1. Short title
This Act may be cited as the “SOS: Sustaining Outpatient Services Act”.
SOS: Sustaining Outpatient Services Act
A BILL
To amend title XVIII of the Social Security Act to allow payments under the Medicare program for certain items and services furnished by off-campus outpatient departments of a provider to be determined under the prospective payment system for hospital outpatient department services, and for other purposes.
2. Allowing Medicare payments for certain items and services furnished by off-campus outpatient departments of a provider to be determined under the prospective payment system for hospital outpatient department services
Section 1833(t)(1)(B) of the Social Security Act (42 U.S.C. 1395l(t)(1)(B)) is amended—
in clause (iv), by striking “and” at the end;
in clause (v)—
by inserting before “does not include” the following: “subject to clause (vi),”; and
by striking the period at the end and inserting “; and”; and
by adding at the end the following new clause:
“(vi) includes, with respect to a year (beginning with 2021), any item or service—
“(I) that is furnished during such year by an off-campus outpatient department of a provider (as defined in subparagraph (B) of paragraph (21)); and
“(II) with respect to which the greatest total amount paid with respect to a physician speciality under the physician fee schedule under section 1848 for all such items or services furnished by physicians in such specialty during the previous year was less than $2,000,000.”