defined in section         
#ahcc7t77#ba77;,b7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#aciel7t77#ba77;,b77 but for the        
application of clause 7ii7 or 7iv7 of   
such section4  7#b7 ,clinic visit       
services ,the term clinic visit services
 means those services identified by     
,healthcare ,common ,procedure ,coding  
,system code ,g#jdfc 7or a successor    
code74  7#c7 ,department of a provider  
,the term department of a provider has  
the meaning given such term in section  

#dac4fe7;a77#b7 of title #db1 ,code of  
,federal ,regulations1 as in effect as  
of the date of the enactment of this    
,act4