,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #cfeg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #a1 #bjba,mr4   
,mi*ael ,f4 ,doyle ( ,p5nsylvania 7=    
himself & ,mr4 ,curtis7 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 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$ic>e ,access to ,radiology ,c>e    
,act ( #bjba4  #b4 ,m$ic>e paym5t =     
radiologi/ assi/ant s]vices  7a7 ,9     
g5]al ,section #ahcd ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #aciem7 is
 am5d$ by add+ at ! end ! foll[+ new    
subsection3  7z7 ,paym5t = c]ta9        
radiologi/ assi/ant s]vices  7#a7       

,paym5t  7,a7 ,9 g5]al ,9 ! case (      
radiologi/ assi/ant s]vices 7z def9$ 9  
subp>agraph 7,b77 furni%$ on or aft]    
,janu>y #a1 #bjba1 = :i* paym5t is made 
"u ! fee s*$ules e/abli%$ "u section    
#ahdh1 ! am\nt ( paym5t = su* s]vices   
%all equal #he p]c5t ( ! am\nt det]m9$  
"u section #ahdh = su* s]vices :5       
furni%$ by a radiologi/4  7,b7          
,def9itions ,9 ?is subsection3 7i7      
,radiologi/ assi/ant s]vices ,! t]m     
radiologi/ assi/ant s]vices means       
s]vices furni%$ z an incid5t to a       
radiologi/s' pr(essional s]vice-- 7,i7  
p]=m$ by a radiologi/ assi/ant 7z def9$ 
9 clause 7ii77 "u ! sup]vision ( a      
radiologi/ z an employee (1 a leas$     
employee (1 or an indep5d5t contractor (
 ! sup]vis+ radiologi/2 &  7,,ii7 :i* ! 
radiologi/ assi/ant is legally au?oriz$ 
to p]=m "u ,/ate law 7or ! ,/ate        
regulatory me*anism provid$ by ,/ate    
law74  7ii7 ,radiologi/ assi/ant ,! 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$ures "u ! sup]vision ( a           
radiologi/4  7#b7 ,paym5t 9 facility    
sett+s  7,a7 ,9 g5]al ,! ,secret>y %all 
provide = paym5t = radiologi/ assi/ant  
s]vices 9 a facility sett+ furni%$ on or
 aft] ,janu>y #a1 #bjbb4 ,paym5t %all be
 made to ! sup]vis+ radiologi/4  7,b7   
,paym5t am\nt ,! am\nt ( paym5t =       
radiologi/ assi/ant s]vices furni%$ 9 a 
facility sett+ %all be ! am\nt det]m9$  
"u p>agraph 7#a74  7,c7 ,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   
7#c7 ,rules ( con/ruction ,no?+ 9 ?is   
subsection %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 ?is title z 9 effect be=e ! date ( !
 enactm5t ( ?is ,act2  7,b7 ! am\nt (   
paym5t made = radiologi/s' s]vices "u   
?is title :5 furni%$ solely by a        
radiologi/2 or  7,c7 ! am\nt ( paym5t   
made "u ?is title = s]vices furni%$ by a
 hospital1 critical access hospital1    
ambulatory surgical c5t] or any o!r     
facility sett+ specifi$ by ! ,secret>y  
"u p>agraph 7#b77;,c77iii71 z ! case may
 be4  4  7b7 ,con=m+ am5dm5t = paym5t to
 sup]vis+ radiologi/ ,! fir/ s5t5ce (   
section #ahdb7;b77#f7 ( su* ,act 7#db   
,u4,s4,c4 #acieu7b77#f77 is am5d$-- 7#a7
 by /rik+ & be=e 7,j72 &  7#b7 by ins]t+
 be=e ! p]iod at ! end ! foll[+3 1 &    
7,k7 9 ! case ( radiologi/ assi/ant     
s]vices 7z def9$ 9 section              
#ahcd7z77#a77;,b77i771 paym5t %all be   
made to ! sup]vis+ radiologi/4