H.R. 972House118th Congress (2023-2025)In Committee

Outpatient Surgery Quality and Access Act of 2023

To amend title XVIII of the Social Security Act to modernize payments for ambulatory surgical centers under the Medicare program, and for other purposes.

AI-Generated Summary

Updated January 20, 2026 at 3:23 AM UTC

The Outpatient Surgery Quality and Access Act of 2023 updates Medicare payment rules for ambulatory surgical centers (ASCs). It aligns ASC payment updates with outpatient department fee‑schedule changes, adds public quality‑reporting comparisons, and includes ASC representation on the payment advisory panel. The bill also requires justification for excluding procedures from ASC lists, caps patient copayments to the hospital deductible, and revises budget‑neutrality calculations.

Key Provisions

Aligns annual ASC payment updates with the outpatient department fee‑schedule increase factor for each year after 2024.
Requires Medicare to publish side‑by‑side quality data for ASCs and hospital outpatient departments on Medicare.gov, with a chance for centers to review and correct the data and informs beneficiaries of the comparisons.
Adds at least one ASC representative to the advisory panel that advises on outpatient payment rates.
Mandates the Secretary to explain why any requested procedure is excluded from ASC approved lists, citing specific regulatory criteria and the supporting peer‑reviewed evidence.
Limits patient copayment for ASC services to not exceed the inpatient hospital deductible and adjusts payments if the copayment is reduced.
Modifies budget‑neutrality calculations to combine ASC and hospital outpatient procedure volumes and restricts certain adjustments after the first implementation year.

Legislative Activity

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2 earlier actions

HouseCommittee Latest Action

Referred to the Subcommittee on Health.

Health Subcommittee

February 17, 2023

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HouseIntro Referral

Introduced in House

February 9, 2023

HouseIntro Referral

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.

Energy and Commerce Committee

February 9, 2023

HouseCommittee

Referred to the Subcommittee on Health.

Health Subcommittee

February 17, 2023

Floor Debate

2 members

What members said about H.R. 972 on the floor

2 Republicans

Rep. Monica De La CruzR-TX-15 · Sep 12, 2023

Under clause 7 of rule XII, sponsors were added to public bills and resolutions, as follows: H.R. 16: Ms. Tokuda, Mr. Magaziner, Mr. Casten, Mr. Casar, Mr. Sherman, Ms. Caraveo, and Mr. Sablan. H.R.…

Under clause 7 of rule XII, sponsors were added to public bills and resolutions, as follows:

H.R. 16: Ms. Tokuda, Mr. Magaziner, Mr. Casten, Mr. Casar,

Mr. Sherman, Ms. Caraveo, and Mr. Sablan.

H.R. 33: Ms. Ross and Ms. Bonamici.

H.R. 34: Ms. Escobar, Mr. Tonko, and Mr. Nadler.

H.R. 56: Ms. Crockett.

H.R. 231: Mr. Cline.

H.R. 253: Ms. McCollum, Mr. Jackson of Illinois, and Mr.

Cleaver.

H.R. 303: Mr. Kilmer.

H.R. 459: Ms. Castor of Florida.

H.R. 549: Mr. Gallego, Mr. Cartwright, Mr. Mrvan, Ms.

Escobar, Ms. Titus, Mr. Evans, Ms. Stansbury, Mr. Espaillat,

Mrs. Lesko, Mr. Joyce of Ohio, Ms. Adams, Ms. Balint, Mr.

Owens, and Mrs. Sykes.

H.R. 620: Mrs. Peltola.

H.R. 666: Mr. Bowman.

H.R. 679: Mr. Lawler.

H.R. 681: Ms. Wild, Mr. Swalwell, Ms. Kamlager-Dove, Ms.

Balint, Ms.Crockett, and Mrs. Cherfilus-McCormick.

H.R. 700: Mr. Krishnamoorthi, Mr. Latta, Mr. Kelly of

Mississippi, Mr. Kim of New Jersey, Mrs. Chavez-DeRemer, Mr.

Harder of California, and Mrs. Steel.

H.R. 722: Mr. Barr.

H.R. 770: Ms. Kuster.

