II 110th CONGRESS 1st Session S. 2056 IN THE SENATE OF THE UNITED STATES September 17, 2007 Mr. Rockefeller (for himself, Mr. Kyl, Mrs. McCaskill, Mr. Vitter, Ms. Snowe, Mr. Coburn, Mrs. Dole, Mr. Domenici, Mr. Inhofe, Mr. Coleman, Mr. Cornyn, Mr. Martinez, Mr. Hagel, Mr. Cochran, and Mr. Lott) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to restore financial stability to Medicare anesthesiology teaching programs for resident physicians.

1.

Short title

This Act may be cited as the Medicare Anesthesiology Teaching Funding Restoration Act of 2007.

2.

Special payment rule for teaching anesthesiologists

Section 1848(a) of the Social Security Act (42 U.S.C. 1395w–4(a)) is amended— (1)in paragraph (4)(A), by inserting except as provided in paragraph (5), after anesthesia cases,; and (2)by adding at the end the following new paragraph: (5)

Special rule for teaching anesthesiologists

With respect to physicians’ services furnished on or after January 1, 2008, in the case of teaching anesthesiologists involved in the training of physician residents in a single anesthesia case or two concurrent anesthesia cases, the fee schedule amount to be applied shall be 100 percent of the fee schedule amount otherwise applicable under this section if the anesthesia services were personally performed by the teaching anesthesiologist alone and paragraph (4) shall not apply if— (A)the teaching anesthesiologist is present during all critical or key portions of the anesthesia service or procedure involved; and (B)the teaching anesthesiologist (or another anesthesiologist with whom the teaching anesthesiologist has entered into an arrangement) is immediately available to furnish anesthesia services during the entire procedure. .