U.S. Congress - H.R.3961 Statutory Pay-As-You-Go Act of 2009
H.R.3961 - Statutory Pay-As-You-Go Act of 2009
An Act to extend expiring provisions of the USA PATRIOT Improvement and Reauthorization Act of 2005 and Intelligence Reform and Terrorism Prevention Act of 2004 until February 28, 2011. view all titles (7)
All Bill Titles
- Official: An Act to extend expiring provisions of the USA PATRIOT Improvement and Reauthorization Act of 2005 and Intelligence Reform and Terrorism Prevention Act of 2004 until February 28, 2011. as amended by senate.
- Official: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration. as introduced.
- Short: Statutory Pay-As-You-Go Act of 2009 as passed house.
- Short: Medicare Physician Payment Reform Act of 2009 as passed house.
- Official: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians and to reinstitute and update the Pay-As-You-Go requirement of budget neutrality on new tax and mandatory spending legislation, enforced by the threat of annual, automatic sequestration. as amended by house.
- Short: Medicare Physician Payment Reform Act of 2009 as introduced.
- Official: To amend title XVIII of the Social Security Act to reform the Medicare SGR payment system for physicians. as introduced.
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Latest Action Feb 27, 2010Became Public Law No: 111-141. Related Bills (5) & Issues (18) Users Tracking H.R.3961 (18)
11/19/2009--Passed House amended. Division A: Medicare Physician Payment Reform Act of 2009 - Medicare Physician Payment Reform Act of 2009 - (Sec. 2) Amends title XVIII (Medicare) of the Social Security Act to revise the Medicare sustainable growth rate (SGR) payment system for determinin
(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. Division B: Statutory Pay-As-You-Go Act of 2009 - Statutory Pay-As-You-Go Act of 2009 -
(1) the Clerk of the House of Representatives or the Secretary of the Senate, as applicable, also to incorporate by reference such printed estimate into the enrollment of a PAYGO Act; and
(2) budgetary effects that are not so included to be determined by the Office of Management and Budget (OMB) estimates. Amends the CBA to require the chairs to request from the Director of the Congressional Budget Office (CBO) an estimate of the budgetary effects of a PAYGO Act before a vote in either chamber on it that, if determined in the affirmative, would clear it for enrollment. Directs the chairs to post such estimate on their respective committee websites and cause it to be printed in the Congressional Record under "PAYGO ESTIMATE." Requires CBO to make specified estimate adjustments when calculating budgetary effects of certain designated legislation affecting current policy, as detailed in Sec. 7 of this Act. Requires OMB to maintain and make publicly available a continuously updated document containing two PAYGO scorecards (the first for a five-year period and the second for a 10-year period for the beginning of each respective budget year) displaying the budgetary effects of PAYGO legislation, applying certain look-back and averaging requirements. Requires OMB to display as a separate addendum the cost estimates of provisions designated in statute as emergency requirements.
(1) make an annual public PAYGO report, including a up-to-date document containing the PAYGO scorecards, within 14 business days after Congress adjourns to end a session; and
(2) prepare for the President an offsetting sequestration order, which the President shall issue, if such report shows a debit on either PAYGO scorecard for the budget year.
(1) payments made under title XVIII (Medicare) of the Social Security Act for physician services;
(2) the Estate and Gift Tax under the Internal Revenue Code; and
(3) the permanent extension of middle-class tax cuts and the Alternative Minimum Tax (AMT) relief under the Economic Growth and Tax Relief Reconciliation Act of 2001 or the Jobs and Growth Tax Relief and Reconciliation Act of 2003.
(1) low-income subsidies and catastrophic subsidies under Part D (Voluntary Prescription Drug Benefit Program) of the Social Security Act (SSA); and
(2) qualified individual (QI) premiums for Medicare cost-sharing for certain dual eligible low-income Medicare beneficiaries under SSA title XIX (Medicaid).
