I 116th CONGRESS 1st Session H. R. 2282 IN THE HOUSE OF REPRESENTATIVES April 10, 2019 Mr. Ruiz (for himself, Mr. Bucshon , Mr. Kind , and Mr. Marchant ) 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.