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S. Rept. 114-98 1 (2015-07-30)

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                                                         Calendar No. 177
                   114TH CONGRESS                                     REPORT
                      1st Session             SENATE                  114-98





                    PREVENT INTERRUPTIONS IN PHYSICAL THERAPY ACT
                                              OF  2015


                                    JULY 30, 2015.-Ordered to be printed


                             Mr. HATCH,  from the Committee on Finance,
                                       submitted the following


                                          REPORT

                                          [To accompany S. 313]
                     The Committee  on Finance, to which  was referred the bill (S.
                   313) to amend title XVIII of the Social Security Act to add physical
                   therapists to the list of providers allowed to utilize locum tenens
                   arrangements under Medicare, having considered the same, reports
                   favorably thereon with an amendment  and  recommends  that the
                   bill, as amended, do pass.
                                 I. LEGISLATIVE BACKGROUND
                     The Committee  on Finance, to which  was referred the bill (S.
                   313), to amend title XVIII of the Social Security Act to add physical
                   therapists to the list of providers allowed to utilize locum tenens
                   arrangements under Medicare, having considered the same, reports
                   favorably thereon with an amendment,  and recommends  that the
                   bill, as amended, do pass.
                   Background and need for legislative action
                     Under current law, physicians who are absent from their prac-
                   tices (for reasons such as illness, pregnancy, vacation, or continuing
                   medical education) may retain substitute physicians to take over
                   their practices temporarily. The regular physician may bill and re-
                   ceive payment for the substitute physician's services as though he/
                   she performed them; the regular physician generally pays the sub-
                   stitute physician a fixed amount on a per diem or similar fee-for-
                   time basis, with the substitute physician having the status of an
                   independent contractor rather than of an employee.  These sub-
                   stitute physicians are generally called locum tenens physicians.
                      49-010

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