...Read the Rest
Official Summary
11/19/2009--Passed House amended. Division A: Medicare Physician Payment Reform Act of 2009 - Medicare Physician Payment Reform Act of 2009 -(Sec. 2)
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. Division B: Statutory Pay-As-You-Go Act of 2009 - Statutory Pay-As-You-Go Act of 2009 -
(Sec. 104)
Requires a Pay-As-You-Go (PAYGO) Act to include by reference an estimate of its budgetary effects as determined by the Congressional Budget Act of 1974 (CBA), if timely submitted for printing in the Congressional Record by the chairs of the congressional budget committees (chairs) before the vote on it. Requires:(1) the Clerk of the House of Representatives or the Secretary of the Senate, as applicable, also to incorporate by reference such printed estimate into the enrollment of a PAYGO Act; and
(2) budgetary effects that are not so included to be determined by the Office of Management and Budget (OMB) estimates. Amends the CBA to require the chairs to request from the Director of the Congressional Budget Office (CBO) an estimate of the budgetary effects of a PAYGO Act before a vote in either chamber on it that, if determined in the affirmative, would clear it for enrollment. Directs the chairs to post such estimate on their respective committee websites and cause it to be printed in the Congressional Record under "PAYGO ESTIMATE." Requires CBO to make specified estimate adjustments when calculating budgetary effects of certain designated legislation affecting current policy, as detailed in Sec. 7 of this Act. Requires OMB to maintain and make publicly available a continuously updated document containing two PAYGO scorecards (the first for a five-year period and the second for a 10-year period for the beginning of each respective budget year) displaying the budgetary effects of PAYGO legislation, applying certain look-back and averaging requirements. Requires OMB to display as a separate addendum the cost estimates of provisions designated in statute as emergency requirements.
(Sec. 105)
Requires OMB to:(1) make an annual public PAYGO report, including a up-to-date document containing the PAYGO scorecards, within 14 business days after Congress adjourns to end a session; and
(2) prepare for the President an offsetting sequestration order, which the President shall issue, if such report shows a debit on either PAYGO scorecard for the budget year.
(Sec. 106)
Prescribes requirements for calculating a sequestration for nonexempt direct spending programs, including Medicare payments and certain nonexempt mandatory programs.(Sec. 107)
Prescribes requirements for CBO adjustments of estimates of budgetary effects of PAYGO legislation for legislation affecting current policy for:(1) payments made under title XVIII (Medicare) of the Social Security Act for physician services;
(2) the Estate and Gift Tax under the Internal Revenue Code; and
(3) the permanent extension of middle-class tax cuts and the Alternative Minimum Tax (AMT) relief under the Economic Growth and Tax Relief Reconciliation Act of 2001 or the Jobs and Growth Tax Relief and Reconciliation Act of 2003.
(Sec. 108)
Applies to this Act certain sequestration order requirements of the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act), as amended by this Act, including the authority of Members of Congress and certain individuals to request an expedited judicial review of a sequestration order.(Sec. 109)
Makes technical and conforming amendments to the Gramm-Rudman-Hollings Act.(Sec. 110)
Exempts from sequestration:(1) low-income subsidies and catastrophic subsidies under Part D (Voluntary Prescription Drug Benefit Program) of the Social Security Act (SSA); and
(2) qualified individual (QI) premiums for Medicare cost-sharing for certain dual eligible low-income Medicare beneficiaries under SSA title XIX (Medicaid).
(Sec. 111)
Amends the Gramm-Rudman-Hollings Act to specify additional Social Security, veterans, Tier I Railroad Retirement benefits and other programs and activities exempt from a sequestration order as well as certain economic recovery programs....Read the Rest
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Recent News Coverage
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01/12/10
Challenge to Murphy: Listen to the people, not the partisans
In conjunction with the passage of HR 3962 (by the slimmest of margins and with Patrick Murphy's full support), Murphy also voted to pass HR 3961, ...
Source:
phillyBurbs.com
01/11/10
AARP Endorses Affordable Health Care for America Act
... announced its endorsement of the Affordable Health Care for America Act (HR 3962) and the accompanying Medicare Physician Payment Reform Act (HR 3961). ...
Source:
Insurance News Net (press release)
01/06/10
Our in-debt government cannot responsibly control our health care
Look for Congress to hide these additional dollars in new bills — eg HR 3961. Politicians can conveniently claim how “fiscally sound” this program is during ...
Source:
News Sentinel
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Recent Blog Coverage
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03/18/10
Health Legislation: Medicare Physician Payment Updates and the ...
Legislative activity in the current session of Congress includes S. 1776, H.R. 3961, H.R. 3590, H.R. 3326, H.R. 4691, and H.R. 4213. S. 1776 would have (1) set the update to the conversion factor at 0% for 2010 and in subsequent years, ...
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Health Legislation
03/18/10
What Journalists Should Learn From the Paparazzi « Orwell's Dreams
... Geneva Convention's Violation, Geneva Conventions, Georgia State Senate, Germany, Global Warming, Google, Government Cyber Stalking, Government Lies, Greedy Bankers, H.R. 3961, H.R. 4061 Cybersecurity Enhancement Act of 2009 ...
Source:
Orwell's Dreams
03/15/10
Are you shy? Then you're probably a terrorist « Orwell's Dreams
... Geneva Convention's Violation, Geneva Conventions, Georgia State Senate, Germany, Global Warming, Google, Government Cyber Stalking, Government Lies, Greedy Bankers, H.R. 3961, H.R. 4061 Cybersecurity Enhancement Act of 2009 ...
Source:
Orwell's Dreams
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