,i #aafth ,,congress #b;d ,session ,h4 ,r4 #hgef ,,in ,,the ,,house ,,of ,,representatives ,november #ag1 #bjbj,mr4 ,riggleman 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 ensure adequate payment for certain physicians' services furnished under part ,b of the ,medicare program during the ,,covid-#ai public health emergency4 #a4 ,short title ,this ,act may be cited as the ,,covid ,health ,care ,provider ,assurance ,act of #bjbj4 #b4 ,ensuring adequate payment for certain physicians' services furnished under part ,b of the ,medicare program during the ,,covid-#ai public health emergency 7a7 ,adjustment of relative value units for certain services 7#a7 ,in general ,section #ahdh7;c77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;c77#b77 is amended by adding at the end the following subparagraph3 7,p7 ,adjustment of relative value units for certain services furnished during the ,,covid-#ai public health emergency 7i7 ,in general ,in the case of a qualifying service 7as defined in clause 7ii77 furnished during the period beginning on the date of the enactment of this subparagraph and ending on the last day of the emergency period described in section #aace7;g77#a77;,b71 the ,secretary shall increase the single combined relative value unit applicable to such service otherwise determined under this paragraph by #bj percent4 7ii7 ,qualifying service defined ,for purposes of clause 7i71 the term qualifying service means critical care services1 ventilation management services1 emergency intubation services1 services relating to the placement of invasive monitoring lines and transesophageal echocardiography1 bronchoscopy services1 chest tube insertion services1 and feeding tube insertion services1 as specified by the ,secretary4 4 7#b7 ,nonapplication of budget neutrality ,section #ahdh7;c77#b77;,b77iv7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;c77#b77;,b77iv77 is amended-- 7,a7 in subclause 7,,iii71 by striking and at the end2 7,b7 in subclause 7,,iv71 by striking the period and inserting 2 and2 and 7,c7 by adding at the end the following new subclause3 7,v7 subparagraph 7,p7 shall not be taken into account in applying clause 7ii77,,ii74 4 7b7 ,adjustment of the separate conversion factor for anesthesia services 7#a7 ,in general ,section #ahdh7;d77#a77;,d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;d77#a77;,d77 is amended-- 7,a7 by striking ,the separate and inserting the following3 7i7 ,in general ,subject to clause 7ii71 the separate 2 and 7,b7 by adding at the end the following new clause3 7ii7 ,special rule during the ,,covid-#ai public health emergency ,the separate conversion factor for anesthesia services furnished during the period beginning on the date of the enactment of this clause and ending on the last day of the emergency period described in section #aace7;g77#a77;,b7 shall be equal to such factor otherwise applicable under clause 7i71 increased by #bj percent4 4 7#b7 ,nonapplication of budget neutrality ,section #ahdh7;c77#b77;,b77iv7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;c77#b77;,b77iv771 as amended by subsection 7a77#b71 is further amended-- 7,a7 in subclause 7,,iv71 by striking and at the end2 7,b7 in subclause 7,v71 by striking the period and inserting 2 and2 and 7,c7 by adding at the end the following new subclause3 7,,vi7 subsection 7d77#a77;,d77ii7 shall not be taken into account in applying clause 7ii77,,ii74 4 7c7 ,ensuring payment for certain critical care services 7#a7 ,coverage ,section #ahfa7s77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is amended-- 7,a7 in subparagraph 7,,gg71 by striking and after the semicolon at the end2 7,b7 in subparagraph 7,,hh71 by striking the period at the end and adding 2 and2 and 7,c7 by adding at the end the following new subparagraph3 7,,ii7 specified critical care services 7as defined in subsection 7kkk77 furnished during the period beginning on the date of the enactment of this subparagraph and ending on the last day of the emergency period described in section #aace7;g77#a77;,b7 to an inpatient of a hospital or a critical access hospital2 4 7#b7 ,specified critical care services defined ,section #ahfa of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is amended by adding at the end the following new subsection3 7kkk7 ,specified critical care services 7#a7 ,in general ,the term specified critical care services means-- 7,a7 physicians' services not separately payable under part ,b as of the day before the date of the enactment of this subsection which the ,secretary determines are necessary for the treatment of individuals with ,,covid-#ai2 and 7,b7 physicians' services furnished by a physician or practitioner 7as defined in section #ahdb7;b77#ah77;,c771 in conjunction with a physician or practitioner that is otherwise billing for such services under such part1 to an individual for the treatment of ,,covid-#ai that the ,secretary determines need to be furnished by more than #a physician or practitioner4 7#b7 ,limitation on multiple billings ,the ,secretary may establish such limits as the ,secretary determines appropriate with respect to the number of physicians and practitioners who may bill for a service described in paragraph 7#a77;,b74 4 7#c7 ,payment2 cost sharing 7,a7 ,in general ,section #ahcc7;a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is amended-- 7i7 by striking and before 7,,dd72 and 7ii7 by inserting before the semicolon at the end the following3 1 and 7,,ee7 with respect to specified critical care services 7as defined in section #ahfa7kkk771 the amount paid shall be an amount equal to #ajj percent of the lesser of the amount charged for the services and the payment amount for such services determined under the payment basis under section #ahdh4 7,b7 ,nonapplication of deductible ,section #ahcc7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciel7b77 is amended-- 7i7 by striking and 7#ab7 and inserting 7#ab72 and 7ii7 by striking #ahfa7s77#aj77;,a74 and inserting #ahfa7s77#aj77;,a71 and 7#ac7 such deductible shall not apply with respect to specified critical care services 7as defined in section #ahfa7kkk7744 7,c7 ,inclusion as physicians' services ,section #ahdh7;j77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;j77#c77 is amended by inserting 7#b77;,,ii71 before 7#c74