Section 1 Short title
This Act may be cited as the “Ensuring Equal Access to Treatments Act of 2015”.
Ensuring Equal Access to Treatments Act of 2015
A BILL
To amend title XVIII of the Social Security Act to modify payment under the Medicare program for outpatient department procedures that utilize drugs as supplies, and for other purposes.
Sec. 2 Payment under the Medicare program for outpatient department procedures that utilize drugs as supplies
Section 1833(t)(2)(G) of the Social Security Act (42 U.S.C. 1395l(t)(2)(G)) is amended by striking “shall” and all that follows and inserting the following:
“(i) create additional groups of covered OPD services that classify separately those procedures that utilize contrast agents from those that do not;
“(ii) create and implement, for services furnished after the date of the enactment of this clause and in a budget neutral manner, additional groups of covered OPD services that classify separately those procedures that utilize a drug (other than contrast agents, diagnostic radiopharmaceuticals, or anesthesia drugs) that both—
“(I) has a cost above the drug packaging threshold; and
“(II) functions as a supply when used in a diagnostic test or procedure;”