Legis Daily

Outpatient Surgery Quality and Access Act of 2023

USA118th CongressHR-972| House 
| Updated: 2/17/2023
Brad R. Wenstrup

Brad R. Wenstrup

Republican Representative

Ohio

Cosponsors (26)
David Schweikert (Republican)Michael C. Burgess (Republican)Robin L. Kelly (Democratic)Gregory F. Murphy (Republican)Jefferson Van Drew (Republican)Neal P. Dunn (Republican)Mariannette Miller-Meeks (Republican)Beth Van Duyne (Republican)Terri A. Sewell (Democratic)Donald G. Davis (Democratic)Earl L. "Buddy" Carter (Republican)Lloyd Smucker (Republican)A. Drew Ferguson (Republican)John B. Larson (Democratic)Joe Wilson (Republican)Mike Kelly (Republican)Brittany Pettersen (Democratic)W. Gregory Steube (Republican)Blaine Luetkemeyer (Republican)Larry Bucshon (Republican)Mike Bost (Republican)Yvette D. Clarke (Democratic)Kevin Kiley (Republican)Kevin Hern (Republican)Tracey Mann (Republican)Vern Buchanan (Republican)

Ways and Means Committee, Health Subcommittee, Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Outpatient Surgery Quality and Access Act of 2023 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.) The bill also limits the copayment amount for ASC services under Medicare to that of the inpatient hospital deductible.
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Timeline

Bill from Previous Congress

HR 117-5818
Outpatient Surgery Quality and Access Act of 2021
Feb 9, 2023

Latest Companion Bill Action

S 118-312
Introduced in Senate
Feb 9, 2023
Introduced in House
Feb 9, 2023
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.
Feb 17, 2023
Referred to the Subcommittee on Health.
  • Bill from Previous Congress

    HR 117-5818
    Outpatient Surgery Quality and Access Act of 2021


  • February 9, 2023

    Latest Companion Bill Action

    S 118-312
    Introduced in Senate


  • February 9, 2023
    Introduced in House


  • February 9, 2023
    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.


  • February 17, 2023
    Referred to the Subcommittee on Health.

Health

Related Bills

  • S 118-312: Outpatient Surgery Quality and Access Act of 2023
Administrative law and regulatory proceduresAdvisory bodiesDepartment of Health and Human ServicesGovernment information and archivesHealth care qualityHealth facilities and institutionsHealth information and medical recordsHome and outpatient careMedicareSurgery and anesthesia

Outpatient Surgery Quality and Access Act of 2023

USA118th CongressHR-972| House 
| Updated: 2/17/2023
Outpatient Surgery Quality and Access Act of 2023 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.) The bill also limits the copayment amount for ASC services under Medicare to that of the inpatient hospital deductible.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline

Bill from Previous Congress

HR 117-5818
Outpatient Surgery Quality and Access Act of 2021
Feb 9, 2023

Latest Companion Bill Action

S 118-312
Introduced in Senate
Feb 9, 2023
Introduced in House
Feb 9, 2023
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.
Feb 17, 2023
Referred to the Subcommittee on Health.
  • Bill from Previous Congress

    HR 117-5818
    Outpatient Surgery Quality and Access Act of 2021


  • February 9, 2023

    Latest Companion Bill Action

    S 118-312
    Introduced in Senate


  • February 9, 2023
    Introduced in House


  • February 9, 2023
    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.


  • February 17, 2023
    Referred to the Subcommittee on Health.
Brad R. Wenstrup

Brad R. Wenstrup

Republican Representative

Ohio

Cosponsors (26)
David Schweikert (Republican)Michael C. Burgess (Republican)Robin L. Kelly (Democratic)Gregory F. Murphy (Republican)Jefferson Van Drew (Republican)Neal P. Dunn (Republican)Mariannette Miller-Meeks (Republican)Beth Van Duyne (Republican)Terri A. Sewell (Democratic)Donald G. Davis (Democratic)Earl L. "Buddy" Carter (Republican)Lloyd Smucker (Republican)A. Drew Ferguson (Republican)John B. Larson (Democratic)Joe Wilson (Republican)Mike Kelly (Republican)Brittany Pettersen (Democratic)W. Gregory Steube (Republican)Blaine Luetkemeyer (Republican)Larry Bucshon (Republican)Mike Bost (Republican)Yvette D. Clarke (Democratic)Kevin Kiley (Republican)Kevin Hern (Republican)Tracey Mann (Republican)Vern Buchanan (Republican)

Ways and Means Committee, Health Subcommittee, Energy and Commerce Committee

Health

Related Bills

  • S 118-312: Outpatient Surgery Quality and Access Act of 2023
  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
Administrative law and regulatory proceduresAdvisory bodiesDepartment of Health and Human ServicesGovernment information and archivesHealth care qualityHealth facilities and institutionsHealth information and medical recordsHome and outpatient careMedicareSurgery and anesthesia