I 115th CONGRESS 1st Session H. R. 4206 IN THE HOUSE OF REPRESENTATIVES November 1, 2017 Mr. Bucshon (for himself, Mr. Ruiz , Mr. Marchant , and Mr. Kind ) 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 the physician self-referral prohibitions to promote care coordination in the merit-based incentive payment system and to facilitate physician practice participation in alternative payment models under the Medicare program, and for other purposes.