,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #cjdi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ab1 #bjai,mr4
 ,br[n 7= himself & ,mr4 ,burr7         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = c]ta9 am5dm5ts relat+ to      
report+ requirem5ts ) respect to cl9ical
 diagno/ic laboratory te/s1 & = o!r     
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,laboratory ,access =      
,b5efici>ies ,act or ! ,,lab ,act4  #b4 
,am5dm5ts relat+ to report+ requirem5ts 
) respect to cl9ical diagno/ic          
laboratory te/s  7a7 ,revis$ report+    
p]iod = report+ ( private sector paym5t 
rates = e/abli%m5t ( ,m$ic>e paym5t     
rates ,section #ahcd;,a7a7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#aciem-#a7;a77 is am5d$--  7#a7 9       
p>agraph 7#a7-- 7,a7 by /rik+ ,beg9n+   
,janu>y #a1 #bjaf & ins]t+ ! foll[+3    
7,a7 ,g5]al report+ requirem5ts ,subject

 to subp>agraph 7,b71 beg9n+ ,janu>y #a1
 #bjaf  2  7,b7 9 subp>agraph 7,a71 z   
add$ by subp>agraph 7,a7 ( ?is p>agraph1
 by ins]t+ 7ref]r$ to 9 ?is subsection z
 ! report+ p]iod7 aft] at a "t specifi$ 
by ! ,secret>y2 &  7,c7 by add+ at ! end
 ! foll[+3  7,b7 ,revis$ report+ p]iod  
,9 ! case ( report+ ) respect to cl9ical
 diagno/ic laboratory te/s t are n      
advanc$ diagno/ic laboratory te/s1 !    
,secret>y %all revise ! report+ p]iod "u
 subp>agraph 7,a7 su* t--  7i7 no       
report+ is requir$ dur+ ! p]iod beg9n+  
,janu>y #a1 #bjbj1 & end+ ,decemb] #ca1 
#bjbj2  7ii7 report+ is requir$ dur+ !  
p]iod beg9n+ ,janu>y #a1 #bjba1 & end+  
,m>* #ca1 #bjba2 &  7iii7 report+ is    
requir$ e ?ree ye>s aft] ! p]iod        
describ$ 9 clause 7ii74  2 &  7#b7 9    
p>agraph 7#d7--  7,a7 by /rik+ ,9 ?is   
section & ins]t+ ! foll[+3  7,a7 ,9     
g5]al ,subject to subp>agraph 7,b71 9   
?is section  2 &  7,b7 by add+ at ! end 
! foll[+3  7,b7 ,exception ,9 ! case ( !
 report+ p]iod describ$ 9 p>agraph      

7#a77;,b77ii7 ) respect to cl9ical      
diagno/ic laboratory te/s t are n       
advanc$ diagno/ic laboratory te/s1 ! t]m
 data collection p]iod means ! p]iod    
beg9n+ ,janu>y #a1 #bjai1 & end+ ,june  
#cj1 #bjai4  4  7b7 ,corrections relat+ 
to phase-,9 ( r$uctions f private payor 
rate implem5tation ,section             
#ahcd;,a7b77#c7 ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #aciem-#a7;b77#c77  
is am5d$-- 7#a7 9 subp>agraph 7,a71 by  
/rik+ ?r\gh #bjbb & ins]t+ ?r\gh #bjbc2 
&  7#b7 9 subp>agraph 7,b7-- 7,a7 9     
clause 7i71 by /rik+ ?r\gh #bjai &      
ins]t+ ?r\gh #bjbj2 &  7,b7 9 clause    
7ii71 by /rik+ #bjbj ?r\gh #bjbb &      
ins]t+ #bjba ?r\gh #bjbc4  #c4 ,/udy &  
report by ,med,p,a,c  7a7 ,9 g5]al ,!   
,m$ic>e ,paym5t ,advisory ,commission 79
 ?is section ref]r$ to z ! ,commission7 
%all conduct a /udy to review !         
me?odology ! ,adm9i/rator ( ! ,c5t]s =  
,m$ic>e  ,m$icaid ,s]vices has implem5t$
 = ! private payor rate-bas$ cl9ical    
laboratory fee s*$ule "u ! ,m$ic>e      

program "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq474  7b7 ,scope ( /udy ,9 c>ry+ out !
 /udy describ$ 9 subsection 7a71 !      
,commission %all consid] ! foll[+3  7#a7
 ,h[ be/ to implem5t ! lea/ burd5some   
data collection process requir$ "u      
section #ahcd;,a7a77#a7 ( su* ,act 7#db 
,u4,s4,c4 #aciem-#a7;a77#a77 t w\ld--   
7,a7 result 9 a repres5tative &         
/ati/ically valid data sample ( private 
m>ket rates f all laboratory m>ket      
segm5ts1 includ+ hospital outrea*       
laboratories1 physician (fice           
laboratories1 & indep5d5t laboratories2 
&  7,b7 consid] ! v>iability ( private  
payor paym5t rates across m>ket segm5ts 
& laboratory settt+s4  7#b7 ,appropriate
 /ati/ical me?ods = e/imat+ rates t are 
repres5tative ( ! m>ket4  7c7 ,report to
 ,congress ,n lat] ?an #ah mon?s aft] ! 
date ( ! enactm5t ( ?is ,act1 !         
,commission %all submit to !            
,adm9i/rator1 ! ,committee on ,f9ance ( 
! ,s5ate1 & ! ,committees on ,ways &    

,means & ,en]gy & ,comm]ce ( ! ,h\se (  
,repres5tatives a report t includes--   
7#a7 conclusions ab\t ! me?odology      
describ$ 9 su* subsection2 &  7#b7 any  
recomm5dations ! ,commission deems      
appropriate4