3.0.0 2914 2023-01-11T13:24:20Z 2023-01-11T13:24:20Z House H HR 2013-08-01 113 From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Ms. SPEIER:H.R. 2914.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8: Congress shall have the power toregulate commerce among the states, and provide for thegeneral welfare.[Page H5345]]]> hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Referred to 2013-08-02T16:37:01Z Referred to 2013-08-01T14:04:40Z hswm00 Ways and Means Committee House Standing Referred to 2013-08-01T14:04:45Z 2013-08-02 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2013-08-01 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. IntroReferral H11100 2 House floor actions hswm00 Ways and Means Committee 2013-08-01 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. IntroReferral H11100 2 House floor actions hsif00 Energy and Commerce Committee 2013-08-01 Introduced in House IntroReferral Intro-H 9 Library of Congress 2013-08-01 Introduced in House IntroReferral 1000 9 Library of Congress S001175 Rep. Speier, Jackie [D-CA-14] Jackie Speier D CA 14 N T000468 Rep. Titus, Dina [D-NV-1] Dina Titus D NV 1 2013-08-01 True M000404 Rep. McDermott, Jim [D-WA-7] JIM MCDERMOTT D WA 7 2013-08-01 True S000480 Rep. Slaughter, Louise McIntosh [D-NY-25] LOUISE SLAUGHTER D NY M. 25 2013-09-20 False M000933 Rep. Moran, James P. [D-VA-8] JAMES MORAN D VA P. 8 2013-09-20 False J000032 Rep. Jackson Lee, Sheila [D-TX-18] SHEILA JACKSON LEE D TX 18 2013-09-20 False 2013-09-26 B000013 Rep. Bachus, Spencer [R-AL-6] SPENCER BACHUS R AL 6 2013-09-20 False 2013-09-26 T000193 Rep. Thompson, Bennie G. [D-MS-2] BENNIE THOMPSON D MS 2 2013-09-26 False S001170 Rep. Shea-Porter, Carol [D-NH-1] Carol Shea-Porter D NH 1 2013-09-26 False C001090 Rep. Cartwright, Matt [D-PA-17] Matt Cartwright D PA 17 2013-10-16 False E000215 Rep. Eshoo, Anna G. [D-CA-18] ANNA ESHOO D CA G. 18 2013-10-16 False H001038 Rep. Higgins, Brian [D-NY-26] Brian Higgins D NY 26 2013-10-23 False G000559 Rep. Garamendi, John [D-CA-3] John Garamendi D CA 3 2014-01-09 False R000053 Rep. Rangel, Charles B. [D-NY-13] CHARLES RANGEL D NY B. 13 2014-04-10 False E000288 Rep. Ellison, Keith [D-MN-5] Keith Ellison D MN 5 2014-04-10 False H001032 Rep. Holt, Rush [D-NJ-12] RUSH HOLT D NJ D. 12 2014-06-25 False Health Accounting and auditing Allied health services Civil actions and liability Drug therapy Government studies and investigations Health personnel Health technology, devices, supplies Medical ethics Medical tests and diagnostic methods Medicare Health 00 2013-08-01 Introduced in House 2014-04-25T14:31:57Z Promoting Integrity in Medicare Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to the general exceptions to both ownership and compensation arrangement prohibitions against physician self-referrals of Medicare patients to the entity with which a physician has a certain financial relationship.

Removes from the in-office ancillary services (IOAS) exception to such prohibitions certain services the Secretary of Health and Human Services (HHS) determines are not usually provided and completed during the visit to a physician's office in which such a service is determined to be necessary (non-ancillary services). (Thus subjects such non-ancillary services to the prohibitions against physician self-referrals).

Lists among specified non-ancillary services: (1) anatomic pathology services (including the technical or professional component of surgical pathology, cytopathology, hematology, blood banking, and pathology consultation and clinical laboratory interpretation services), (2) radiation therapy services and supplies, (3) advanced diagnostic imaging studies, and (4) physical therapy services.

Increases from a maximum of $15,000 to a maximum of $25,000 the civil monetary penalty in the case of a bill or claim for such services whose presenter knows or should have known they are for a service for which payment may not be made.

Increases from a maximum of $100,000 to a maximum of $150,000 the civil monetary penalty for any circumventive arrangement or scheme which a physician or other entity enters into knowing (or should know) has a principal purpose of assuring referrals by the physician to a particular entity which, if the physician directly made referrals to such entity, would be in violation of SSA title XVIII.

Directs the Secretary to review compliance with the self-referral prohibitions with respect to referrals for specified non-ancillary services in accordance with procedures established by the Secretary.

States that, in applying the self-referral prohibitions, the term "entity" includes a physician's practice when it bills under Medicare for the technical component or the professional component of a specified non-ancillary service.

]]> Promoting Integrity in Medicare Act of 2013 Display Title Promoting Integrity in Medicare Act of 2013 Official Title as Introduced To prevent abusive billing of ancillary services to the Medicare program, and for other purposes. Introduced in House IH Short Titles as Introduced Promoting Integrity in Medicare Act of 2013 Introduced in House 2013-08-01T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-113hr2914ih/xml/BILLS-113hr2914ih.xml 2013-08-02 Referred to the Subcommittee on Health. text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.