accompanied by improved quality of care. (12) A 2019 study found that average price for a level 5 drug administration visit increased 57 percent in outpatient settings from 2009 to 2017 but only 15 percent in office settings. (13) If payment rates between settings were aligned Medicare program spending in 2019 would have declined by $6.6 billion and beneficiary cost-sharing obligations by $1.7 billion. (b) Sense of congress It is the sense of Congress that, to ensure the future of community cancer care, Medicare reimbursement should be equal for the same service provided to a cancer patient regardless of whether the service is delivered in the hospital outpatient department or physician’s office. 3. Site neutral payment for cancer care services under Medicare part B Section 1833(t) of the Social Security Act ( 42 U.S.C. 1395l(t) ) is amended— (1) in paragraph (1)(B)— (A) in clause (iv), by striking