,i  #aahth ,,congress  #ast ,session    
,h4 ,r4 #ddgc  ,,in ,,the ,,house ,,of  
,,representatives  ,july #f1 #bjbc,mr4  
,arrington 7for himself1 ,mrs4 ,lesko1  
and ,mr4 ,burgess7 introduced the       
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 for a period to be    
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to provide   
for site neutral payment for cancer care
 services under part ,b of the ,medicare
 program4  #a4 ,short title ,this ,act  
may be cited as the ,medicare ,patient  
,access to ,cancer ,treatment ,act4  #b4
 ,findings2 ,sense of ,congress  7a7    
,findings ,congress finds the following3
 7#a7 ,in ,january #bjai1 there were an 
estimated #af4i million people in the   
,united ,states with a history of cancer

 and that number is expected to increase
 to #bb4b million in #bjcj4  7#b7 ,in   
#bjah1 national expenditures for cancer 
care were an estimated #aej4h billion4  
7#c7 ,the ,united ,states is recognized 
as a leader in developing new cancer    
treatments and providing high-quality   
care for patients receiving cancer care4
  7#d7 ,cancer survival rates for all   
rare cancers is #ag percent higher in   
the ,united ,states than in ,europe4    
7#e7 ,more than half of the people in   
the ,united ,states with cancer receive 
treatment in the community cancer       
setting4  7#f7 ,over the past #aj years1
 there has been a shift in outpatient   
cancer care from the physician's office 
to hospital outpatient departments4     
7#g7 ,in ,june #bjbb1 a ,med,p,a,c      
report found that the hospital          
outpatient department 7,,hopd7 share of 
office visits provided to fee for       
service beneficiaries grew from #i4f    
percent in #bjab to #ac4a percent in    
#bjai1 and the ,,hopd share of          

chemotherapy administration services    
rose from #ce4b percent to #ej4i        
percent4  7#h7 ,this shift in care was  
partially the result of the increase in 
consolidation among healthcare          
providers4  7#i7 #dh1djj additional     
physicians left independent practice and
 became employees of hospitals or other 
corporate entities1 and #bb1gjj of that 
growth occurred after the onset of      
,,covid-#ai1 resulting in a #ab percent 
increase in employment4  7#aj7 ,the     
consolidation of healthcare practices   
and the resulting shift in care to      
hospital settings has increased costs   
for ,medicare beneficiaries by #aej     
million and the ,medicare program by    
#fae million between #bjae and #bjai4   
7#aa7 ,this shift in care has increased 
costs for patients but has not been     
accompanied by improved quality of care4
  7#ab7 ,a #bjai study found that       
average price for a level #e drug       
administration visit increased #eg      
percent in outpatient settings from     

#bjji to #bjag but only #ae percent in  
office settings4  7#ac7 ,if payment     
rates between settings were aligned     
,medicare program spending in #bjai     
would have declined by #f4f billion and 
beneficiary cost-sharing obligations by 
#a4g billion4  7b7 ,sense of congress   
,it is the sense of ,congress that1 to  
ensure the future of community cancer   
care1 ,medicare reimbursement should be 
equal for the same service provided to a
 cancer patient regardless of whether   
the service is delivered in the hospital
 outpatient department or physician's   
office4  #c4 ,site neutral payment for  
cancer care services under ,medicare    
part ,b ,section #ahcc7t7 of the ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciel7t77 is amended-- 7#a7 in         
paragraph 7#a77;,b7-- 7,a7 in clause    
7iv71 by striking 2 and and inserting a 
semicolon2  7,b7 in clause 7v71 by      
striking the period at the end and      
inserting 2 and2 and  7,c7 by adding at 
the end the following new clause3  7vi7 

does not include cancer care services   
7as defined in paragraph 7#bc77;,a77    
that are furnished during #bjbe or a    
subsequent year4  2 and  7#b7 by adding 
at the end the following new paragraph3 
7#bc7 ,site neutral payment for cancer  
care services  7,a7 ,cancer care        
services defined ,for purposes of       
paragraph 7#a77;,b77vi7 and this        
paragraph1 the term cancer care services
 means services specified by the        
,secretary-- 7i7 that without           
application of this paragraph or        
paragraph 7#a77;,b77vi71 would be       
payable under this subsection or        
pursuant to paragraph 7#ba72  7ii7 that 
are furnished in conjunction with the   
diagnosis or treatment of cancer2 and   
7iii7 for which payment may be made     
under section #ahdh7;b7 if such services
 were furnished in a physician office   
setting4  7,b7 ,payment ,payment for    
cancer care services shall be made in   
the same manner and to the same extent  
as payment is made pursuant to paragraph

 7#ba77;,c7 under the applicable payment
 system described in such paragraph with
 respect to applicable items and        
services furnished by an off-campus     
outpatient department of a provider that
 are described in paragraph             
7#a77;,b77v74  4