,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #cggb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #af1 #bjai ,mr4 
,pet]s 7= himself1 ,mr4 ,ru%1 & ,mr4    
,hold+7 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$ic>e ,diagno/ic            
,radioph>maceutical ,paym5t ,equity ,act
 ( #bjai4  #b4 ,sep>ate paym5t = c]ta9  
diagno/ic radioph>maceuticals  7a7 ,9   
g5]al ,section #ahcc7t77#af7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciel7t77#af77 is am5d$ 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 #bjbj1 !        
,secret>y %all n package1 & %all make a 
sep>ate paym5t z specifi$ 9 clause 7ii7 
=1 a diagno/ic radioph>maceutical def9$ 
9 clause 7v7 ) 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 sales price = ! drug 9 ! ye> "u 
! sections specifi$ 9 subclause 7,i7 is 

n available1 ! :olesale acquisition co/ 
z def9$ 9 subsection                    
#ahdg;,a7c77#f77;,b71 or1 if ! :olesale 
acquisition co/ is n available1 ! mean  
unit co/ data d]iv$ f hospital claims   
data4  7,,iii7 ,no?+ 9 ?is subp>agraph  
%all be con/ru$ z affect+ eligibility ( 
diagno/ic radioph>maceuticals =         
pass-?r\gh paym5ts "u p>agraph 7#f74    
7iii7 ,?re%old ,= purposes ( ?is        
subp>agraph1 ! ?re%old specifi$ 9 ?is   
clause--  7,i7 = #bjbj1 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    
subp>agraph #i7;,b7 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$]al  
,regulations1 or any successor          
regulation1 & is approv$ by ! ,food &   
,drug ,adm9i/ration on or aft] ,janu>y  
#a1 #bjjh4  4  7b7 ,no impact on        
copaym5t ,section #ahcc7t7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#aciel7t77#h77;,e77 is am5d$ by-- 7#a7  
ins]t+ ,,& ,,sep>ate ,,paym5ts ,,=      
,,c]ta9 ,,diagno/ic                     
,,radioph>maceuticals aft]              
,,pass-,,?r\gh ,,adju/m5ts2 &  7#b7     
ins]t+ aft] su* adju/m5ts7 ! phrase &   
subp>agraph 7#af77;,g74