H.R. 795: Mr. Crow.

H.R. 807: Mr. Miller of Ohio, Mr. Fitzgerald, Mr. Bucshon,

and Mr. Soto.

H.R. 809: Mr. Posey and Mr. Huizenga.

H.R. 866: Mr. Vasquez.

H.R. 873: Mr. Nehls.

H.R. 906: Mr. Steube and Ms. Caraveo.

H.R. 972: Ms. Kelly of Illinois.

H.R. 1073: Mr. Lawler.

H.R. 1088: Mr. Neguse.

H.R. 1118: Ms. Balint.

H.R. 1138: Mr. Lawler.

H.R. 1139: Mr. Newhouse, Mr. DesJarlais, and Ms. Craig.

H.R. 1150: Ms. Jayapal and Mr. Moylan.

H.R. 1191: Mr. Swalwell, Mr. Thompson of California, Mr.

Jackson of Illinois, and Ms. Crockett.

H.R. 1200: Ms. Van Duyne and Mr. McCormick.

H.R. 1235: Mr. Sherman.

H.R. 1250: Mr. Costa.

H.R. 1259: Mr. Lieu.

H.R. 1277: Mr. Krishnamoorthi, Mr. Green of Texas, Ms.

Porter, Ms. Leger Fernandez, Mr. Schiff, Mr. Casten, Mrs.

Cherfilus-McCormick, Ms. Eshoo, Mr. DesJarlais, Ms. Norton,

Mr. Grijalva, Ms. Craig, Mr. Castro of Texas, Mrs. Dingell,

Mr. Morelle, Ms. Lee of California, Ms. Wasserman Schultz,

Mr. Espaillat, Ms. Barragan, and Mr. Huffman.

H.R. 1278: Mr. Moulton.

H.R. 1290: Mr. Feenstra.

H.R. 1295: Mr. Schiff.

H.R. 1318: Ms. Titus and Ms. Craig.

H.R. 1385: Ms. Pingree and Mr. LaHood.

H.R. 1432: Mr. Davis of Illinois.

H.R. 1437: Mr. Sessions.

H.R. 1447: Ms. Budzinski.

H.R. 1483: Mr. Raskin.

H.R. 1488: Mr. Tonko and Mr. Horsford.

H.R. 1503: Mr. Tonko.

H.R. 1517: Ms. Kuster.

H.R. 1535: Mr. Davis of North Carolina and Mr. Ciscomani.

H.R. 1555: Mr. Cardenas.

H.R. 1572: Mr. Jackson of Illinois, Mr. Cuellar, Mr. Harder

of California, Mr. Raskin, Mrs. Gonzalez-Colon, Mr. Posey,

and Mr. Owens.

H.R. 1614: Mr. Costa.

H.R. 1623: Mr. Feenstra.

H.R. 1637: Mr. Ciscomani, Mrs. Kiggans of Virginia, and Mr.

Ryan.

H.R. 1638: Mr. Bacon.

H.R. 1643: Mr. Gomez.

H.R. 1679: Mr. Lawler.

H.R. 1721: Ms. Crockett and Ms. Kuster.

H.R. 1728: Ms. Mace.

H.R. 1740: Mr. Allred.

H.R. 1758: Mr. Donalds.

H.R. 1763: Mr. Harder of California and Mr. Moskowitz.

H.R. 1770: Mrs. Kiggans of Virginia.

H.R. 1777: Mr. Tony Gonzales of Texas, Mr. Grothman, Mr.

Fleischmann, Mr. Sherman, and Mr. Ciscomani.

H.R. 1788: Mr. Phillips, Ms. Scholten, Ms. Spanberger, Ms.

McCollum, and Mr. Beyer.

H.R. 1831: Mr. Burgess and Mr. Grijalva.

H.R. 1841: Mr. Rouzer.

H.R. 1842: Mr. Gallego.

H.R. 2365: Mr. Levin, Mr. Balderson, Ms. Caraveo, Ms.

Salinas, Mr. Larsen of Washington, Mr. Magaziner, Mr. Trone,

Mr. Cleaver, Ms. Brownley, Ms. Leger Fernandez, and Mr.

