,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #cdcc  ,,in ,,the ,,house ,,of  
,,representatives  ,june #bd1 #bjai,mr4 
,larson of ,connecticut 7for himself and
 ,mr4 ,nunes7 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 ambulatory surgical center          
representation during the review of     
hospital outpatient payment rates under 
part ,b of the ,medicare program1 and   
for other purposes4  #a4 ,short title   
,this ,act may be cited as the          
,ambulatory ,surgical ,center ,payment  
,transparency ,act of #bjai or the ,,asc
 ,payment ,transparency ,act of #bjai4  
#b4 ,advisory ,panel on ,hospital       

,outpatient ,payment ,representation    
7a7 ,,asc representative ,the second    
sentence of section #ahcc7t77#i77;,a7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #aciel7t77#i77;,a77 is amended
 by inserting and at least one          
ambulatory surgical center              
representative after an appropriate     
selection of representatives of         
providers4  7b7 ,effective date ,the    
amendment made by subsection 7a7 shall  
apply with respect to advisory panels   
consulted on or after the date that is  
#a year after the date of the enactment 
of this ,act4  #c4 ,reasons for         
excluding additional procedures from    
,,asc approved list ,section            
#ahcc7;i77#a7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #aciel7i77#a77 is   
amended by adding at the end the        
following3 ,in updating such lists for  
application in years beginning with the 
second year beginning after the date of 
the enactment of this sentence1 for each
 procedure that was not proposed to be  

included in such lists in the proposed  
rule with respect to such lists and that
 was subsequently requested to be       
included in such lists during the public
 comment period with respect to such    
proposed rule and that is not included  
in the final rule updating such lists1  
the ,secretary shall cite in such final 
rule the specific criteria in paragraph 
7b7 or 7c7 of section #daf4aff of title 
#db1 ,code of ,federal ,regulations 7or 
any successor regulation71 based on     
which the procedure was excluded4 ,if   
paragraph 7b7 of such section is cited  
for exclusion of a procedure1 the       
,secretary shall identify the           
peer-reviewed research1 if any1 or the  
evidence upon which such determination  
is based44