,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #hgef ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,novemb] #ag1 #bjbj,mr4 ,riggleman 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 adequate paym5t = c]ta9 physicians' s]vices furni%$ "u "p ,b ( ! ,m$ic>e program dur+ ! ,,covid-#ai public heal? em]g5cy4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,,covid ,heal? ,c>e ,provid] ,assurance ,act ( #bjbj4 #b4 ,ensur+ adequate paym5t = c]ta9 physicians' s]vices furni%$ "u "p ,b ( ! ,m$ic>e program dur+ ! ,,covid-#ai public heal? em]g5cy 7a7 ,adju/m5t ( relative value units = c]ta9 s]vices 7#a7 ,9 g5]al ,section #ahdh7;c77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;c77#b77 is am5d$ by add+ at ! end ! foll[+ subp>agraph3 7,p7 ,adju/m5t ( relative value units = c]ta9 s]vices furni%$ dur+ ! ,,covid-#ai public heal? em]g5cy 7i7 ,9 g5]al ,9 ! case ( a qualify+ s]vice 7z def9$ 9 clause 7ii77 furni%$ dur+ ! p]iod beg9n+ on ! date ( ! enactm5t ( ?is subp>agraph & end+ on ! la/ day ( ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b71 ! ,secret>y %all increase ! s+le comb9$ relative value unit applicable to su* s]vice o!rwise det]m9$ "u ?is p>agraph by #bj p]c5t4 7ii7 ,qualify+ s]vice def9$ ,= purposes ( clause 7i71 ! t]m qualify+ s]vice means critical c>e s]vices1 v5tilation managem5t s]vices1 em]g5cy intubation s]vices1 s]vices relat+ to ! placem5t ( invasive monitor+ l9es & transesophageal e*oc>diography1 bron*oscopy s]vices1 *e/ tube ins]tion s]vices1 & fe$+ tube ins]tion s]vices1 z specifi$ by ! ,secret>y4 4 7#b7 ,nonapplication ( budget neutrality ,section #ahdh7;c77#b77;,b77iv7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;c77#b77;,b77iv77 is am5d$-- 7,a7 9 subclause 7,,iii71 by /rik+ & at ! end2 7,b7 9 subclause 7,,iv71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new subclause3 7,v7 subp>agraph 7,p7 %all n be tak5 into acc\nt 9 apply+ clause 7ii77,,ii74 4 7b7 ,adju/m5t ( ! sep>ate conv]sion factor = ane/hesia s]vices 7#a7 ,9 g5]al ,section #ahdh7;d77#a77;,d7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;d77#a77;,d77 is am5d$-- 7,a7 by /rik+ ,! sep>ate & ins]t+ ! foll[+3 7i7 ,9 g5]al ,subject to clause 7ii71 ! sep>ate 2 & 7,b7 by add+ at ! end ! foll[+ new clause3 7ii7 ,special rule dur+ ! ,,covid-#ai public heal? em]g5cy ,! sep>ate conv]sion factor = ane/hesia s]vices furni%$ dur+ ! p]iod beg9n+ on ! date ( ! enactm5t ( ?is clause & end+ on ! la/ day ( ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b7 %all be equal to su* factor o!rwise applicable "u clause 7i71 increas$ by #bj p]c5t4 4 7#b7 ,nonapplication ( budget neutrality ,section #ahdh7;c77#b77;,b77iv7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;c77#b77;,b77iv771 z am5d$ by subsection 7a77#b71 is fur!r am5d$-- 7,a7 9 subclause 7,,iv71 by /rik+ & at ! end2 7,b7 9 subclause 7,v71 by /rik+ ! p]iod & ins]t+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new subclause3 7,,vi7 subsection 7d77#a77;,d77ii7 %all n be tak5 into acc\nt 9 apply+ clause 7ii77,,ii74 4 7c7 ,ensur+ paym5t = c]ta9 critical c>e s]vices 7#a7 ,cov]age ,section #ahfa7s77#b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7s77#b77 is am5d$-- 7,a7 9 subp>agraph 7,,gg71 by /rik+ & aft] ! semicolon at ! end2 7,b7 9 subp>agraph 7,,hh71 by /rik+ ! p]iod at ! end & add+ 2 &2 & 7,c7 by add+ at ! end ! foll[+ new subp>agraph3 7,,ii7 specifi$ critical c>e s]vices 7z def9$ 9 subsection 7kkk77 furni%$ dur+ ! p]iod beg9n+ on ! date ( ! enactm5t ( ?is subp>agraph & end+ on ! la/ day ( ! em]g5cy p]iod describ$ 9 section #aace7;g77#a77;,b7 to an inpati5t ( a hospital or a critical access hospital2 4 7#b7 ,specifi$ critical c>e s]vices def9$ ,section #ahfa ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7 is am5d$ by add+ at ! end ! foll[+ new subsection3 7kkk7 ,specifi$ critical c>e s]vices 7#a7 ,9 g5]al ,! t]m specifi$ critical c>e s]vices means-- 7,a7 physicians' s]vices n sep>ately payable "u "p ,b z ( ! day be=e ! date ( ! enactm5t ( ?is subsection :i* ! ,secret>y det]m9es are necess>y = ! treatm5t ( individuals ) ,,covid-#ai2 & 7,b7 physicians' s]vices furni%$ by a physician or practition] 7z def9$ 9 section #ahdb7;b77#ah77;,c771 9 conjunction ) a physician or practition] t is o!rwise bill+ = su* s]vices "u su* "p1 to an individual = ! treatm5t ( ,,covid-#ai t ! ,secret>y det]m9es ne$ to be furni%$ by m ?an #a physician or practition]4 7#b7 ,limitation on multiple bill+s ,! ,secret>y may e/abli% su* limits z ! ,secret>y det]m9es appropriate ) respect to ! numb] ( physicians & practition]s :o may bill = a s]vice describ$ 9 p>agraph 7#a77;,b74 4 7#c7 ,paym5t2 co/ %>+ 7,a7 ,9 g5]al ,section #ahcc7;a77#a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7a77#a77 is am5d$-- 7i7 by /rik+ & be=e 7,,dd72 & 7ii7 by ins]t+ be=e ! semicolon at ! end ! foll[+3 1 & 7,,ee7 ) respect to specifi$ critical c>e s]vices 7z def9$ 9 section #ahfa7kkk771 ! am\nt paid %all be an am\nt equal to #ajj p]c5t ( ! less] ( ! am\nt *>g$ = ! s]vices & ! paym5t am\nt = su* s]vices det]m9$ "u ! paym5t basis "u section #ahdh4 7,b7 ,nonapplication ( d$uctible ,section #ahcc7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciel7b77 is am5d$-- 7i7 by /rik+ & 7#ab7 & ins]t+ 7#ab72 & 7ii7 by /rik+ #ahfa7s77#aj77;,a74 & ins]t+ #ahfa7s77#aj77;,a71 & 7#ac7 su* d$uctible %all n apply ) respect to specifi$ critical c>e s]vices 7z def9$ 9 section #ahfa7kkk7744 7,c7 ,inclusion z physicians' s]vices ,section #ahdh7;j77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;j77#c77 is am5d$ by ins]t+ 7#b77;,,ii71 be=e 7#c74