h 346 60989 1256788800 1258666140 1263963600 99 3961 5952 111 400110

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.

1263963600 2010-01-20 Thu Jan 21 05:29:51 -0600 2010 introduced 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 81825 false official passed house 60989 'go':6 'act':7 'pay':3 '2009':9 'statutori':1 'pay-as-you-go':2 81609 false short passed house 60989 'act':5 '2009':7 'reform':4 'medicar':1 'payment':3 'physician':2 81608 false short 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 calendar 60989 Thu Jan 21 06:58:46 -0600 2010 1263963600 Wed Jan 20 00:00:00 -0600 2010 228949 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 252. D000355 1926-07-08 9157 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] 5585 N00001783 14585 Democrat 202-225-4071 Roman Catholic MI John Dingell 2.45 http://www.house.gov/dingell/ A000210 1957-08-04 2782 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] 1258 Rob N00000826 10013 Democrat 202-225-6501 Episcopalian NJ Rob Robert Andrews 2.15789473684211 http://www.house.gov/andrews/ M000725 1945-05-17 8829 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] 4920 N00007390 11241 Democrat 202-225-2095 Catholic CA George Miller 2.45454545454545 http://georgemiller.house.gov/ RepGeorgeMiller P000034 1951-10-30 4451 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] 2491 N00000781 7945 Democrat 202-225-4671 Catholic NJ Frank Pallone 2.73333333333333 http://www.house.gov/pallone/ R000053 1930-06-11 10060 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] 4292 N00000964 15984 Democrat 202-225-4365 Roman Catholic NY Charlie Charles Rangel 1.17647058823529 http://www.house.gov/rangel/ RepRangel S000810 1931-11-11 2486 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] 751 Pete N00007397 7757 Democrat 202-225-5065 Unitarian CA Pete Fortney Stark 3.70588235294118 http://www.house.gov/stark/ repstark W000215 1939-09-12 15585 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] 7000 N00001861 16786 Democrat 202-225-3976 Jewish CA Henry Waxman 1.87234042553191 http://www.house.gov/waxman/ calendar 60989 Thu Jan 21 06:58:46 -0600 2010 1263963600 Wed Jan 20 00:00:00 -0600 2010 228949 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 252. action 60989 Fri Dec 25 06:55:19 -0600 2009 1261630800 Thu Dec 24 00:00:00 -0600 2009 222141 Read the first time. Placed on Senate Legislative Calendar under Read the First Time. 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 Dec 25 06:55:19 -0600 2009 1258666140 Thu Nov 19 16:29:00 -0600 2009 roll 222140 pass 909 On passage Passed by recorded vote: 243 - 183 (Roll no. 909). vote h action 60989 Fri Dec 25 06:55:19 -0600 2009 1258665720 Thu Nov 19 16:22:00 -0600 2009 222139 On motion to recommit with instructions Failed by recorded vote: 177 - 252 (Roll no. 908). action 60989 Fri Dec 25 06:55:19 -0600 2009 1258664700 Thu Nov 19 16:05:00 -0600 2009 222138 The previous question on the motion to recommit with instructions was ordered without objection. action 60989 Fri Dec 25 06:55:18 -0600 2009 1258664100 Thu Nov 19 15:55:00 -0600 2009 222137 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 Dec 25 06:55:18 -0600 2009 1258664040 Thu Nov 19 15:54:00 -0600 2009 222136 Mr. Cantor moved to recommit with instructions to Energy and Commerce. action 60989 Fri Dec 25 06:55:18 -0600 2009 1258664040 Thu Nov 19 15:54:00 -0600 2009 222135 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). 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 Dec 25 06:55:18 -0600 2009 1258662480 Thu Nov 19 15:28:00 -0600 2009 222134 Mr. Waxman moved to table the motion to appeal the ruling of the chair action 60989 Fri Dec 25 06:55:18 -0600 2009 1258662420 Thu Nov 19 15:27:00 -0600 2009 222133 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 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 Dec 25 06:55:18 -0600 2009 1258662060 Thu Nov 19 15:21:00 -0600 2009 222132 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 Dec 25 06:55:18 -0600 2009 1258662060 Thu Nov 19 15:21:00 -0600 2009 222131 Point of order sustained against the motion to recommit with instructions. action 60989 Fri Dec 25 06:55:18 -0600 2009 1258661940 Thu Nov 19 15:19:00 -0600 2009 222129 Mr. Gingrey (GA) moved to recommit with instructions to Energy and Commerce. action 60989 Fri Dec 25 06:55:18 -0600 2009 1258661940 Thu Nov 19 15:19:00 -0600 2009 222128 The previous question was ordered pursuant to the rule. action 60989 Fri Dec 25 06:55:18 -0600 2009 1258661940 Thu Nov 19 15:19:00 -0600 2009 222130 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 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 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 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 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 Dec 25 06:55:18 -0600 2009 1258656360 Thu Nov 19 13:46:00 -0600 2009 222125 Considered under the provisions of rule H. Res. 903. action 60989 Fri Dec 25 06:55:18 -0600 2009 1258656360 Thu Nov 19 13:46:00 -0600 2009 222126 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 Dec 25 06:55:18 -0600 2009 1258656360 Thu Nov 19 13:46:00 -0600 2009 222127 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 217191 Considered under the provisions of rule H. Res. 903. 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 Dec 25 06:55:18 -0600 2009 1257619380 Sat Nov 07 13:43:00 -0600 2009 222124 Rule H. Res. 903 passed House. 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 Fri Dec 25 06:55:18 -0600 2009 1257578700 Sat Nov 07 02:25:00 -0600 2009 222123 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 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 introduced 60989 Fri Oct 30 06:59:45 -0500 2009 1256788800 Thu Oct 29 00:00:00 -0500 2009 213756 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. 8 243 60989 Thu Nov 19 15:29:00 -0600 2009 true 6368 false 183 909 883 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 252 908 515 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 177 907 336 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