,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #aedd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bj1 #bjai,mr4    
,boozman 7= himself1 ,mr4 ,casey1 ,mr4  
,da9es1 & ,mr4 ,te/]7 introduc$ ! foll[+
 bill2 :i* 0 read twice & ref]r$ to !   
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to provide = paym5t = s]vices (   
radiologi/ assi/ants "u ! ,m$ic>e       
program1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,m$ic>e 
,access to ,radiology ,c>e ,act ( #bjai4
  #b4 ,m$ic>e paym5t = radiologi/       
assi/ant s]vices  7a7 ,cov]age ,section 
#ahfa ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #aciex7 is am5d$-- 7#a7 9     
subsection 7s77#b77,k7--  7,a7 by /rik+ 
! semicolon at ! end ( clause 7ii7 &    
ins]t+ a comma2 &  7,b7 by add+ at ! end
 ! foll[+ new clause3  7iii7 radiologi/ 
assi/ant s]vices 7z def9$ 9 subsection  
7kkk77#a772  2 &  7#b7 by add+ at ! end 
! foll[+ new subsection3  7kkk7         
,radiologi/ ,assi/ant ,s]vices2         

,radiologi/ ,assi/ant  7#a7 ,! t]m      
radiologi/ assi/ant s]vices means       
s]vices-- 7,a7 p]=m$ by a radiologi/    
assi/ant 7z def9$ 9 p>agraph 7#b77 "u ! 
sup]vision ( a radiologi/ z an employee1
 leas$ employee1 or indep5d5t contractor
 ( ! sup]vis+ radiologi/2 &  7,b7 :i* ! 
radiologi/ assi/ant is legally au?oriz$ 
to p]=m "u ,/ate law 7or ! ,/ate        
regulatory me*anism provid$ by ,/ate    
law74  7#b7 ,! t]m radiologi/ assi/ant  
means a radiograph] :o is c]tifi$ by !  
,am]ican ,regi/ry ( ,radiologic         
,te*nologi/s z a regi/]$ radiologi/     
assi/ant or by ! ,c]tification ,bo>d =  
,radiology ,practition] ,assi/ants z a  
radiology practition] assi/ant to p]=m  
radiologic proc$ures "u ! sup]vision ( a
 radiologi/4  4  7b7 ,paym5t 9 relation 
to physician fee s*$ule  7#a7 ,paym5t   
level ,section #ahcc7;a77#a77,o7 ( su*  
,act 7#db ,u4,s4,c4 #aciel7a77#a77,o77  
is am5d$ by ins]t+ 1 or radiologi/      
assi/ant s]vices aft] or cl9ic nurse    
speciali/s4  7#b7 ,application ( fee    

s*$ule 9 hospital1 ambulatory surgical  
c5t] sett+s ,section #ahdh7;a7 ( su*    
,act 7#db ,u4,s4,c4 #aciew-#d7;a77 is   
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#aj7 ,application ( fee     
s*$ule = radiologi/ assi/ant s]vices 9  
hospital1 ambulatory surgical c5t]      
sett+s  7,a7 ,9 g5]al ,9 ! case (       
radiologi/ assi/ant s]vices 7z def9$ 9  
section #ahfa7kkk77#a77 furni%$ 9 a     
facility sett+ 7z def9$ 9 subp>agraph   
7,b771 paym5t = su* s]vices furni%$ 9   
su* sett+ %all be made to ! sup]vis+    
radiologi/ 9 an am\nt det]m9$ pursuant  
to section #ahcc7;a77#a77,o74  7,b7     
,facility sett+ def9$ ,9 ?is p>agraph1 !
 t]m facility sett+ means-- 7i7 a       
hospital or critical access hospital2   
7ii7 an ambulatory surgical c5t]2 &     
7iii7 su* o!r provid]s ( s]vices z !    
,secret>y may specify4  4  7#c7 ,paym5t 
to sup]vis+ radiologi/ ,! fir/ s5t5ce ( 
section #ahdb7;b77#f7 ( su* ,act 7#db   
,u4,s4,c4 #acieu7b77#f77 is am5d$-- 7,a7
 by /rik+ & be=e 7,j72 &  7,b7 by ins]t+

 be=e ! p]iod at ! end ! foll[+3 1 &    
7,k7 9 ! case ( s]vices describ$ 9      
clause 7iii7 ( section #ahfa7s77#b77,k7 
7relat+ to radiologi/ assi/ant s]vices71
 paym5t %all be made to ! sup]vis+      
radiologi/4  7#d7 ,rules ( con/ruction  
,no?+ 9 ?is section1 or ! am5dm5ts made 
by ?is section1 %all be con/ru$ z       
affect+-- 7,a7 cov]age ( & paym5t = !   
te*nical compon5t 7includ+ ! te*nical   
compon5t ( a global fee7 ) respect to   
imag+ s]vices "u title ,,xviii ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq47 z 9 effect be=e ! date ( 
! enactm5t ( ?is ,act2  7,b7 ! am\nt (  
paym5t made = physicians' s]vices "u su*
 title :5 furni%$ solely by a           
radiologi/2 or  7,c7 ! am\nt ( paym5t   
made "u su* title = s]vices furni%$ by a
 hospital1 critical access hospital1    
ambulatory surgical c5t]1 or any o!r    
facility sett+ specifi$ by ! ,secret>y  
"u section #ahdh7;a77#aj77;,b77iii7 ( ! 
,social ,security ,act 7z add$ by       
p>agraph 7#c771 z ! case may be4  7c7   

,effective date ,! am5dm5ts made by ?is 
section %all apply to s]vices furni%$ on
 or aft] ,janu>y #a1 #bjbj4