I 112th CONGRESS 1st Session H. R. 1476 IN THE HOUSE OF REPRESENTATIVES April 12, 2011 Ms. Speier (for herself and Mr. Weiner) introduced the following bill; which was 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 A BILL To amend title XVIII of the Social Security Act to exclude certain advanced diagnostic imaging services from the in-office ancillary services exception to the prohibition on physician self-referral.

1.

Short title

This Act may be cited as the Integrity in Medicare Advanced Diagnostic Imaging Act of 2011.

2.

Excluding certain advanced diagnostic imaging services from the in-office ancillary services exception to the prohibition on physician self-referral

(a)

In general

Section 1877(b)(2) of the Social Security Act (42 U.S.C. 1395nn(b)(2)) is amended— (1)in the matter before subparagraph (A), by striking and supplies and inserting , supplies, and certain advanced diagnostic imaging services; and (2)by adding at the end the following: For purposes of this paragraph, the term certain advanced diagnostic imaging services means diagnostic magnetic resonance imaging, computed tomography, and positron emission tomography, and such other diagnostic imaging services, including services described in section 1848(b)(4)(B) (but excluding X-ray, ultrasound, and fluoroscopy), as specified by the Secretary in consultation with physician specialty organizations and other stakeholders, but does not include imaging services performed for purposes of radiation therapy treatment planning or in conjunction with an interventional radiological procedure or nuclear medicine other than positron emission tomography.. (b)

Effective date

The amendments made by subsection (a) shall apply to services furnished on or after the date of the enactment of this Act, regardless of when the referral for such services is or was made.