Veasey.

H.R. 2367: Ms. Lee of Nevada, Mr. Joyce of Pennsylvania,

Mr. Guest, Mr. Pappas, and Mrs. Houchin.

H.R. 2370: Ms. Caraveo.

H.R. 2389: Mr. Moulton, Mr. Trone, Ms. Sherrill, Mr.

Horsford, Ms. Ross, Mrs. McBath, Mr. Mrvan, Ms. McCollum, and

Mr. Vicente Gonzalez of Texas.

H.R. 2406: Mr. Barr, Mrs. Harshbarger, and Mrs. Lesko.

H.R. 2407: Mr. Burgess, Ms. Hoyle of Oregon, Mr. Mooney,

Mrs. Fletcher, Mr. Morelle, Mr. Nickel, and Mr. Castro of

Texas.

H.R. 2410: Mr. Nickel.

H.R. 2412: Mr. Harder of California, Mr. Landsman, and Mr.

Cleaver.

H.R. 2431: Mrs. Chavez-DeRemer and Ms. Lee of Nevada.

H.R. 2510: Mr. Harder of California and Ms. Salinas.

H.R. 2550: Ms. Leger Fernandez.

H.R. 2583: Mr. Doggett, Mr. Pocan, Mr. Quigley, Ms. Sewell,

and Ms. Pingree.

H.R. 2630: Ms. Malliotakis, Mr. Steube, Mr. Fitzpatrick,

and Mr. Austin Scott of Georgia.

H.R. 2667: Mrs. Miller of West Virginia and Mr. Aderholt.

H.R. 2697: Mr. Vargas and Ms. Tlaib.

H.R. 2700: Mr. McCormick.

H.R. 2718: Ms. Blunt Rochester.

H.R. 2720: Mr. Carbajal, Ms. Kuster, Mr. Blumenauer, and

Mr. Lawler.

H.R. 2723: Mr. Moulton and Mr. Ryan.

H.R. 2736: Ms. Caraveo.

H.R. 2739: Mrs. Kim of California.

H.R. 2743: Mrs. Miller of West Virginia, Mr. C. Scott

Franklin of Florida, Mr. Simpson, and Mr. Newhouse.

H.R. 2814: Mr. Moore of Utah.

H.R. 2855: Mr. Harder of California.

H.R. 2869: Mr. Mfume.

H.R. 2871: Ms. Jayapal.

H.R. 2891: Mr. Tonko.

H.R. 2929: Mr. Pappas.

H.R. 2955: Mr. Burgess, Mr. Cleaver, Mr. Raskin, and Mr.

Goldman of New York.

H.R. 2957: Mr. Morelle and Mr. Allred.

H.R. 2987: Ms. Bush.

H.R. 3007: Mr. McGarvey.

H.R. 3029: Mr. Kelly of Pennsylvania and Mrs. Miller of

West Virginia.

H.R. 3074: Mr. Carter of Louisiana and Ms. Scanlon.

H.R. 3108: Mr. Fitzpatrick.

H.R. 3137: Mr. Newhouse.

H.R. 3139: Mr. Ryan and Ms. Foxx.

H.R. 3145: Ms. Omar.

H.R. 3152: Mr. Simpson, Mr. Tony Gonzales of Texas, Mr. C.

Scott Franklin of Florida, Mr. Cline, Mr. Santos, Mr. Golden

of Maine, Mrs. Foushee, and Mr. Rouzer.

H.R. 3170: Mr. Pallone and Ms. Dean of Pennsylvania.

H.R. 3184: Mr. Norcross.

H.R. 3192: Ms. Slotkin.

H.R. 3206: Mr. Gooden of Texas.

H.R. 3235: Mr. Huffman.

H.R. 3251: Mr. McGovern.

H.R. 3272: Mr. Lawler.

H.R. 3378: Mr. Bacon.

H.R. 3380: Ms. Kuster and Mr. Landsman.

H.R. 3381: Mr. Gottheimer, Mr. Norman, Mr. Babin, Ms.

