1. Federal Affairs Update Texas ASC Association Annual Meeting Chris Kelly General Counsel AmSurg Corp

2. Proposed ASC Payment Rule 2014 proposed OPPS Updates:  ASCs.9%HOPDs 1.8% No new procedures for ASCs in 2014 Final rule to be published by CMS on November 27 th  Publication delayed by government shutdown Some procedures will get a significant reimbursement increase, e.g., GI procedure reimbursement increasing by 8%

3. Federal Legislative Agenda ASC Quality and Access Act, H.R. 2500 and S. 1137 37 Co-Sponsors in House 7 Co-Sponsors in Senate Electronic Health Records Improvement Act Lead Sponsor, Diane Black (R-TN) Removing Barriers to Colorectal Cancer Screening Act Lead Sponsor, Charlie Dent (R-PA)

4. ASC Quality & Access Act (S. 1137/H.R. 2500) Lead Sponsors and Key Provisions Sen. Ron Wyden/Sen. Mike Crapo Rep. Devin Nunes/Rep. John Larson CPI-U to Hospital Market Basket Authorizes Value Based Purchasing for ASCs Transparency in Procedures List

5. H.R. 1070 – Removing Barriers to Colorectal Cancer Screening Act Rep. Charlie Dent (R-PA) Medicare preventive screening colonoscopy Waives co-pays if polyps discovered during the procedure

6. Your Participation Critical Host a Facility Tour by a Member of Congress Capital Fly-ins next year (tentative dates)  June 17-18 and Sept. 9-10, 2014 Participate in National ASC Day on August 15, 2014