HR-4350 : Still Just a Bill


Ambulatory Surgical Center Quality and Access Act of 2019

This bill establishes and modifies certain requirements relating to Medicare payments for ambulatory surgical center (ASC) services.

Specifically, the bill (1) requires the payment system for ASC services to feature certain positive annual adjustments equivalent to those made with respect to hospital outpatient department (OPD) services; (2) revises quality reporting requirements to permit publicly available, side-by-side comparisons of quality measures for ASCs and OPDs in the same geographic area; and (3) requires the Centers for Medicare & Medicaid Services (CMS), when excluding requested procedures from the list of those approved to be performed in ASCs, to cite specified reasons for doing so.

With respect to excluding procedures from the approved list for ASCs, the CMS may not cite as a basis for exclusion that a procedure can only be reported using an unlisted surgical procedure code. (Physicians sometimes use unlisted codes when performing new procedures or services if no existing code is adequately descriptive.)

Action Timeline

Action DateTypeTextSource
2019-09-18CommitteeReferred to the Subcommittee on Health.House committee actions
2019-09-17CommitteeReferred to the Subcommittee on Health.House committee actions
2019-09-17IntroReferralReferred 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.House floor actions
2019-09-17IntroReferralReferred 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.House floor actions
2019-09-17IntroReferralIntroduced in HouseLibrary of Congress

Policy Area :

Health
Related Subjects
  • Administrative law and regulatory procedures
  • Advisory bodies
  • Health care quality
  • Health facilities and institutions
  • Health information and medical records
  • Home and outpatient care
  • Medicare
  • Surgery and anesthesia
Related Geographic Entities
Related Organizations
  • Department of Health and Human Services

Related Bills

See Related Bills