h 239 60989 1256788800 1258666140 1258693200 77 3961 2917 111 400110

10/29/2009--Introduced.Medicare Physician Payment Reform Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to revise the Medicare sustainable growth rate (SGR) payment system for determining the annual updates to the Medicare physician fee schedule. Sets as a transitional update for 2010 to the single conversion factor in the formula for determining the schedule the percentage increase in the Medicare economic index (MEI, a price index of inputs required to produce physician services). Rebases the update adjustment factor for 2011 and subsequent years by: (1) making the allowed expenditures for 2009 under the schedule equal to the actual expenditures for physicians' services during 2009; and (2) changing from 1996 to 2009 (or, if later, the fifth year before the year involved) the reference point for calculating the cumulative adjustment component to expenditure targets in the formula.Limits to physicians' services under the fee schedule (excluding those incidental to a physician visit) the services covered in the target growth rate computation. Establishes two categories of physician services: (1) evaluation, management, and preventive services; and (2) all other physician services. Prescribes a separate target growth rate and conversion factor update for each such category.

1258693200 2009-11-20 Sat Nov 21 05:13:48 -0600 2009 amended by house 60989 'go':29 'act':9 'new':35 'pay':26 'sgr':14 'tax':36 'titl':3 'amend':2 'secur':8 'spend':39 'updat':23 'xviii':4 'annual':46 'budget':32 'enforc':41 'legisl':40 'reform':11 'requir':30 'social':7 'system':16 'threat':44 'automat':47 'medicar':13 'neutral':33 'payment':15 'sequestr':48 'mandatori':38 'physician':18 'reinstitut':21 'pay-as-you-go':25 80893 false official introduced 60989 'act':5 '2009':7 'reform':4 'medicar':1 'payment':3 'physician':2 80265 false short introduced 60989 'act':9 'sgr':14 'titl':3 'amend':2 'secur':8 'xviii':4 'reform':11 'social':7 'system':16 'medicar':13 'payment':15 'physician':18 79451 false official action 60989 Sat Nov 21 06:58:17 -0600 2009 1258693200 Fri Nov 20 00:00:00 -0600 2009 217395 Received in the Senate. D000355 1926-07-08 8540 2328 Rayburn House Office Building https://forms.house.gov/wyr/welcome.shtml 15 202-226-0371 John 'd':4 'mi':5 '-15':6 'rep':1 'john':2,7,9 'dingel':3,8,10 M 400110 Dingell John_D._Dingell D. Rep. John Dingell [D, MI-15] 5307 N00001783 12520 Democrat 202-225-4071 Roman Catholic MI John Dingell 2.79411764705882 http://www.house.gov/dingell/ A000210 1957-08-04 2572 2439 Rayburn House Building http://www.house.gov/andrews/contact_form_za.shtml 1 Robert 'd':4 '-1':6 'nj':5 'rep':1 'rob':9 'andrew':3,8,11 'robert':2,7,10 M 400008 Andrews Robert_E._Andrews E. Rep. Robert Andrews [D, NJ-1] 1157 Rob N00000826 8550 Democrat 202-225-6501 Episcopalian NJ Rob Robert Andrews 2.27777777777778 http://www.house.gov/andrews/ M000725 1945-05-17 8170 2205 Rayburn House Office Building http://georgemiller.house.gov/contactus/2007/08/post_1.html 7 202-225-5609 George 'd':4 '-7':6 'ca':5 'rep':1 'georg':2,7,9 'miller':3,8,10 M 400278 Miller George_Miller Rep. George Miller [D, CA-7] 4641 N00007390 9997 Democrat 202-225-2095 Catholic CA George Miller 2.1875 http://georgemiller.house.gov/ RepGeorgeMiller P000034 1951-10-30 4007 237 Cannon House Office Building http://www.house.gov/pallone/contact.shtml 6 202-225-9665 Frank 'd':4 '-6':6 'nj':5 'rep':1 'frank':2,7,9 