S. 1444Senate113th Congress (2013-2015)In Committee

Medicare Access to Rural Anesthesiology Act of 2013

A bill to amend title XVIII of the Social Security Act to provide payment under part A of the Medicare Program on a reasonable cost basis for anesthesia services furnished by an anesthesiologist in certain rural hospitals in the same manner as payments are provided for anesthesia services furnished by anesthesiologist assistants and certified anesthetists in such hospitals.

Sponsored by Ron WydenSen. Ron Wyden (D-OR)
Introduced August 1, 2013

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S6222)

August 1, 2013

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SenateIntro Referral

Introduced in Senate

August 1, 2013

SenateIntro Referral

Sponsor introductory remarks on measure. (CR S6221-6222)

August 1, 2013

SenateIntro Referral

Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S6222)

August 1, 2013

Floor Debate

16 members

What members said about S. 1444 on the floor

4 Republicans12 Democrats
Carl Levin
Sen. Carl LevinD-MI · Aug 1, 2013

Mr. President, today, along with my colleagues, Senator Grassley, Senator Feinstein, and Senator Harkin, I am reintroducing the Incorporation Transparency and Law Enforcement Assistance Act, a bill…

Ron Wyden
Sen. Ron WydenD-OR · Aug 1, 2013

Mr. President, today Senator Murkowski and I are introducing legislation to promote a new form of hydropower, marine hydrokinetic renewable energy, or MHK. An MHK project generates energy from waves,…

Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Aug 1, 2013

Mr. President, I rise today to again discuss the need to restore and protect Lake Tahoe. Lake Tahoe is a national treasure. Her alpine beauty has drawn and inspired people for centuries: artists and…

Benjamin L. Cardin
Sen. Benjamin L. CardinD-MD · Aug 1, 2013

Mr. President, I rise to introduce legislation to modernize the Congressional budget scoring process with respect to health spending and the effects of preventive health care. Although the United…

Mary L. Landrieu
Sen. Mary L. LandrieuD-LA · Aug 1, 2013

Mr. President, I come to the floor today to speak on an issue that is of great importance to my home state of Louisiana: disaster preparedness. As you know, along the Gulf Coast, we keep an eye…

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Mark Udall
Sen. Mark UdallD-CO · Aug 1, 2013

Mr. President, I rise to speak about bipartisan legislation I am introducing today with Senator Alexander to provide much needed help to our Cold War patriots. In 2000, Congress passed the Energy…

Chuck Grassley
Sen. Chuck GrassleyR-IA · Aug 1, 2013

Mr. President, I rise today to introduce, along with Senator Franken, the Family Farmer Bankruptcy Clarification Act of 2013. We introduced similar legislation in the 112th Congress, but the Senate…

Deb Fischer
Sen. Deb FischerR-NE · Aug 1, 2013

Mr. President, I rise to discuss legislation that I am introducing in the U.S. Senate today, the Judgment Fund Transparency Act. As my colleagues may or may not know, the Judgment Fund is…

Mazie K. Hirono
Sen. Mazie K. HironoD-HI · Aug 1, 2013

Mr. President, I rise today to introduce the Ka`u Coast Preservation Act of 2013, a bill directing the National Park Service to assess the feasibility of designating certain coastal lands on the Ka`u…

Jack Reed
Sen. Jack ReedD-RI · Aug 1, 2013

Mr. President, today I am introducing, along with Senator Blumenthal, the Stop Subsidizing Multimillion Dollar Corporate Bonuses Act. This bill closes a loophole that allows publicly traded…

Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Aug 1, 2013

Mr. President, each year fire destroys hundreds of vulnerable historic buildings that serve as the anchors of America's vibrant villages and downtowns. These fires leave gaping holes in Main Streets…

James E. Risch
Sen. James E. RischR-ID · Aug 1, 2013

Mr. President, I rise today to introduce a bill called the Idaho Wilderness Water Facilities Act. This bill is identical to the House version, H.R. 876, which was introduced and carried through the…

Tim Kaine
Sen. Tim KaineD-VA · Aug 1, 2013

Mr. President, today, my colleague Senator Mark Warner and I are introducing the Commonsense Permitting for Job Creation Act of 2013, a bipartisan, bicameral piece of legislation to address an aspect…

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John D. Rockefeller IV
Sen. John D. Rockefeller IVD-WV · Aug 1, 2013

Mr. President, today I am introducing comprehensive legislation to repeal corporate tax loopholes that allow the cruise industry to avoid paying its fair share of U.S. corporate income taxes. These…

Ron Wyden
Sen. Ron WydenD-OR · Aug 1, 2013

Mr. President. I am honored to join my colleague from Georgia, Senator Johnny Isakson, in introducing a bill essential to expanding health care options for rural hospitals and beneficiaries living in…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Aug 1, 2013

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Mitch McConnell
Sen. Mitch McConnellR-KY · Aug 1, 2013

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

Latest available legislative text

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Introduced in SenateIssued August 1, 2013

II

113th CONGRESS

1st Session

S. 1444

IN THE SENATE OF THE UNITED STATES

August 1, 2013

Mr. Wyden (for himself and Mr. Isakson) 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 provide payment under part A of the Medicare Program on a reasonable cost basis for anesthesia services furnished by an anesthesiologist in certain rural hospitals in the same manner as payments are provided for anesthesia services furnished by anesthesiologist assistants and certified registered nurse anesthetists in such hospitals.

1.

Short title

This Act may be cited as the Medicare Access to Rural Anesthesiology Act of 2013.

2.

Medicare part A payment for anesthesiologist services in certain rural hospitals based on CRNA pass-through rules

(a)

In General

Section 1814 of the Social Security Act (42 U.S.C. 1395f) is amended by adding at the end the following new subsection:

(m)

Anesthesiologist Services Provided in Certain Rural Hospitals

(1)

Notwithstanding any other provision of this title, coverage and payment shall be provided under this part for physicians’ services that are anesthesia services furnished by a physician who is an anesthesiologist in a rural hospital described in paragraph (3) in the same manner as payment is made under the exception provided in section 9320(k) of the Omnibus Budget Reconciliation Act of 1986, as amended by section 6132 of the Omnibus Budget Reconciliation Act of 1989 (42 U.S.C. 1395k note) (relating to payment on a reasonable cost, pass-through basis), for certified registered nurse anesthetist services furnished by a certified registered nurse anesthetist in a hospital described in such section.

(2)

No payment shall be made under any other provision of this title for physicians’ services for which payment is made under this subsection.

(3)

A rural hospital described in this paragraph is a hospital described in section 9320(k) of the Omnibus Budget Reconciliation Act of 1986, as so amended (42 U.S.C. 1395k note), except that—

(A)

any reference in such section to a certified registered nurse anesthetist or anesthetist is deemed a reference to a physician who is an anesthesiologist or anesthesiologist, respectively; and

(B)

any reference to January 1, 1988 or 1987 is deemed a reference to such date and year as the Secretary shall specify.

.

(b)

Effective Date

The amendment made by subsection (a) shall apply to services furnished during cost reporting periods beginning on or after the date of the enactment of this Act.