,,ii  #aafth ,,congress  #ast ,session  
,s4 #aedd  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bj1      
#bjai,mr4 ,boozman 7for himself1 ,mr4   
,casey1 ,mr4 ,daines1 and ,mr4 ,tester7 
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,finance  ,a ,,bill  ,to  
amend title ,,xviii of the ,social      
,security ,act to provide for payment   
for services of radiologist assistants  
under the ,medicare program1 and for    
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,medicare      
,access to ,radiology ,care ,act of     
#bjai4  #b4 ,medicare payment for       
radiologist assistant services  7a7     
,coverage ,section #ahfa of the ,social 
,security ,act 7#db ,u4,s4,c4 #aciex7 is
 amended-- 7#a7 in subsection           
7s77#b77,k7--  7,a7 by striking the     
semicolon at the end of clause 7ii7 and 
inserting a comma2 and  7,b7 by adding  
at the end the following new clause3    
7iii7 radiologist assistant services 7as

 defined in subsection 7kkk77#a772  2   
and  7#b7 by adding at the end the      
following new subsection3  7kkk7        
,radiologist ,assistant ,services2      
,radiologist ,assistant  7#a7 ,the term 
radiologist assistant services means    
services-- 7,a7 performed by a          
radiologist assistant 7as defined in    
paragraph 7#b77 under the supervision of
 a radiologist as an employee1 leased   
employee1 or independent contractor of  
the supervising radiologist2 and  7,b7  
which the radiologist assistant is      
legally authorized to perform under     
,state law 7or the ,state regulatory    
mechanism provided by ,state law74  7#b7
 ,the term radiologist assistant means a
 radiographer who is certified by the   
,american ,registry of ,radiologic      
,technologists as a registered          
radiologist assistant or by the         
,certification ,board for ,radiology    
,practitioner ,assistants as a radiology
 practitioner assistant to perform      
radiologic procedures under the         

supervision of a radiologist4  4  7b7   
,payment in relation to physician fee   
schedule  7#a7 ,payment level ,section  
#ahcc7;a77#a77,o7 of such ,act 7#db     
,u4,s4,c4 #aciel7a77#a77,o77 is amended 
by inserting 1 or radiologist assistant 
services after or clinic nurse          
specialists4  7#b7 ,application of fee  
schedule in hospital1 ambulatory        
surgical center settings ,section       
#ahdh7;a7 of such ,act 7#db ,u4,s4,c4   
#aciew-#d7;a77 is amended by adding at  
the end the following new paragraph3    
7#aj7 ,application of fee schedule for  
radiologist assistant services in       
hospital1 ambulatory surgical center    
settings  7,a7 ,in general ,in the case 
of radiologist assistant services 7as   
defined in section #ahfa7kkk77#a77      
furnished in a facility setting 7as     
defined in subparagraph 7,b771 payment  
for such services furnished in such     
setting shall be made to the supervising
 radiologist in an amount determined    
pursuant to section #ahcc7;a77#a77,o74  

7,b7 ,facility setting defined ,in this 
paragraph1 the term facility setting    
means-- 7i7 a hospital or critical      
access hospital2  7ii7 an ambulatory    
surgical center2 and  7iii7 such other  
providers of services as the ,secretary 
may specify4  4  7#c7 ,payment to       
supervising radiologist ,the first      
sentence of section #ahdb7;b77#f7 of    
such ,act 7#db ,u4,s4,c4 #acieu7b77#f77 
is amended-- 7,a7 by striking and before
 7,j72 and  7,b7 by inserting before the
 period at the end the following3 1 and 
7,k7 in the case of services described  
in clause 7iii7 of section              
#ahfa7s77#b77,k7 7relating to           
radiologist assistant services71 payment
 shall be made to the supervising       
radiologist4  7#d7 ,rules of            
construction ,nothing in this section1  
or the amendments made by this section1 
shall be construed as affecting-- 7,a7  
coverage of and payment for the         
technical component 7including the      
technical component of a global fee7    

with respect to imaging services under  
title ,,xviii of the ,social ,security  
,act 7#db ,u4,s4,c4 #acie et seq47 as in
 effect before the date of the enactment
 of this ,act2  7,b7 the amount of      
payment made for physicians' services   
under such title when furnished solely  
by a radiologist2 or  7,c7 the amount of
 payment made under such title for      
services furnished by a hospital1       
critical access hospital1 ambulatory    
surgical center1 or any other facility  
setting specified by the ,secretary     
under section #ahdh7;a77#aj77;,b77iii7  
of the ,social ,security ,act 7as added 
by paragraph 7#c771 as the case may be4 
7c7 ,effective date ,the amendments made
 by this section shall apply to services
 furnished on or after ,january #a1     
#bjbj4