,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #eif  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #bh1 #bjai,mr4
 ,b>rasso 7= himself & ,mr4 ,c>p]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 = direct paym5t to physician    
assi/ants "u ! ,m$ic>e program = c]ta9  
s]vices furni%$ by su* physician        
assi/ants4  #a4 ,direct ,m$ic>e paym5t =
 s]vices furni%$ by physician assi/ants 
7a7 ,9 g5]al ,section #ahcb7;a77#b77;,b7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciek7a77#b77;,b77 is am5d$  
by add+ at ! end ! foll[+ new clause3   
7v7 s]vices ( a physician assi/ant b    
only if no facility or o!r provid] *>ges
 or is paid any am\nts ) respect to !   
furni%+ ( su* s]vices2  4  7b7          
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply ) respect to  
s]vices furni%$ on or aft] ,july #a1    
#bjbj4