Malliotakis, Mr. Soto, Mr. Ryan, Mr. Crenshaw, Mr. Trone, Ms.

Manning, Mr. Ciscomani, Ms. Caraveo, Mr. Carey, and Ms.

Salazar.

H.R. 3394: Mr. Pallone, Mr. Cohen, Ms. Scanlon, Ms.

Brownley, Ms. Ross, Mr. Carbajal, Mr. Deluzio, Ms. Tlaib, and

Mr. Trone.

H.R. 3410: Mr. Lawler.

H.R. 3413: Ms. Chu, Ms. Greene of Georgia, and Ms. Ross.

H.R. 3424: Mr. Tonko and Mr. Harder of California.

H.R. 3425: Mr. Tiffany and Ms. Manning.

H.R. 3448: Ms. Spanberger.

H.R. 3464: Mrs. Houchin.

H.R. 3468: Mr. Schiff, Mr. Vargas, Ms. Salinas, and Mr.

Goldman of New York.

H.R. 3473: Ms. Ocasio-Cortez.

H.R. 3488: Mr. Grijalva and Ms. Velazquez.

H.R. 3492: Mr. C. Scott Franklin of Florida.

H.R. 3503: Mr. Lieu and Mr. Pocan.

H.R. 3518: Ms. Norton.

H.R. 3519: Mr. Gomez.

H.R. 3530: Mr. Krishnamoorthi, Ms. DelBene, Mr. Swalwell,

Mr. Lieu, Ms. Ross, Mr. Neguse, and Mr. Schneider.

H.R. 3539: Mr. Crow and Mr. Molinaro.

H.R. 3549: Mrs. Miller-Meeks.

H.R. 3576: Mr. Smith of Washington and Mr. Vargas.

H.R. 3585: Ms. Mace.

H.R. 3589: Ms. Tokuda.

H.R. 3600: Mr. Larsen of Washington and Mr. Harder of

California.

H.R. 3601: Mr. Vargas, Mr. Moulton, and Ms. Sherrill.

H.R. 3608: Mr. Ruiz.

H.R. 3618: Mr. Fitzpatrick and Ms. Wilson of Florida.

H.R. 3662: Ms. Pingree.

H.R. 3679: Mr. Lawler.

H.R. 3681: Mr. Levin.

H.R. 3730: Mr. Ciscomani.

H.R. 3755: Mr. Smucker.

H.R. 3774: Mr. Fleischmann, Mr. McClintock, Mr. Soto, Mr.

Sherman, Ms.

Craig, and Mr. Bilirakis.

H.R. 3782: Mr. Fry and Mr. Phillips.

H.R. 3792: Mr. Lieu, Ms. Castor of Florida, Mr. Tony

Gonzales of Texas, Mr. Ryan, Mr. Grothman, Mr. Sherman, and

Mr. Robert Garcia of California.

H.R. 3838: Mr. Cohen.

H.R. 3843: Mr. Pocan and Ms. Tlaib.

H.R. 3851: Ms. Van Duyne and Ms. Sherrill.

H.R. 3859: Ms. Lofgren, Ms. McCollum, and Mr. Fitzpatrick.

H.R. 3867: Mr. LaLota.

H.R. 3875: Mr. Quigley and Mr. Mullin.

H.R. 3876: Mr. Crow.

H.R. 3879: Ms. Craig.

H.R. 3882: Mr. Deluzio and Mr. Joyce of Ohio.

H.R. 3916: Ms. Dean of Pennsylvania, Mrs. Bice, Ms.

McClellan, Mrs. Miller-Meeks, and Ms. Sherrill.

H.R. 3923: Mr. McGarvey.

H.R. 3949: Mr. Fry and Mr. Latta.

H.R. 3965: Mr. Robert Garcia of California.

H.R. 3988: Mr. Good of Virginia.

H.R. 3990: Mr. Lawler.

H.R. 4007: Mr. Lawler.

H.R. 4024: Ms. Matsui.

H.R. 4034: Ms. DelBene.

H.R. 4035: Mrs. Miller-Meeks.

H.R. 4040: Ms. DeGette.

H.R. 4059: Ms. Budzinski.

