[Congressional Record Volume 160, Number 69 (Thursday, May 8, 2014)]
[Senate]
[Page S2860]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
CLINICAL LABORATORY FEE SCHEDULE
Mr. BURR. Madam President, I would like to engage my colleague, the
distinguished ranking member of the Finance Committee, in a short
colloquy regarding Clinical Laboratory Fee Schedule payment reform
provisions included in the SGR patch bill, Protecting Access to
Medicare Act.
Mr. HATCH. I thank the Senator. I would be happy to engage my
distinguished colleague in a colloquy. Further, many thanks to him for
his leadership over the years on this issue.
Mr. BURR. I thank my colleague and commend his work and the work of
his staff in the development of this proposal. Reform of the Clinical
Laboratory Fee Schedule is an important priority. The current system
does not allow for changes in reimbursement for specific tests and
instead, cuts to lab reimbursement have been broad reductions to the
fee schedule overall. This imprecise approach has hampered the ability
of labs across the country to continue to innovate and improve the
diagnosis and treatment of disease. The Protecting Access to Medicare
Act reforms this outdated approach and establishes a system requiring
laboratories to report market rates to establish Medicare
reimbursement. It is my understanding that the intent of this provision
is to ensure that Medicare rates reflect true market rates for
laboratory services, and as such, that all sectors of the laboratory
market should be represented in the reporting system, including
independent laboratories and hospital outreach laboratories that
receive payment on a fee-for-service basis under the fee schedule. I
ask my distinguished colleague if this is his understanding of the
intent of this provision as well.
Mr. HATCH. The Senator is correct. And I thank my good friend from
North Carolina for raising this issue. I concur; the intent of the
provisions of the bill reforming the Medicare Clinical Laboratory Fee
Schedule is to ensure that Medicare rates reflect true market rates,
and that commercial payment rates to all sectors of the lab market
should be represented, including independent laboratories and hospital
outreach laboratories.
Mr. BURR. I thank the Senator for his insights and his work on reform
of the Clinical Laboratory Fee Schedule.
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