Allows certain small rural and critical access hospitals to be paid under Medicare Part A on a reasonable cost basis for anesthesiologist services, if they perform 800 or fewer surgeries requiring anesthesia and their anesthesiologists agree not to bill Part B separately.

• Covers rural hospitals and critical access hospitals that performed 800 or fewer surgical procedures requiring anesthesia, or a higher number the Secretary sets.
• Limits eligible hospitals to those employing or contracting with no more than one full-time equivalent anesthesiologist, who must agree not to bill Part B for their services at the hospital.
• Starts for cost reporting periods beginning one year after enactment, with the 800-procedure test applied again each year after 2027.
• Directs the Secretary of Health and Human Services to revise Medicare regulations so these anesthesia services are excluded from the definition of physicians' services.

• Ways and Means Committee (House)

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