H.R. 4061: Mr. Kildee.

H.R. 4076: Mr. Peters.

H.R. 4118: Ms. Crockett, Ms. Norton, Mr. Carson, and Ms.

Jackson Lee.

H.R. 4144: Mr. Yakym.

H.R. 4149: Mr. Carson.

H.R. 4157: Mr. Moskowitz, Mr. Gottheimer, Mr. Flood, and

Ms. Wild.

H.R. 4170: Ms. Ross and Ms. Balint.

H.R. 4174: Ms. Budzinski.

H.R. 4175: Mr. Hill.

H.R. 4183: Ms. Castor of Florida.

H.R. 4198: Mr. Hill.

H.R. 4202: Mr. Gottheimer, Ms. Wilson of Florida, Ms.

Spanberger, Ms. Scanlon, Ms. Crockett, Mr. Torres of New

York, Mr. Swalwell, Ms. Lee of California, Mr. Trone, Mr.

Garcia of Illinois, and Mr. Lynch.

H.R. 4238: Mr. Timmons.

H.R. 4241: Ms. Davids of Kansas.

H.R. 4249: Ms. Craig.

H.R. 4259: Mrs. Houchin.

H.R. 4262: Ms. Mace.

H.R. 4273: Mr. Phillips.

H.R. 4274: Mr. McGovern.

H.R. 4295: Mr. Carter of Louisiana and Mr. Mullin.

H.R. 4314: Ms. DeGette.

H.R. 4328: Mrs. Kiggans of Virginia.

H.R. 4334: Mr. Bacon and Mr. Bergman.

H.R. 4384: Ms. Manning.

H.R. 4395: Mr. Baird.

H.R. 4432: Ms. Davids of Kansas.

H.R. 4438: Mr. Owens.

H.R. 4466: Mr. McGarvey and Ms. Wilson of Florida.

H.R. 4475: Mrs. Watson Coleman.

H.R. 4478: Mr. Mills.

H.R. 4514: Ms. Greene of Georgia.

H.R. 4534: Ms. Dean of Pennsylvania, Mr. Connolly, Ms.

Clarke of New York, and Ms. Wild.

H.R. 4561: Mr. McGovern and Ms. DeGette.

H.R. 4562: Mr. Moulton and Mr. Lawler.

H.R. 4563: Mr. McCormick.

H.R. 4566: Ms. Lofgren.

H.R. 4577: Ms. Sherrill and Mr. Guest.

H.R. 4581: Mr. Feenstra.

H.R. 4587: Ms. Salazar and Ms. Lee of Florida.

H.R. 4598: Mr. Lieu.

H.R. 4602: Ms. Kuster.

H.R. 4612: Mr. Duarte and Ms. Caraveo.

H.R. 4624: Mr. Carson, Ms. Eshoo, Mr. Grijalva, and Ms.

Jackson Lee.

H.R. 4663: Mrs. Lesko.

H.R. 4702: Mr. Lieu.

H.R. 4728: Ms. Schakowsky.

H.R. 4729: Ms. De La Cruz and Mr. Fry.

H.R. 4733: Mr. Neguse.

H.R. 4745: Mrs. Kim of California.

H.R. 4750: Ms. Jayapal.

H.R. 4758: Ms. Wexton, Mr. McCaul, Mr. Smucker, and Ms.

Barragan.

H.R. 4769: Ms. Scholten, Mr. Schiff, Mr. Garbarino, Mr.

Smith of New Jersey, Mr. Lawler, Mr. Goldman of New York, Mr.

LaLota, and Mr. Carter of Louisiana.

H.R. 4779: Mr. Doggett, Mr. Payne, and Mr. McGovern.

H.R. 4782: Mr. Blumenauer.

H.R. 4817: Mr. Robert Garcia of California.

H.R. 4844: Mr. Harder of California.

H.R. 4886: Mr. Kildee.

H.R. 4895: Mr. Connolly, Mr. Kildee, Ms. Escobar, Mr.

Larsen of Washington, and Ms. Porter.

H.R. 4904: Mrs. Miller-Meeks.