'pallon':3,8,10 M 400308 Pallone Frank_Jr.Pallone J. Rep. Frank Pallone [D, NJ-6] 2300 N00000781 6765 Democrat 202-225-4671 Catholic NJ Frank Pallone 3.41666666666667 http://www.house.gov/pallone/ R000053 1930-06-11 9082 2354 Rayburn House Office Building https://forms.house.gov/rangel/forms/contact.shtml 15 202-225-0816 Charles 'd':4 'ny':5 '-15':6 'rep':1 'charl':2,7,9 'rangel':3,8,10 M 400333 Rangel Charles_B._Rangel B. Rep. Charles Rangel [D, NY-15] 4054 N00000964 13856 Democrat 202-225-4365 Roman Catholic NY Charlie Charles Rangel 1.22413793103448 http://www.house.gov/rangel/ RepRangel S000810 1931-11-11 2065 239 Cannon House Office Building http://www.house.gov/stark/contact/index.htm 13 202-226-3805 Fortney 'd':4 'ca':5 '-13':6 'rep':1 'pete':9 'stark':3,8,11 'fortney':2,7,10 M 400387 Stark Fortney_Pete_Stark H. Rep. Fortney Stark [D, CA-13] 634 Pete N00007397 6718 Democrat 202-225-5065 Unitarian CA Pete Fortney Stark 3.85714285714286 http://www.house.gov/stark/ repstark W000215 1939-09-12 14309 2204 Rayburn House Office Building http://www.house.gov/waxman/contact.htm 30 202-225-4099 Henry 'd':4 'ca':5 '-30':6 'rep':1 'henri':2,7,9 'waxman':3,8,10 M 400425 Waxman Henry_A._Waxman A. Rep. Henry Waxman [D, CA-30] 6566 N00001861 13996 Democrat 202-225-3976 Jewish CA Henry Waxman 1.96511627906977 http://www.house.gov/waxman/ action 60989 Sat Nov 21 06:58:17 -0600 2009 1258693200 Fri Nov 20 00:00:00 -0600 2009 217395 Received in the Senate. vote 60989 Fri Nov 20 06:59:03 -0600 2009 1258662540 Thu Nov 19 16:29:00 -0600 2009 roll 217206 pass 909 On passage Passed by recorded vote: 243 - 183 (Roll no. 909). vote h action 60989 Fri Nov 20 06:59:03 -0600 2009 1258662120 Thu Nov 19 16:22:00 -0600 2009 217205 On motion to recommit with instructions Failed by recorded vote: 177 - 252 (Roll no. 908). action 60989 Fri Nov 20 06:59:03 -0600 2009 1258661100 Thu Nov 19 16:05:00 -0600 2009 217204 The previous question on the motion to recommit with instructions was ordered without objection. action 60989 Fri Nov 20 06:59:03 -0600 2009 1258660500 Thu Nov 19 15:55:00 -0600 2009 217203 DEBATE - The House proceeded with 10 minutes of debate on the Cantor motion to recommit with instructions. The instructions contained in the motion seek to report the same back to the House with an amendment to direct the Secretary of Health and Human Services to implement an adjustment in payments for physician services under section 1848 of the Social Security Act. action 60989 Fri Nov 20 06:59:03 -0600 2009 1258660440 Thu Nov 19 15:54:00 -0600 2009 217201 On motion to table the motion to appeal the ruling of the chair Agreed to by the Yeas and Nays: 251 - 177 (Roll no. 907). action 60989 Fri Nov 20 06:59:03 -0600 2009 1258660440 Thu Nov 19 15:54:00 -0600 2009 217202 Mr. Cantor moved to recommit with instructions to Energy and Commerce. action 60989 Fri Nov 20 06:59:03 -0600 2009 1258658880 Thu Nov 19 15:28:00 -0600 2009 217200 Mr. Waxman moved to table the motion to appeal the ruling of the chair action 60989 Fri Nov 20 06:59:03 -0600 2009 1258658820 Thu Nov 19 15:27:00 -0600 2009 217199 Mr. Gingrey (GA) appealed the ruling of the chair. The question was then put on sustaining the ruling of the chair. action 60989 Fri Nov 20 06:59:03 -0600 2009 1258658460 Thu Nov 19 15:21:00 -0600 2009 217197 Point of order sustained against the motion to recommit with instructions. action 60989 Fri Nov 20 06:59:03 -0600 2009 1258658460 Thu Nov 19 15:21:00 -0600 