,,ii  #aagth ,,congress  #ast ,session  
,s4 #bfda  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,august #e1    
#bjba,mr4 ,boozman 7for himself1 ,mr4   
,casey1 and ,mr4 ,daines7 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 #bjba4  #b4   
,medicare payment for radiologist       
assistant services  7a7 ,in general     
,section #ahcd of the ,social ,security 
,act 7#db ,u4,s4,c4 #aciem7 is amended  
by adding at the end the following new  
subsection3  7z7 ,payment for certain   
radiologist assistant services  7#a7    
,payment  7,a7 ,in general ,in the case 
of radiologist assistant services 7as   
defined in subparagraph 7,b77 furnished 

on or after ,january #a1 #bjbb1 for     
which payment is made under the fee     
schedules established under section     
#ahdh1 the amount of payment for such   
services shall equal #he percent of the 
amount determined under section #ahdh   
for such services when furnished by a   
radiologist4  7,b7 ,definitions ,in this
 subsection3 7i7 ,radiologist assistant 
services ,the term radiologist assistant
 services means services furnished as an
 incident to a radiologists'            
professional service-- 7,i7 performed by
 a radiologist assistant 7as defined in 
clause 7ii77 under the supervision of a 
radiologist as an employee of1 a leased 
employee of1 or an independent          
contractor of the supervising           
radiologist2 and  7,,ii7 which the      
radiologist assistant is legally        
authorized to perform under ,state law  
7or the ,state regulatory mechanism     
provided by ,state law74  7ii7          
,radiologist assistant ,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  7#b7     
,payment in facility settings  7,a7 ,in 
general ,the ,secretary shall provide   
for payment for radiologist assistant   
services in a facility setting furnished
 on or after ,january #a1 #bjbb4        
,payment shall be made to the           
supervising radiologist4  7,b7 ,payment 
amount ,the amount of payment for       
radiologist assistant services furnished
 in a facility setting shall be the     
amount determined under paragraph 7#a74 
7,c7 ,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  7#c7 ,rules of            
construction ,nothing in this subsection
 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  
this title as in effect before the date 
of the enactment of this ,act2  7,b7 the
 amount of payment made for             
radiologists' services under this title 
when furnished solely by a radiologist2 
or  7,c7 the amount of payment made     
under this title for services furnished 
by a hospital1 critical access hospital1
 ambulatory surgical center1 or any     
other facility setting specified by the 
,secretary under paragraph              
7#b77;,c77iii71 as the case may be4  4  
7b7 ,conforming amendment for 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 radiologist         
assistant services 7as defined in       
section #ahcd7z77#a77;,b77i771 payment  
shall be made to the supervising        
radiologist4