H.R. 4914: Ms. Barragan.

H.R. 4919: Ms. Schakowsky, Ms. Dean of Pennsylvania, and

Mr. Frost.

H.R. 4921: Mrs. Miller of Illinois.

H.R. 4965: Ms. Garcia of Texas, Mr. Norcross, Ms. Ocasio-

Cortez, and Ms. Lofgren.

H.R. 4970: Mrs. Chavez-DeRemer.

H.R. 5006: Ms. Stefanik.

H.R. 5008: Ms. Kamlager-Dove and Ms. Balint.

H.R. 5012: Ms. Clarke of New York, Ms. Williams of Georgia,

and Ms. Craig.

H.R. 5013: Mr. Fitzpatrick.

H.R. 5041: Mr. Ruiz.

H.R. 5094: Mr. Langworthy.

H.R. 5106: Mr. Womack.

H.R. 5107: Mr. Grothman.

H.R. 5110: Mrs. McClain, Ms. Foxx, Ms. Perez, Mr. Walberg,

Mrs. Houchin, Mrs. Wagner, Mr. Bost, Mr. Williams of New

York, Mr. DesJarlais, and Mr. LaHood.

H.R. 5113: Mr. Vasquez.

H.R. 5130: Mr. Graves of Missouri.

H.R. 5136: Ms. Caraveo.

H.R. 5145: Mr. Bowman.

H.R. 5159: Ms. Clarke of New York, Mr. LaHood, Mr.

Fitzpatrick, Mr. Bacon, Mr. Ferguson, Mr. Larson of

Connecticut, Mr. Comer, Mr. Graves of Louisiana, Mr. Boyle of

Pennsylvania, Mr. Gottheimer, and Mr. Phillips.

H.R. 5169: Mr. Ruppersberger, Mr. Bergman, Mr. Thompson of

California, and Mr. Ciscomani.

H.R. 5171: Mr. Swalwell.

H.R. 5175: Ms. Norton, Mr. Grijalva, Mr. Bilirakis, and Mr.

Moskowitz.

H.R. 5182: Mr. Fry and Mr. Owens.

H.R. 5184: Mr. Fallon, Mr. Crenshaw, and Mr. Meuser.

H.R. 5203: Mr. Mooney.

H.R. 5221: Ms. Eshoo.

H.R. 5233: Ms. Davids of Kansas.

H.R. 5239: Ms. Lee of Florida.

H.R. 5242: Ms. Bonamici and Mr. Fitzpatrick.

H.R. 5245: Mr. Issa and Ms. Stefanik.

H.R. 5247: Mr. Sablan.

H.R. 5249: Mr. Moulton, Mr. Fitzpatrick, Mr. Carson, Ms.

Tokuda, Mr. Davis of North Carolina, and Mr. Case.

H.R. 5250: Mr. Lawler.

H.R. 5252: Ms. Sherrill, Mr. Payne, and Mr. Blumenauer.

H.R. 5265: Mr. Stauber.

H.R. 5283: Mr. Smith of New Jersey.

H.R. 5290: Mr. Tonko and Ms. Bush.

H.R. 5291: Ms. Bush.

H.R. 5292: Mr. Tonko, Ms. Bush, Ms. Chu, and Ms. Jayapal.

H.R. 5293: Ms. Bush.

H.R. 5294: Ms. Bush and Ms. Jayapal.

H.R. 5295: Mr. Tonko and Ms. Bush.

H.R. 5302: Mr. Waltz.

H.R. 5308: Mr. Costa and Mr. Ryan.

H.R. 5318: Mr. Davis of North Carolina.

H.R. 5323: Mr. Sessions.

H.R. 5329: Mr. Takano.

H.R. 5342: Mr. Williams of Texas, Mr. Gooden of Texas, and

Ms. De La Cruz.

H.R. 5349: Mr. Owens.

H.R. 5351: Ms. Schakowsky, Mr. Cohen, and Mr. Veasey.

H.R. 5361: Mrs. Foushee.

H.R. 5368: Mr. Fry, Mrs. Harshbarger, Mr. Van Drew, Mr.

