,,ii  #aaith ,,congress  #ast ,session  
,s4 #aggf  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #ae1 #bjbe
 ,mr4 ,cassidy 7for himself and ,mr4    
,blumenthal7 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 limit the coinsurance
 amount for certain services furnished  
in an ambulatory surgical center4  #a4  
,short title  ,this ,act may be cited as
 the ,medicare ,beneficiary ,co-,pay    
,fairness ,act4  #b4  ,limitation on    
coinsurance amount  7a7  ,in general    
,section #ahcc of the ,social ,security 
,act 7#db ,u4,s4,c4 #aciel7 is amended--
  7#a7 in subsection 7a77#a77;,g71 by   
inserting subject to subsection 7ee71   
before with respect to facility         
services2 and  7#b7 by adding at the end
 the following new subsection3  7ee7    
,limitation on coinsurance amount for   
certain services furnished in an        
ambulatory surgical center ,in the case 

that application of subsection          
7a77#a77;,g7 would result in the        
imposition of a coinsurance amount with 
respect to facility services described  
in such subsection furnished during a   
year with respect to a surgical         
procedure that exceeds the amount of the
 inpatient hospital deductible          
established under section #ahac7;b7 for 
such year1 the ,secretary shall--  7#a7 
reduce the amount of such coinsurance to
 an amount equal to such deductible2 and
  7#b7 pay to the supplier furnishing   
such services an amount equal to such   
reduction4  4  7b7  ,effective date     
,the amendments made by this section    
shall apply to services furnished on or 
after ,january #a1 #bjbf4