On the recordAugust 1, 2013
I am honored to join my colleague from Georgia, Senator Johnny Isakson, in introducing a bill essential to expanding health care options for rural hospitals and beneficiaries living in rural areas, the Medicare Access to Rural Anesthesiology Act. As it stands today, low Medicare Part B anesthesia payments and low patient volume in rural areas makes it difficult for rural hospitals to attract and retain anesthesiologists. Our legislation would take an important step towards leveling the playing field between urban and rural health care by ensuring that rural Medicare beneficiaries have similar access to anesthesia services. Generally, Medicare pays for anesthesia services under the Medicare Part B fee schedule, but in order to attract anesthesia providers to rural areas, a statutory exception was created in the 1980s that allows eligible rural hospital to use Part A funds to employ or contract with non-physician anesthesiologist assistants, AA, or certified registered nurse anesthetists, CRNA. This policy however, does not permit eligible hospitals to use pass-through funds to pay anesthesiologists. Leaving anesthesiologists out also prevents AAs from receiving pass through payment because AAs must have an anesthesiologist on premises in order to practice. As a result, many folks in rural areas only have access to one type of anesthesia provider compared to folks in urban areas who can easily visit an anesthesiologist, CRNA, or an AA.…





