I 115th CONGRESS 2d Session H. R. 5506 IN THE HOUSE OF REPRESENTATIVES April 13, 2018 Mr. Smith of Nebraska (for himself and Ms. Sewell of Alabama ) 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 provide for direct payment to physician assistants under the Medicare program for certain services furnished by such physician assistants.

1. Direct Medicare payment for services furnished by physician assistants (a) In general Section 1832(a)(2)(B) of the Social Security Act ( 42 U.S.C. 1395k(a)(2)(B) ) is amended by adding at the end the following new clause: (v) services of a physician assistant but only if no facility or other provider charges or is paid any amounts with respect to the furnishing of such services; . (b) Effective date The amendment made by subsection (a) shall apply with respect to services furnished on or after July 1, 2019.