2009 217198 Mr. Waxman raised a point of order against the motion to recommit with instructions. Mr. Waxman stated that the motion to recommit seeks to exceed the scope of the bill and the amendment is therefore, not germane. Sustained by the Chair. action 60989 Fri Nov 20 06:59:03 -0600 2009 1258658340 Thu Nov 19 15:19:00 -0600 2009 217194 The previous question was ordered pursuant to the rule. action 60989 Fri Nov 20 06:59:03 -0600 2009 1258658340 Thu Nov 19 15:19:00 -0600 2009 217196 DEBATE - The House proceeded with 10 minutes of debate on the Gingrey motion to recommit with instructions. The instructions contained in the motion seek to require the bill to be reported back to the House forthwith with an amendment in the nature of a substitute relating to Medicare SGR improvement and reform. action 60989 Fri Nov 20 06:59:03 -0600 2009 1258658340 Thu Nov 19 15:19:00 -0600 2009 217195 Mr. Gingrey (GA) moved to recommit with instructions to Energy and Commerce. action 60989 Fri Nov 20 06:59:03 -0600 2009 1258652760 Thu Nov 19 13:46:00 -0600 2009 217193 DEBATE - The House proceeded with one hour of debate on H.R. 3961. action 60989 Fri Nov 20 06:59:03 -0600 2009 1258652760 Thu Nov 19 13:46:00 -0600 2009 217192 Rule provides for consideration of H.R. 3962 and H.R. 3961 with 4 hours of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. Specified amendments are in order. All points of order against consideration of the bill are waived except those arising under clause 9 or 10 of rule XXI. action 60989 Fri Nov 20 06:59:03 -0600 2009 1258652760 Thu Nov 19 13:46:00 -0600 2009 217191 Considered under the provisions of rule H. Res. 903. action 60989 Mon Nov 09 18:54:04 -0600 2009 1257615780 Sat Nov 07 13:43:00 -0600 2009 216134 Rule H. Res. 903 passed House. action 60989 Mon Nov 09 18:54:04 -0600 2009 1257575100 Sat Nov 07 02:25:00 -0600 2009 216133 Rules Committee Resolution H. Res. 903 Reported to House. Rule provides for consideration of H.R. 3962 and H.R. 3961 with 4 hours of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. Measure will be considered read. Specified amendments are in order. All points of order against consideration of the bill are waived except those arising under clause 9 or 10 of rule XXI. action 60989 Fri Oct 30 06:59:45 -0500 2009 1256788800 Thu Oct 29 00:00:00 -0500 2009 213759 Referred to House Ways and Means action 60989 Fri Oct 30 06:59:45 -0500 2009 1256788800 Thu Oct 29 00:00:00 -0500 2009 213758 Referred to House Energy and Commerce action 60989 Fri Oct 30 06:59:45 -0500 2009 1256788800 Thu Oct 29 00:00:00 -0500 2009 213757 Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. introduced 60989 Fri Oct 30 06:59:45 -0500 2009 1256788800 Thu Oct 29 00:00:00 -0500 2009 213756 8 243 60989 Thu Nov 19 15:29:00 -0600 2009 true 6368 false 183 909 393 0 On Passage: H R 3961 Medicare Physician Payment Reform Act of 2009 false 1/2 Passed On Passage Thu Nov 19 16:05:40 -0600 2009 house 5 177 60989 Thu Nov 19 15:22:00 -0600 2009 false 6371 false 252 908 226 0 On Motion to Recommit with Instructions: H R 3961 Medicare Physician Payment Reform Act of 2009 true 1/2 Failed On Motion to Recommit with Instructions Thu Nov 19 16:05:27 -0600 2009 house 6 251 60989 Thu Nov 19 14:53:00 -0600 2009 true 6370 false 177 907 166 0 Table Appeal of the Ruling of the Chair: H R 3961 Medicare Physician Payment Reform Act of 2009 false 1/2 Passed Table Appeal of the Ruling of the Chair Thu Nov 19 16:05:04 -0600 2009 house