Johnson of Louisiana, Mr. Bost, and Mr. Mills.

H.R. 5369: Ms. Barragan.

H.R. 5377: Mr. Davis of North Carolina.

H.R. 5379: Mr. Norman.

H.J. Res. 88: Mr. Babin, Mr. Good of Virginia, Mrs. Miller-

Meeks, Mrs. Houchin, Mr. Yakym, and Ms. Hageman.

H. Con. Res. 31: Mr. Huffman.

H. Con. Res. 44: Mr. Casar.

H. Con. Res. 59: Ms. Sanchez.

H. Con. Res. 61: Ms. Waters, Mr. Moulton, Ms. DeGette, Mr.

Casten, Mr. Levin, Ms. Moore of Wisconsin, Ms. Clarke of New

York, Ms. McClellan, Mr. DeSaulnier, Mr. Casar, Ms. Balint,

Ms. Salinas, and Mr. Pocan.

H. Res. 50: Mr. Mooney, Mr. Sessions, Mr. Cloud, and Ms.

Van Duyne.

H. Res. 77: Mr. Lynch.

H. Res. 100: Mr. Walberg.

H. Res. 108: Mr. Mike Garcia of California.

H. Res. 154: Mr. Khanna.

H. Res. 198: Mrs. Fletcher.

H. Res. 339: Mr. Donalds.

H. Res. 345: Mr. Nadler.

H. Res. 374: Mr. Frost.

H. Res. 451: Mr. Kelly of Mississippi, Mrs. Miller of

Illinois, Mrs. Chavez-DeRemer, Ms. Budzinski, Mr. Davis of

North Carolina, Mr. Bost, and Mr. Sorensen.

H. Res. 492: Mr. Van Drew, Mr. Schiff, Mr. Vasquez, Ms.

Stevens, Mrs. Gonzalez-Colon, Mr. Vicente Gonzalez of Texas,

Mr. Buchanan, Mr. Davis of Illinois, and Mr. Allred.

H. Res. 509: Mr. Goldman of New York.

H. Res. 585: Mrs. Torres of California, Ms. Lee of

California, and Ms. Dean of Pennsylvania.

H. Res. 615: Mr. Carter of Louisiana.

H. Res. 616: Mr. Peters, Mr. Keating, and Ms. Ross.

H. Res. 623: Mr. Moskowitz and Mr. Trone.

H. Res. 625: Mrs. Trahan, Mr. Costa, and Mr. Torres of New

York.

H. Res. 627: Mr. Ruppersberger, Mrs. Miller of Illinois,

Mr. Langworthy, Ms. Stefanik, Mr. Schiff, and Ms. Craig.

H. Res. 634: Ms. Schakowsky.

H. Res. 651: Mr. DesJarlais.

H. Res. 674: Mr. Moylan, Ms. Crockett, Ms. Norton, Mr.

Posey, Mrs. Peltola, Mr. Nunn of Iowa, Mr. Van Drew, Mr.

Donalds, Mr. Westerman, Mr. Kelly of Pennsylvania, and Mr.

Crenshaw.

Rep. Brad R. WenstrupR-OH-2 · Nov 30, 2023

Mr. Speaker, I ask unanimous consent to remove the gentlewoman from Illinois (Ms. Kelly) from cosponsorship of H.R. 972.

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Introduced in HouseIssued February 9, 2023

118th CONGRESS

1st Session

H. R. 972

IN THE HOUSE OF REPRESENTATIVES

February 9, 2023

Mr. Wenstrup (for himself and Mr. Larson of Connecticut) 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 modernize payments for ambulatory surgical centers under the Medicare program, and for other purposes.

Short title

This Act may be cited as the Outpatient Surgery Quality and Access Act of 2023.

