; and (B) which the radiologist assistant is legally authorized to perform under State law (or the State regulatory mechanism provided by State law). (2) The term radiologist assistant means a radiographer who is certified by the American Registry of Radiologic Technologists as a registered radiologist assistant or by the Certification Board for Radiology Practitioner Assistants as a radiology practitioner assistant to perform radiologic procedures under the supervision of a radiologist. . (b) Payment in relation to physician fee schedule (1) Payment level Section 1833(a)(1)(O) of such Act ( 42 U.S.C. 1395l(a)(1)(O) ) is amended by striking or clinic nurse specialists and inserting clinic nurse specialists, or radiologist assistant services . (2) Application of fee schedule in hospital, ambulatory surgical center settings Section 1848(a) of such Act ( 42 U.S.C. 1395w–4(a) ) is amended by adding at the end the following new paragraph: (10) Application of fee schedule for radiologist assistant services in hospital, ambulatory surgical center settings (A) In general In the case of radiologist assistant services (as defined in section 1861(kkk)(1)) furnished in a facility setting (as defined in subparagraph (B)), payment for such services furnished in such setting shall be made to the supervising radiologist in an amount determined pursuant to section 1833(a)(1)(O). (B) Facility setting defined In this paragraph, the term facility setting means— (i) a hospital or critical access hospital; (ii) an ambulatory surgical center; and (iii) such other providers of services as the Secretary may specify. . (3) Payment to supervising radiologist The first sentence of section 1842(b)(6) of such Act ( 42 U.S.C. 1395u(b)(6) ) is amended— (A) by striking and before (J)