Aligning updates for ambulatory surgical center services with updates for OPD services

Section 1833(i)(2)(D) of the Social Security Act (42 U.S.C. 1395l(i)(2)(D)) is amended—

(1)

in clause (v)—

(A)

in the first sentence, by inserting before the period the following: and, in the case of 2024 or a subsequent year, by the adjustment described in subsection (t)(3)(G) for the respective year; and

(B)

by moving the margin 6 ems to the left;

(2)

by redesignating clause (vi) as clause (vii); and

(3)

by inserting after clause (v) the following new clause:

(vi)

In implementing the system described in clause (i) for 2024 and each subsequent year, there shall be an annual update under such system for the year equal to the OPD fee schedule increase factor specified under subsection (t)(3)(C)(iv) for such year, adjusted in accordance with clauses (iv) and (v).

Transparency of quality reporting and Medicare beneficiary information

Paragraph (7) of section 1833(i) of the Social Security Act (42 U.S.C. 1395l(i)) is amended by adding at the end the following new subparagraphs:

(C)

To the extent that quality measures implemented by the Secretary under this paragraph for ambulatory surgical centers and under section 1833(t)(17) for hospital outpatient departments are applicable to the provision of surgical services in both ambulatory surgical centers and hospital outpatient departments, the Secretary shall make reported data on such centers and departments available on the website Medicare.gov in a manner that will permit side-by-side comparisons on such measures for ambulatory surgical centers and hospital outpatient departments in the same geographic area.

(D)

The Secretary shall ensure that an ambulatory surgery center and a hospital has the opportunity to review, and submit any corrections for, the data to be made public with respect to the ambulatory surgery center under subparagraph (C) prior to such data being made public.

(E)

The Secretary shall develop materials and inform beneficiaries under this title of publicly available comparisons provided for in subparagraph (C).

Advisory Panel on Hospital Outpatient Payment Representation

(a)

ASC representative

The second sentence of section 1833(t)(9)(A) of the Social Security Act (42 U.S.C. 1395l(t)(9)(A)) is amended by inserting and suppliers subject to the prospective payment system (including at least one ambulatory surgical center representative) after an appropriate selection of representatives of providers.

(b)

Effective date

The amendment made by subsection (a) shall take effect on the date of the enactment of this Act.

Reasons for excluding additional procedures from ASC approved list

(a)

In general

Section 1833(i)(1) of the Social Security Act (42 U.S.C. 1395l(i)(1)) is amended by adding at the end the following: In updating such lists for application in years beginning after the date of the enactment of this sentence, for each procedure that was requested to be included in such lists during the public comment period but which the Secretary does not propose (in the final rule updating such lists) to so include in such lists, the Secretary shall cite in such final rule the specific criteria in paragraph (b) or (c) of section 416.166 of title 42, Code of Federal Regulations, based on which the procedure was excluded. If paragraph (b) of such section is cited for exclusion of a procedure, the Secretary shall identify the peer reviewed research or the evidence upon which such determination is based..

(b)

Effective date

The amendment made by subsection (a) shall apply to lists of ambulatory surgery procedures for application in years beginning after the date of the enactment of this Act.

Limitation on ambulatory surgery center copayment for a procedure to the hospital deductible amount

Section 1833(a)(1)(G) of the Social Security Act (42 U.S.C. 1395l(a)(1)(G)) is amended by inserting the following before the comma at the end: , except that in no case shall the copayment amount for such services furnished in a year exceed the amount of the inpatient hospital deductible established under section 1813(b) for the year (and, notwithstanding any other provision of this section, the amount of payment for such services shall be increased by the amount of any reduction in the copayment amount for such services pursuant to this subparagraph).

Alignment of budget neutrality adjustment for outpatient surgical procedures

(a)

Prohibiting unauthorized agency action

Section 1833(i)(2)(D)(ii) of the Social Security Act (42 U.S.C. 1395l(i)(2)(D)(ii)) is amended by adding at the end the following: The preceding sentence shall only apply to the first year the system described in clause (i) was implemented and shall not apply to any year after 2024..

(b)

Combining volume for budget neutrality calculation

Section 1833(t)(9)(B) of the Social Security Act (42 U.S.C. 1395l(t)(9)(B)) is amended by inserting taking into account the volume of procedures paid under this subsection combined with the volume of procedures paid under subsection (i), after subparagraph (A),.

(c)

Effective Date

The amendments made by subsections (a) and (b) shall apply in years beginning after the date of the enactment of this Act.